Form 633 - Personal Property Statement Electric Distribution Cooperative
ADVERTISEMENT
1Michigan Department of Treasury, STC
This form is under authority of P.A. 206 of 1893, as amended. Filing is mandatory. Failure to file is punishable by
633 (11-00), Formerly L-4175D
fine and/or imprisonment, as stated by law. Any questions or comments regarding this statement should be
directed to the State Tax Commission prior to the Board of Review meeting held in March.
PERSONAL PROPERTY STATEMENT
ELECTRIC DISTRIBUTION COOPERATIVE
As of December 31, ______
Cooperative
Area Code and Telephone No.
(
)
Address (No. & Street, City, State, ZIP)
Assessing
City
Township
County
Unit
(B)
(C)
(A)
Average Cost
Estimated Original Cost
1. Miles of Line Single-Phase
__________________________x $ ________________________ = $ _________________________
2. Miles of Line Two-Phase
__________________________x $ ________________________ = $ _________________________
3. Miles of Line Three-Phase
__________________________x $ ________________________ = $ _________________________
4. Number of Services
__________________________x $ ________________________ = $ _________________________
5. ______________________
__________________________x $ ________________________ = $ _________________________
6. ______________________
__________________________x $ ________________________ = $ _________________________
$ _________________________
7. TOTAL (Add lines 1 thru 6)
_________________________
8. Percent Condition Factor (Schedule 1, Line 17, Col. I)
9. Depreciated Average Cost (Line 7 X Line 8)
_________________________
_________________________
10. Other Taxable Personal Property (See attached schedule)
_________________________
11. TOTAL (Add Lines 9 and 10)
_________________________
12. System Economic Factor
_________________________
13. True Cash Value (Line 11 X Line 12)
_________________________
14. Assessed Valuation Based on Tentative Assessment Ratio
Did you have in your possession in this assessing unit on December 31, ___________ tangible personal property belonging
to others, including governmental units, which is not reported above?
Yes*
No
*If Yes, attach a rider showing the name and addresses of the owners and the description of the property on lease, rental, loan, etc. If you are leasing or
purchasing property under a lease purchase contract, include that property on line 10 above.
STATE OF MICHIGAN
}
COUNTY OF ______________________________________
SS
I, ___________________________________________ being duly sworn depose and say that the foregoing is a full and
true statement of all tangible personal property of the taxpayer liable to taxation in the (Township, City) of
___________________________________________________, _____________________________________________
County, Michigan on the 31st day of December, ____________.
Title
Signature
Subscribed and sworn to before me this _____________________________ day of ____________________________, __________
My Commission Expires:
Notary Public
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form L-4175 D - Personal Property Statement Electrical Distribution Cooperative - Michigan Department Of Treasury
Financial
Form Boe-517-eg - Declaration Of Costs And Other Related Property Information - Property Statement Electric Generation Companies
Financial
Related Categories
Parent category: Financial