Form Ds 056 61-17 - Personal Property Declaration Schedule
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1
217 DPT-AS Form
DO NOT USE – FOR ASSESSOR ONLY
State of Colorado
DS 056 61-17
PERSONAL PROPERTY
DECLARATION SCHEDULE
RECEIVED
(CONFIDENTIAL DATA)
COMPLETED
NO
LATE FILING PENALTY APPLIED
YES
RETURN TO COUNTY ASSESSOR
County
B.A. CODE
T.A. CODE
SCHEDULE/ACCT. NO.
Assessment Date
Due Date
January 1, 2017
April 15, 2017
A. NAME AND MAILING ADDRESS (INDICATE ANY
BUSINESS NAME AND PHYSICAL LOCATION OF THE
CHANGES OR CORRECTIONS)
PERSONAL PROPERTY AS OF JANUARY 1, 2017
B
BUSINESS: Start-Up Date (at this location
Square Footage the Business Occupies
Product or Service Provided
.
)
C. BUSINESS STATUS:
(Please check the appropriate boxes ONLY).
NOT CURRENT BUSINESS OWNER. If you are not the current business owner, check here and provide the name and address
of the new owner:
Date Sold:
NEW BUSINESS/ORGANIZATION. You must give a complete itemized listing of all personal property. Use the first part of
Section D and attach separate sheet(s) if needed. The assessor may select your business for an audit whether or not you file a
declaration schedule.
EXISTING BUSINESS/ORGANIZATION. Indicate any additions and/or deletions to your listing in Section D.
NEW OWNER OF PREVIOUSLY EXISTING BUSINESS/ORGANIZATION. You must give a complete itemized listing of all
personal property acquired in a business purchase. Include additions made prior to Jan. 1 since that purchase.
AS OF JANUARY 1, DID YOUR BUSINESS CEASE OPERATIONS?
Yes
No
If yes, please complete
below:
Personal Property Sold
Personal Property Stored
Date Sold / Stored
If sold, Selling Price of Furnishings, Assets, and Equipment Only: $
If sold, Name and Contact Information of New Owner of the Personal Property:
Phone Number
NOTE: If sold to more than one new owner, please attach a listing of the new owners.
PROPERTY CHANGED LOCATION TO
ON (DATE)
D. ITEMIZED LISTING OF PERSONAL PROPERTY:
FOR THE MOST ACCURATE ASSESSMENT, IT IS RECOMMENDED
THAT YOU ATTACH A COMPLETE ITEMIZED ASSET LISTING WITH
EACH BUSINESS PERSONAL PROPERTY DECLARATION FILING.
CHECK HERE IF THERE ARE NO CHANGES FROM LAST YEAR’S DECLARATION SCHEDULE INFORMATION.
IF SO, GO DIRECTLY TO SECTION H. COMPLETE THE FORM, SIGN IT, AND RETURN FORM TO THE ASSESSOR.
NOTE: DO NOT CHECK THIS BOX IF THIS IS A NEW BUSINESS OR ORGANIZATION.
If NO ADDITIONS, check here; otherwise, list all personal property acquired prior to January 1.
Attach additional sheets if necessary.
NOTE: Include ALL Expensed Assets with a Life of Greater Than 1 Year, Fully Depreciated Assets Still in Use, and Stored Assets
that are Subject to IRS Depreciation. Do not report licensed vehicles in this section.
Item
Year
Check New or Used
Your Original
Month & Year First
ID
Complete Description Including Model or Capacity
Acquired
for Each Item:
Installed Cost
Placed into Service
Number
Quantity
$
/each
Used
New
$
/each
New
Used
$
/each
Used
New
$
/each
New
Used
$
/each
New
Used
If NO DELETIONS, check here; otherwise, list all personal property sold, traded, or discarded prior to January 1. Attach separate
sheet(s) if needed.
Item
Year
Check New or Used
Your Original
Complete Description Including Model or Capacity
ID Number
Quantity
Acquired
for Each Item:
Installed Cost
$
/each
New
Used
$
/each
New
Used
SEE OTHER SIDE
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Parent category: Financial