CID: PID:
(1) A complete list of all assets employed in your trade or
business, the date acquired and the total original cost.
(2) A copy of all Federal Income Tax Return Forms and
Schedules, including Form 4562, filed for this business the
immediate past year. IFTA form is required when applicable.
(3) Sufficient evidence to support disposition of assets
previously reported.
4. COMPUTER EQUIPMENT: Report below the total original cost of all
computer equipment including mainframe and personal computers, PDA's,
monitors, CPUs, servers, disk drives, peripheral equipment including
printers, scanners, memory cards, cables and any other tangible property
used in business, including those fully depreciated.
2010 & Prior x 30%= x 10%=
2011 x 40%= x 50%=
2012 x 50%= x 70%=
2013 x 60%= x 80%=
2014 x 70%=
2015 x 80%=
TOTAL
x 20%=
x 20%=
x 20%=
2008 & Prior x 40%=
2009-2011 x 50%=
DECLARATION BY TAXPAYER: I declare that the foregoing statements and
2012-2015 x 60%=
figures are true, full and correct to the best of my knowledge and belief.
TOTAL
2010 & Prior x 10%=
2011 x 20%=
2012 x 30%=
2013 x 50%=
2014 x 60%=
2015 x 80%=
TOTAL
Original Cost
as Listed by Taxpayer
%
YEAR
ACQUIRED
ORIGINAL
COST
%
ASSESSED VALUE
Inventory on Hand
Daily Rental Property
Daily Rental Vehicles
TOTAL
2. MACHINERY AND TOOLS: Report below the total original
capitalized cost of all machinery and tools used directly in
manufacturing, mining, processing, reprocessing, radio,
broadcasting, dry cleaning, commercial laundry or motor vehicle
cleaning business including those fully depreciated.
ASSESSED VALUE
2012 & Prior
2015
2014
2013
lawn equipment, hand/power tools, office machines,
Business Cease Date
in Montgomery County
Physical Address
of Property
Nature of
Business
YOU MUST INCLUDE THE FOLLOWING WITH YOUR RETURN:
Location of Business
on January 1
Blacksburg Christiansburg County
FILE ON OR BEFORE MAY 1
After May 1 - Late filing penalty of 5% or $10 whichever is greater
FEIN/Taxpayer Social
Security Number
DBA if different than
name to the left
Business Start Date
in Montgomery County
755 Roanoke St, Suite 1A, Christiansburg, VA 24073
Commissioner of the Revenue
Helen P. Royal
Phone: (540) 382-5710 Fax: (540) 381-6838
2016
MONTGOMERY COUNTY
RETURN OF BUSINESS PERSONAL PROPERTY
AS OF JANUARY 1ST, 2016
Email: businesspp@montgomerycountyva.gov
Signature of Taxpayer
Date
Printed Name of Taxpayer
Signature of Preparer
Date
1. BUSINESS FURNITURE, FIXTURES & LIGHT EQUIPMENT:
Report below the total original cost of all furniture, fixtures,
business/mobile phones, books, signs and any other tangible
property used in business, including those fully depreciated.
YEAR
ACQUIRED
ORIGINAL
COST
%
ASSESSED VALUE
TOTAL
TYPE OF INVENTORY
Assessed
Value
YEAR
ACQUIRED
ORIGINAL
COST
%
3. TRUCKS TRACTORS, TRAILERS NOT LISTED ON BACK PAGE &
HEAVY CONSTRUCTION EQUIPMENT: Report Below any heavy
equipment that isn't already listed on the back page of this form
including those fully depreciated.
YEAR
ACQUIRED
ORIGINAL
COST
%
5. MERCHANTS CAPITAL: Report below the market value of the inventory on
hand as reported on tax schedule as of 12/31/15 and attach a copy of the
Income Tax Schedule.
ASSESSED VALUE
Email Address
Phone Number
Email Address
Phone Number
Printed Name of Preparer
Name:
Address:
click to sign
signature
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signature
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6. LEASED PROPERTY: List all Tangible Personal Property leased, rented, borrowed or made available for use as of January 1 (Virginia Code 58.1-3518)
Attach a separate sheet if more space is required.
Year
Make Model
Title
Number
Plate
Number
Weight PSD
Purchase
Date
Sold
Date
Original
Cost
HELEN P. ROYAL
COMMISSIONER OF THE REVENUE
COUNTY OF MONTGOMERY
755 ROANOKE ST STE 1A
CHRISTIANSBURG VA 24073-3169
Address & Phone Number of Owner
Start & End Dates
of Lease
Description of Item (ID, Serial, Model or
Title Numbers)
Quoted
Purchase Price
Name of Owner
(Lessor)
Vehicle ID
(VIN)
IMPORTANT PLEASE NOTE: