Form Otc 901 - Business Personal Property Rendition - 2017
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1
22017
BUSINESS PERSONAL PROPERTY RENDITION
Tax Year
As essing Date
s
(This Statement is Privileged & Confidential)
OTC
January 1.
Ken Yazel, Tulsa County Assessor
Must be mailed
901
ATTN: Business Personal Property Dept.
by March 15 to
500 S Denver Ave., Suite 215 ● Tulsa, OK 74103
avoid penalties.
Revised 7-2016
918.596.5153 or 918.596.5114 ●
Report Only Tangible Assets
RE#
PP#
FEIN: ________________________________________________________
Phone Number
Type of Business: _______________________________________________
Email Address
North American Industry
Classification System
Owner/DBA
Are other businesses included in this rendition?
Yes
No
Mailing Address
If yes, please list: ______________________________________________
Physical location if different from mailing address:
_____________________________________________________________
City, State, ZIP
Are you still in business at this location?
Yes
No
Are you renting or leasing this business location?
Yes
No
If No, Where? __________________________________
If yes, do you own any real estate improvements at this location?
If no, do you still own the business personal property?
Yes
No
Yes
No
Date Disposed/Sold: ____/____/____ If disposed or sold, stop here.
When did you start business at this location?
Date ____/____/____
Sign and return.
Part Two: Oklahoma Taxable Fixed Assets, from Form 904 Schedule 3 or 3A
Assessor Use
Description
Beginning Total
Additions to Total
Deletions to Total
Ending Total Original
Original Cost or RCN
Original Cost or RCN
Original Cost or RCN
Cost or RCN
Not Book Value
Not Book Value
Not Book Value
Not Book Value
Reconciled
Assessed Value
Leasehold Improvement
Original Cost
Furniture and Fixtures
Original Cost
Electric Equipment
Original Cost
Computer Equipment
Original Cost
Machinery and Equipment
Original Cost
Forklifts and Construction
Original Cost
Tooling, Dies and Molds
Original Cost
Other Assets and Trade Tools
Original Cost
Leased to Others
★
Original Cost
Leased from Others
Total
Total
★
Original Cost (See Instructions)
Total Fixed Assets
★
See Instructions
➔
➔
Part Three: Oklahoma Taxable Inventory
Net Inventory
Inventories
Total Assessed
Average Inventory (From Part 6)
Total supplies, parts,
Penalty
Less Freeport Exemption
equipment, etc. stored
(Form 901-F)
and/or not currently in use
Total Net
Consignment and/or Floorplan Inventory
including raw materials,
work in progress, finished
Date Filed
=
goods, etc.
Net Taxable Inventory
_____ / _____ / _____
Assessment %
School District
State of Oklahoma • County of ____________________________________________________________________________________________________
I, _________________________________________________________________________ under penalties of perjury, do hereby depose and say that
I am _____________________________________________ of _______________________________________________________________ company;
that as such I am acquainted with the books, accounts, and affairs of said company and know that the accompanying statement to be true, correct, and
complete, and that all information requested herein has been fully and correctly given. (68 O.S. Section 2945 provides penalties for false oaths)
Don’t Forget
✍
Signature of preparer if other than taxpayer
Date
Preparer’s address
to Sign
Signature of taxpayer
Date
Preparer’s identification number
Preparer’s phone number
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