Fillable Address Service Requested (City of Stamford)

Fill Online, Printable, Fillable, Blank Address Service Requested (City of Stamford) Form

Use Fill to complete blank online CITY OF STAMFORD (CT) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Address Service Requested (City of Stamford)

On average this form takes 223 minutes to complete

The Address Service Requested (City of Stamford) form is 18 pages long and contains:

  • 0 signatures
  • 9 check-boxes
  • 889 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Stamford

BROWSE CITY OF STAMFORD (CT) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
City of Stamford
FIRST CLASS
Assessor’s Office
U.S. POSTAGE PAID
PO Box 10152
STAMFORD CT
Stamford, CT 06904-2152
PERMIT NO. 243
Address Service Requested
Filing Requirement – This declaration must be filed with the Assessor of the town where the personal property is located. Declarations of
personal property shall be made annually.
If you no longer own the above noted business or personal property assessed in your name last year, you must return this declaration to the
Assessor and provide information related to the name of the new owner of the property or the date your business ceased or to where you
moved the business by completing the Affidavit of Business Closing or Move or Sale of Business or Property found on page 6.
Otherwise, the Assessor must assume that you are still operating the business and still own and have failed to declare your taxable personal
property.
Stamford Assessor’s Office Hours: 8:30 AM to 4:30 PM
Stamford, Connecticut
2019 Declaration of Personal Property
Penalty for late filing – Failure to file timely will result in a penalty equal to 25% of the assessment of the personal property. This
declaration must be filed or postmarked, as defined in CGS Sec 1-2a, no later than Nov 1, 2019.
Make copies for your records and return the original to the assessor
b
y:
Friday, November 1, 2019
Page 1
Direct questions concerning declar tion to the Assessor’s Office at:
Check Off List:
Phone 203-977-4102 / 203-977-4192
Fax 203-977-5553
Read instructions on this page
Hand deliver declaration to:
Mail declaration to:
Complete appropriate sections
City of Stamford
Complete exemption applications
Assessor’s Office
PO Box 10152
Sign & date as required on page
6
Make a copy for your records
City of Stamford
Assessor’s Office
888 Washington Blvd. 6
th
floor
Stamford, CT 06901
Stamford, CT 06904-2152
E-mail:
personalproperty@stamfordct.gov
Website:
www.stamfordct.gov
I N S T R U C T I O N S
As per CGS 12-63, the assessor must determine the “present true and actual value” and in determining such value may use the accepted
methods of comparable sales, cost less depreciation and income capitalization.
Not all sections are applicable to every business. Please read the following instructions and
complete all relevant sections.
Who Should File --
All owners of taxable personal property.
Declaration –
1. Owners of:
a. Non-Connecticut registered motor vehicles
b. Horses, ponies and thoroughbreds
c. Mobile manufactured homes-not assessed as real estate
2. Businesses, occupations, farmers, and professionals
need to complete: (Commercial and cost information is not
open to public inspection).
•
Business Data (page 2).
•
Disposal, Sale or Transfer of Property Report (page 3).
•
Taxable Property Information (pages 3-4).
•
Lessee’s Listing Report (page 5).
•
Sign the Declaration of Personal Property Affidavit
(page 6).
3. Lessors need to complete: (Commercial and cost information
is not open to public inspection).
•
Business Data (page 2).
•
Taxable Property Information (pages 3-4).
•
Lessor’s Listing Report (page 5).
•
Sign the Declaration of Personal Property Affidavit
(page 6).
Filing Requirements –
1. The Personal Property Declaration must be filed annually on
or before November 1 (or the Monday following if November 1
falls on Saturday or Sunday) (CGS §12-42).
2. A Personal Property Declaration not filed will result in a value
determined by the Assessor.
3. Declarations filed with “same as last year” are insufficient
and shall be considered an incomplete declaration.
4. Manufacturing machinery and equipment, or biotechnology
machinery and equipment, eligible for exemption under CGS
12-81 (76), are declared under Code 13 (page 4), and the
Manufacturing Machinery and Equipment Exemption Claim
(Form U) (page 8 & 9).
Penalty Of 25% is Applied –
1. When no declaration is filed or a declaration is not signed, a
25% p
enalty is applied to the assessment.
2. When declarations are submitted after November 1, and an
extension has not been granted, a 25% penalty is applied to
the assessment. Declarations mailed in must have a
postmark (as defined in C.G.S. Sec 1-2a) of November 1 or
before.
3. When an extension is granted and the declaration is not filed
by the extension deadline a 25% penalty is applied to the
assessment.
4. When omitted property is discovered, the 25% penalty is
applied to the difference in the assessed value as determined
by the results of the discovery, and the assessment as
determined by the originally filed declaration.
Signature Required –
1. The owner must sign the declaration (page 6).
2. The owner’s agent may sign the declaration, in which case the
declaration must be duly sworn to or notarized.
3. Corporate officers may sign for their corporations.
Extension –
The Assessor may grant a filing extension ‘for good cause’
(CGS §12-42). If a request for an extension is needed, you
must contact the Assessor’s Office in writing, via fax at 203-
977-5553 or email at personalproperty@stamfordct.gov
before November 1. An extension of no more than 30 days
may be granted by the Assessor.
Audit –
The Assessor is authorized to audit declarations within 3
years of the date of the required filing. Substantial penalties
are applicable if such an audit reveals property not declared
as required by law (CGS §12-53).
BEFORE FILING MAKE COPIES OF COMPLETED DECLARATION FOR YOUR
RECORDS
PLEASE NOTE THAT YOU ARE REQUIRED TO PROVIDE YOUR FEDERAL TAX ID
NUMBER
a
declaration.
5.
Pursuant to CGS § 12-81(79) tangible personal property with
an original cost of not more than $250 and over 10 years old is
exempt. Do NOT report any asset purchased prior to
10/01/2009 with an original acquisition cost of $250 or less.
Please provide a detailed list of these assets on page 11 of this
Return by November 1, 2019
Page 2
Commercial and financial information is not open to public inspection
.
Owner’s Name:
DBA:
Location (street & number)
BUSINESS DATA
For businesses, occupations, professions, farmers, lessors. Answer all questions 1 through 12.
Name
Address
1. Direct quest
ions concerning return to: 2. Location of accounting
records:
City,State,Zip
Phone / Fax ( ) ( ) ( ) ( )
E-mail
3. Description of Business
4. What year did your business begin in Stamford?
5. How many employees do you have in Stamford?
6. How many square feet does your firm occupy at your facilities in Stamford? Sq. ft.
Own
Lease
7. Type of ownership:
Corporation
Partnership
LLC
Sole proprietor
Other-Describe
8.
Type of business:
Manufacturer
Wholesale
Service
Profession
Retail/Mercantile
Tradesman
Lessor
Other-Describe
Yes
No
9. In the last 12 months was any of the property included in this declaration located in another Connecticut town
for at least 3 months? If yes, identify by specific months, code, cost, and location(s).
10. Are there any other businesses operating from your address here in Stamford?
If yes, give their name, phone number and mailing address.
11. Do you own tangible personal property that is leased or consigned to others in Stamfo
rd?
If yes, complete Lessor’s Listing Report (page 5)
12. Did you have in your possession on October 1
st
any borrowed, consigned, stored or rented property?
If yes, complete Lessee’s Listing Report (page 5).
2019 PERSONAL PROPERTY
D
ECLARATION
List # Assessment date October 1, 2019
Federal Tax ID # Required return date November 1, 2019
Page 3
DISPOSAL, SALE OR TRANSFER OF PROPERTY REPORT
DETAILED LISTING OF DISPOSED ASSETS COPY AND ATTACH ADDITIONAL SHEETS IF
NEEDED
Date Removed Code # Description of
Item
Date Acquired Acquisition Cost
TAXABLE PROPERTY INFORMATION
1) All data reported should be:
a) Actual acquisition costs including any additional charges for
transportation and installation by year for each type of property
described. These costs, less the standard depreciation as shown
on the form will determine the net depreciated value.
b) Include all assets that may have been fully depreciated, written off,
or charged to expense but are still owned. Do not include disposed
assets.
3) Computerized filings are acceptable as long as all information is
reported in prescribed format.
4) Do not include disposed assets. Disposals are used to reconcile last
year’s reporting with this year’s reporting.
# 9 – Motor Vehicles…Unregistered motor vehicles and vehicles garaged in Connecticut but registered in another state
Assessor’s
Year Make Model Identification Number
Length Weight Purchase $ Date Book Value
Use Only
#
9
#11 – Horses and Ponies
Breed Registered Age Sex Quality: Breeding/Show/Pleasure/Racing Value
#14 – Mobile Manufactured Homes if not currently assessed as real estate
Year Make Model Identification Number
Length
Width Bedrooms Baths Value
#12 – Commercial Fishing Apparatus #19 – Mechanics Tools
#11
#14
Year
Ending
Original cost, trans-
portation & installation
%
Good
Depreciated Value
Year
Ending
Original cost, trans-
portation & installation
%
Good Depreciated Value
Prior Yrs
30%
Prior Yrs
30%
Total Total Total Total #19
#17 – Farm Machinery #18 – Farm Tools
Year
Ending
Original cost, trans-
portation & installation
%
Good
Depreciated Value
Year
Ending
Original cost, trans-
portation & installation
%
Good Depreciated Value
Prior Yrs
30%
Prior Yrs
30%
Total Total Total Total #18
Owner’s Name: Assessment date October 1, 2019
List# Required return date November 1, 2019
Disposal, sale or transfer of property – If you disposed of, sold, or transferred a portion of the property included in last year’s filing, complete the Detailed
Listing of Disposed Assets Report and Reconciliation of Fixed Assets on page 4. If you no longer own the business noted on the cover sheet you do not
need to complete this declaration. You must, however, return this declaration to the Assessor along with the completed “A
FFIDAVIT OF BUSINESS CLOSING
OR
MOVE OR SALE OF BUSINESS” (PAGE 6). DO NOT INCLUDE DISPOSALS IN TAXABLE PROPERTY REPORTING SECTION.
2) Reports are to be filed on an assessment year basis of October 1.
Acquisitions between October 2 and December 31 apply to the new
year. (i.e. acquisition made October 30, 2018 is reported in the year
ending October 1, 2019).
10-1-19 95% 10-1-19 95%
10-1-18 90% 10-1-18 90%
10-1-17 80% 10-1-17 80%
10-1-16 70% 10-1-16 70% #17
10-1-15 60% 10-1-15 60%
10-1-14 50% 10-1-14 50%
10-1-13 40% 10-1-13 40%
10-1-19 95% 10-1-19 95%
10-1-18 90% 10-1-18 90%
10-1-17 80% 10-1-17 80%
10-1-16 70% 10-1-16 70% #12
10-1-15 60% 10-1-15 60%
10-1-14 50% 10-1-14 50%
10-1-13 40% 10-1-13 40%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 4
OWNER’S
NAME LIST#
#10 – Manufacturing Machinery & Equipment not eligible for
exemption under CGS 12-81 (76).
#13 – Manufacturing Machinery & Equipment eligible for
exemption under CGS 12-81 (76). Also complete exemption
claim form ‘U’ (page 8 & 9).
Assessor’s
Use Only
Year
Ending
Original cost, trans-
portation & installation
%
Good Depreciated Value
Year
Ending
Original cost, trans-
portation & installation
%
Good
Depreciated Value
#16a - Furniture, Fixtures and Equipment. #16b - Technologically Advanced Equipment i.e. copiers, etc.
Year
Ending
Original cost, trans-
portation & installation
%
Good Depreciated Value
Year
Ending
Original cost, trans-
portation & installation
%
Good
Depreciated Value
Prior Yrs
30%
Total Total #16b
# 20a – Electronic Data Processing Equipment. Group 1:
Computer and peripheral hardw
are in accordance with
Section 168 IRS Codes.
# 20b -- Electronic Data Processing Equipment. Group 2:
Other hardware, including, but not limited to mini-frame
and main-frame systems with an acquisition cost of more
than
$25,000.
Year
Ending
Original cost, trans-
portation & installation
%
Good Depreciated Value
Year
Ending
Original cost, trans-
portation & installation
%
Good
Depreciated Value
Total Total #20b
Year
Ending Total Expended
# of
Months
#23
#24a – Other Goods and Chattels including Leasehold Improvements. #24b -- Rental Entertainment Medium.
Year
Ending
Original cost, trans-
portation & installation
%
Good Depreciated Value
Year
Ending
Original cost, trans-
portation & installation
%
Good
Depreciated Value
# of DVDs,
Prior Yrs
30% CDs, Tapes on hand.
Total Total #24b
#22 – Cables, Conduits & Pipes, UTILITY COMPANIES ONLY R
ECONCILIATION OF FIXED ASSETS
Year
Ending
Original cost, trans-
portation & installation
%
Good
Depreciated Value
Prior Yrs
Total Total
*SEE PAGE 11 FOR DETAILED LISTING OF ASSETS STILL
OWNED BUT NOT INCLUDED IN THIS REPORT
10-1-19 95% 10-1-19 95%
10-1-18 90% 10-1-18 90%
10-1-17 80% 10-1-17 80%
10-1-16 70% 10-1-16 70%
10-1-15 60% 10-1-15 60%
10-1-14 50% 10-1-14 50% #10
10-1-13 40% 10-1-13 40%
10-1-19 95% 10-1-19 95%
10-1-18 90% 10-1-18 80%
10-1-17 80% 10-1-17 60%
10-1-16 70% 10-1-16 40%
10-1-15 60%
Prior Yrs
20%
10-1-14 50% Total Total #16a
10-1-13 40%
10-1-19 70% 10-1-19 90%
10-1-18 40% 10-1-18 60%
10-1-17 20% 10-1-17 40% #20a
Prior Yrs
10% 10-1-16 20%
Total Total
Prior Yrs
10%
10-1-19 95% 10-1-19 95%
10-1-18 90% 10-1-18 80%
10-1-17 80% 10-1-17 60%
10-1-16 70% 10-1-16 40%
10-1-15 60%
Prior Yrs
20%
10-1-14 50% Total Total #24a
10-1-13 40% Average
10-1-19
10-1-14
10-1-13
Complete “Detailed Listing of Disposed Assets” on page 3.
**All Assets
Owned as of
10/1/18
Assets
disposed
since
10/1/18
*Total Assets from page 11
Assets
added
since
10/1/18
Assets
declared
10/1/19
Expensed equipment last year
**including assets that were older than 10 yrs on 10/1/18
10-1-19
10-1-18
10-1-17
10-1-16
10-1-15 #22
Prior Yrs
30%
Prior Yrs
30%
Total Total Total Total #13
# 23 - Expensed Supplies. The average is the total amount
expended on supp
lies since October 1, 2018 divided by the
Average Monthly
number of months in business since October 1, 2018.
0
0%
0%
0%
0%
0%
0%
0%
0%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Page 5
OWNER’S
NAME
LIST#
L
ESSOR
’
S
L
ISTI
NG
R
EPORT
Lessor’s Name
In order to avoid duplication of assessments related to leased personal property, the following must be completed by Lessors. Computerized filings are
acceptable as long as all information is reported in prescribed format. Please note that property under conditional sales agreements must be reported by
the lessor.
Lessee #1 Lessee #2 Lessee #3
Name of Lessee

Lessee’s address

Physical location of equipment

Full equipment description

Is equipment self-manufactured?
Yes
No
Yes
No
Yes
No
Acquisition date

Current commercial list price new

Has this lease ever been purchased,
assumed or assigned?
Yes
No
Yes
No
Yes
No
If yes, specify from whom

Date of such purchase, etc.

If original asset cost was changed by
this transaction, give details.

Type of lease (circle one)
Operating
Capita
l
Conditional Sale
Operating Capita
l
Conditional Sale
Operating Capita
l
Conditional Sale
Lease Term – Begin and end dates

Monthly contract rent

Monthly maintenance costs if included
in monthly payment above

Is equipment declared on either the
Lessor’s or the Lessee’s new manu-
facturing exemption application?
Yes
No
Lessor
Lessee
Yes
No
Lessor
Lessee
Yes
No
Lessor
Lessee
L
ESSEE
’
S
L
ISTING
R
EPORT
Lessee’s Name
Pursuant to Connecticut General Statutes §12-57a all leased, borrowed, consigned, loaned, rented, or stored personal property not owned by you but in
your possession as of the assessment date must be included on this form. Failure to declare, in the form and manner as herein prescribed, shall result in
the presumption of ownership and subsequent tax liability plus penalties. Property you do not lease that may be in your possession and must be reported
includes (but is not limited to) dumpsters, gas/propane tanks, vending machines, water coolers, coffee machines, etc.
Yes
No
Did you dispose of any leased items that were in your possession on
date of disposition in the space to the right.
Did you acquire any of the leased items that were in your possession
Is the cost of any of the equipment listed below declared anywhere else on this declaration? If yes, note year in the ‘Year Included’ row and list
cost in the ‘Acquisition Cost’ row.
Lease #1 Lease #2 Lease #3
Name of Lessor

Lessor’s address

Lease Number

Item description / Model #

Serial #
Year of manufacture

Capital Lease
Yes
No
Yes
No
Yes
No
Lease Term – Beginning/End

Monthly rent

Acquisition Cost

Year Included

COPY AND ATTACH ADDITIONAL SHEETS IF NEEDED
October 1, 2018? If yes, enter a description of the property and the
on October 1, 2018? If yes, indicate previous lessor, item(s) and
date(s) acquired in the space to the right.

CHECK ONE
OWNER
PARTNER
CORPORATE OFFICER
MEMBER
OWNER’S
NAME LIST#
Section A
DECLARATION OF PERSONAL PROPERTY A
FFIDAVIT
THIS FORM MUST BE SIGNED (AND IN SOME CASES WITNESSED) BEFORE IT MAY BE FILED WITH THE
A
SSESSOR
.
IMPROPERLY
SIGNED
DECLARATIONS
MAY RECEIVE A 25%
PENALTY
COMPLETE SECTION A OR B
OWNER I DO HEREBY declare under penalty of false statement that all sections of this declaration have been
completed according to the best of my knowledge, remembrance, and belief; that it is a true statement of all my
personal property liable to taxation; and that I have not conveyed or temporarily disposed of any estate for the
purpose of evading the laws relating to the assessment and collection of taxes as per Connecticut General Statutes
§12-49.
See page 1 for signature
requirements
.
Signature/Title Date
Print or type name
Section B
AGENT I DO HEREBY declare under oath that I have been duly appointed agent for the owner of the property listed herein and that I
have full authority and knowledge sufficient to file a proper declaration for him in accord with the provisions of §12-50 C.G.S
.
Agent’s Signature /Title Date
Print or type agent’s name
Witness of agent’s sworn statement
Subscribed and sworn to before me
AGENT SIGNATURE MUST BE WITNESSED
Select one: Assessor or staff member, Town Clerk, Justice of the Peace, Notary or Commissioner of Superior Court
Date
AFFIDAVIT OF BUSINESS CLOSING OR MOVE OR SALE OF BUSINESS OR
P
ROPERTY
I of at
Business Owners Name Business Name Street location in Stamford
With regards to said business or property I do so certify that on Said business or property was (indicate which one by circling):
Date
SOLD TO:
MOVED TO:
Name Address
City/Town and State to where business or property was moved
Address
TERMINATED:
Attach Bill of Sale or Letter of dissolution to this form and return it with this affidavit to the Assessor’s office
The signer is made aware that the penalty for making a false affidavit is a $500.00 fine or imprisonment for one year or both.
Signature Print name
Notes or comments:
Page 6
This Personal Property Declaration must be signed and delivered to the Stamford Assess
or,
or postmarked by November 1, 2019 as defined in C.G.S. Sec 1-2a & as referenced in Sec. 12-41(d
).
A 25% Penalty is mandated by the state of Connecticut for failure to file as re
quired.
INSTRUCTIONS
MANUFACTURING MACHINERY AND EQUIPMENT EXEMPTION
CLAIM
This exemption claim form should accompany the Personal Property Declaration filed annually in order to
properly receive the exemption provided under CGS §12-81(76) as amended by PA 14-183, sections 2, 3
& 4. The following definitions are applicable for purposes of Public Act 11-61 Sec. 2 and referenced in
Sec. 3.
Machinery and equipment means tangible personal property which is installed in a manufacturing facility
and claimed on the owner's federal income tax return as either five-year property or seven-year property, as
those terms are defined in Section 168(e) of the Internal Revenue Code of 1986, or any subsequent
corresponding internal revenue code of the United States, as from time to time amended, and the
predominant use of which is for manufacturing, processing or fabricating; for research and development,
including experimental or laboratory research and development, design or engineering directly related to
manufacturing; for the significant servicing, overhauling or rebuilding of machinery and equipment for
industrial use or the significant overhauling or rebuilding of other products on a factory basis; for measuring
or testing or for metal finishing; or used in the production of motion pictures, video and sound recordings
IMPORTANT: Read the descriptions of Personal Property Code #10 and Code #13 before completing the
application for exemption. To ensure that you receive the appropriate exemption, you must report the total
cost of machinery and equipment (i.e., original cost, excluding sales tax, plus the cost of transportation and
installation) under the appropriate category code.
Code # 10:
Machinery and equipment not eligible for exemption under CGS §12-81(76): Industrial or
manufacturing machinery and equipment the owner claims or claimed on a federal income tax
return as three-year property (e.g., tools, dies, jigs, patterns, etc.) or ten-year or greater property
(i.e., property that has a class life of more than 16 years). Air and water pollution control
equipment, regardless of its class life does not meet the predominant use criteria for exemption
under CGS §12-81(76). Machinery and equipment located in a Distressed Municipality, Enterprise
Zone or Enterprise Corridor Zone (regardless of its class life) for which you are filing Form M-55
to claim the property tax exemption under CGS §12-81(60) or (70). Code 10 Machinery and
equipment is reported on the annual Personal Property Declaration only.
Code # 13:
Machinery and equipment eligible for exemption under CGS §12-81(76): Manufacturing
machinery and equipment acquired and installed, that is predominantly used for manufacturing
or biotechnology, or used in connection with recycling (as defined in CGS §22a-260) and the
owner or lessee of such machinery and equipment must claim it on a federal income tax return
as five-year property or seven-year property. To obtain the exemption under CGS §12-81 (76),
the owner or lessee who claims such property on a federal income tax return must file the
exemption application Form U (page 8 & 9).
Complete this form in its entirety, including the itemized listing of manufacturing machinery and
equipment by year of acquisition.
Failure to file this form in the manner and form, and within the time limit prescribed, shall
result in the assessor not applying the exemption allowed under CGS §12-81(76).
Page
7
This form must be filed on or before November 1, 2019 with the municipal Assessor by any person seeking
the exemption provided under CGS §12-81(76), as amended, for manufacturing machinery and equipment
and installed in a manufacturing facility. This form is to be filed in the town in which the machinery and
equipment is installed.
1
manufacturing, processing or fabricating
2
measuring or testing 3
metal finishing
4
the significant overhauling or rebuilding
of othe
r
p
roducts on a facto
r
y
basis
used in the production of motion
6
used in connection with biotechnology
research and development, including
7
experimental or laboratory research
and
directly related to manufacturing
the significant servicing, overhauling
or
8
rebuilding of machinery and equipment
for industrial use
used in connection with recycling, as
9
defined in C.G.S. §22a-260, if acquired
and installed on or after July 1, 2006
/
EQUIPMENT EXEMPTION CLAIM
List #
Manufacturer Information: (Lessor: provide Lessee information) Lessor Information:
Name Name
Business
Address
City/
State/Zip
Business
Address
City/
State/Zip
Person to be contacted if there are any questions: Required Identification Numbers
Name Connecticut State Tax ID No.
Title Federal Taxpayer ID No.
Address
Benefits and Exempt Status Questions Yes / No
Phone/Fax
Are you currently receiving benefits under CGS. §12-81 (60)
OR (70) Distressed Municipality Program?
E-mail
Is the machinery and equipment for which you are seeking
exempt status depreciable on your books for IRS purposes?
Property Location (Number, street, and town where machinery and
equipment is installed.)
If no, on whose books are these assets depreciated?
Check which description best applies and complete the detail description below:
5
pictures, video and sound
recordings
development, design or engineering
Describe the business activity (in specific terms), which conforms to the above definition of manufacturing. Indicate the product manufactured:
#13 – Manufacturing machinery & equipment Eligible for exemption
Year Ending
Original Cost
Transportation &
Ins
ta
llation
% Value
Net Depreciat
ed
Value
Assesso
r’
s
Approved
Total
Cost
Assesso
r’
s
Ap
p
r
o
ve
d
Depreciated Va
lue
Total
Total
Assessment at 70%
I hereby certify that I am eligible for the property tax exemption provided under CGS §12-81(76). I further certify that all machinery and equipment listed herein was
acquired and installed in the above named manufacturing facility, continues to be located there and is predominantly used for a manufacturing purpose. I agree to
maintain and make available upon request to the Assessor or the Board of Assessors, supporting documentation, including, but not limited to, invoices, bills of sale,
and bills of lading pertaining to the machinery and equipment for which I am claiming exempt status. I do hereby declare under penalty of false statement that the
information contained herein is true and complete to the best of my knowledge, remembrance and belief, and that I am authorized to make application for this
property tax exemption.
Print Name & Title Signature
Date
Page 8
/
/
Form ‘U’ 2019 GRAND LIST
MANUFACTURING MACHINERY AND
10-1-2019
95%
10-1-2018 90%
10-1-2017 80%
10-1-2016 70%
10-1-2015 60%
10-1-2014 50%
10-1-2013 40%
Prior Yrs 30%
0
0
0
0
0
0
0
0
0
0
0
Property Description & Model ID #
#
of
Items
Date
Acquired
Mo./Day/Yr.
Date
Installed
Mo./Day/Yr.
IRS
Classifi-
cation
Purchase
Price
Transportation/
Installation
Cost
Total
Cost
of
Acquisition




















Page Total
Grand Total
INSTRUCTIONS:
Print or type only. You may submit a computer printout containing all
required Information In the prescribed format.
List only manufacturing machinery and equipment eligible under CGS 12-
81 (76). See definitions.
Do Not Include Sales Tax.
All monetary amounts should be rounded to the nearest whole dollar.
Lessees are to provide only their transportation and installation costs
(purchase price will be obtained from lessor).
For leased property, enter Lease ID # beneath the name and address of
the lessor.
Provide IRS Classification; Please refer to IRS Code Section 168(e). Do
not provide class life.
TERMS:
Total cost of acquisition is the price paid for the property, including the
value of a ‘trade-in’, plus the cost of transportation and installation. (If
installation required real property structural changes, the cost of such
changes cannot be included.)
The purchase price for self-constructed machinery and equipment is the
unit cost.
Date installed for leased property is the beginning date of the lease.
Inaccurate information may affect qualification for exemption.
The information requested on this form is essential to the
applicant or machinery and equipment qualifying for
exemption. Regardless of past practices, applications
submitted which are incomplete or do not conform to the
prescribed format will not be accepted. Description of
machinery and equipment should be complete and readily
identifiable. Property described as “miscellaneous”,
“manufacturing machinery or equipment” or numeric entries
are not acceptable.
Failure to file this form in the manner and form, and within the time limit prescribed, shall result in the assessor not applying the exemption allowed under CGS § 12-81 (76). Page 9
Itemized Listing Of Manufacturing Machinery And Equipment
2019 Grand List
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
ASSESSOR’S
USE ONLY
Code
Property Code and Description
Depreciated Value
(from page 3 & 4)
#9 Motor Vehicles UNREGISTERED motor vehicles (e.g. campers, RV’s, snowmobiles, trailers, trucks, passenger cars,
tractors, off-road construction vehicles, etc.) including any vehicle garaged in Connecticut but registered in another state, or any
such vehicle not registered at all.
#9
#10 - Machinery & Equipment Industrial manufacturing machinery and equipment (e.g., tools, dies, jigs, patterns, etc.).
Include air and water pollution control equipment.
#10
#11 Horses And Ponies Describe your horses and ponies. A $1,000 assessment exemption per animal will be applied. If you
are a farmer, the exemption may be 100% provided Form M-28 is filed with and approved by the Assessor.
#11
#12 - Commercial Fishing Apparatus All fishing apparatus exclusively used by a commercial fisherman in his business
(e.g., fishing poles, nets, lobster pots, fish finders, etc.).
#12
#13 –Manufacturing machinery & equipment Manufacturing machinery and equipment used in manufacturing; used in
research or engineering devoted to manufacturing; or used for the significant servicing or overhauling of industrial machinery or
factory products and eligible for exemption under CGS 12-81 (76).
#13
#14 Mobile Manufactured Homes if not currently assessed as real estate.
#14
#16 a & b - Furniture & Fixtures Furniture, fixtures and equipment of all commercial, industrial, manufacturing, mercantile,
trading and all other businesses, occupation and professions. Examples: desks, chairs, tables, file cabinets, typewriters,
calculators, copy machines, telephones, fax machines, postage meters, cash registers, moveable air conditioners, shelving
display racks, refrigerators, freezers, kitchen equipment, signs and banners, etc.
#16
#17 - Farm Machinery Farm machinery (e.g., tractors, harrows, bush hogs, hay bines, hay rakes, balers, corn choppers,
milking machines, milk tanks, coolers, chuck wagons, dozers, back hoes, hydroponic farm equipment, aquaculture equipment,
etc.), used in the operation of a farm.
#17
#18 - Farming Tools Farm tools, (e.g., hoses, rakes, pitch forks, shovels, hoses, brooms, etc.).
#18
#19 - Mechanics Tools Mechanics tools (e.g., wrenches, air hammers, jacks, sockets, etc.).
#19
#20 a & b - Electronic Data Processing Equipment Electronic data processing equipment (e.g., computers, printers,
peripheral computer equipment, and any computer based equipment acting as a computer as defined under Section 168 of the
IRS Code of 1986). Software is exempt except when bundled with the computer.
#20
#21 -
T
ELECOMMUNICATIONS
EQUIPMENT THIS SECTION IS TO BE USED BY
T
ELECOMMUNICATION
COMPANIES ONLY AND
IS NOT INCLUDED IN THIS DECLARATION
. IF THE
T
ELECOMMUNICATION
COMPANY FORM IS NEEDED, CONTACT THE
A
SSESSOR’S OFFICE.
#21
#22 - Cables, conduits, pipes, poles, towers (if not currently assessed as real estate), underground mains, wires,
turbines, etc.,
of gas, heating, or energy producing companies, telephone companies, water and water power companies.
Other items annexed to the ground (e.g. hydraulic car lifts, gasoline holding tanks, pumps, truck scales, etc.), should be reported
in section #24a.
#22
#23 - Expensed Supplies The average monthly quantity of supplies normally consumed in the course of business (e.g.,
office supplies, medical or dental supplies, maintenance supplies, cleaning supplies, etc.).
#23
#24a - Other Goods and Chattels including Leasehold Improvements.
#24b - Rental Entertainment Medium DVDs, CDs, Tapes, etc.
#24
Total Assessment – all codes #9 through #24 Subtotal
#25 – Penalty for failure to file as required by statute – 25% of assessment
#25
Exemptions - Check box adjacent to the exemption you are claiming
I – Mechanic’s Tools - $500
value
M – Commercial Fishing Apparatus - $500 value
I – Farming Tools - $500 value
I – Horses/Ponies $1000 assessment per animal
The following exemptions require a separate application or certificate to be filed with the Assessor by the required return date:
I – Farm Machinery $100,000 value - Exemption application M-28 required annually
J – Water Pollution or Air Pollution control equipment – Connecticut DEP certificate required – provide copy
G & H – Distressed Municipality/Enterprise Zone/Enterprise Corridor Zone - Exemption application M-55 required annually
U – Manufacturing Machinery & Equipment - Exemption claim required annually
Assessor’s Final Assessment Total
Commercial and financial information is not open to public inspection
.
Owner’s Name:
This Personal Property Declaration must be signed
and delivered or postmarked by
DBA:
Mailing address:
City/State/Zip:
PO Box 10152
Stamford, CT 06904-2152
Location (street & number)
Page
10
Assessment date October 1, 2019
List or Account #:
Required return date November 1, 2019
2019 PERSONAL PROPERTY DECLARATION – SUMMARY
S
HEET
November 1, 2019
to
Stamford Assessor
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
SENATE BILL NO 271
PUBLIC ACT NO 18-79: AN ACT EXEMPTING CERTAIN TANGIBLE PERSONAL
PROPERTY OWNED BY A BUSINESS FROM THE PROPERTY TAX.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Section 12-81 of the 2018 supplement to the general statutes is amended by adding
subdivision (79) as follows (Effective October 1, 2018, and applicable to assessment years
commencing on or after October 1, 2018):
(NEW) (79) Tangible personal property with an original value of not more than two hundred fifty
dollars that is owned by a business organization, provided this exemption shall not apply for the first
ten full assessment years following the assessment year in which the property was acquired.
Approved June 4, 2018.
DETAILED LISTING OF ASSETS STILL OWNED BUT ACQUIRED BEFORE 10/1/2008 WITH ORIGINAL
COST OF $250 OR LESS.
DO NOT INCLUDE
IN THE DECLARATION OF TAXABLE PROPERTY ON PAGES 3 AND 4.
COPY AND ATTACH ADDITIONAL SHEETS IF NEEDED
Code #
Description of Item
Acquisition Date Acquisition Cost
Total - Include in Reconciliation of Fixed Assets on Page 4
0.00
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Address Service Requested (City of Stamford)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document