PROPERTY DECLARATION NOTICE
ASSESSING DEPARTMENT
1 City Hall Plaza Ellsworth, ME 04605-1942
Phone (207) 667-8674 Fax (207) 669-6618
assessing@ellsworthmaine.gov
www.ellsworthmaine.gov
Business Name:
Owner Name:
Mailing Address:
Location:
Other Info:
*Please make any necessary changes or corrections
NOTICE: This schedule is required under Maine Statute, Title 36§ 601 &§ 706
Taxpayers who do not comply will, by law, lose their right to appeal the assessment.
NOTICE: BETE applications or 801 Forms ARE NOT a declaration notice. They must be submitted in
addition to your declaration.
GENERAL INSTRUCTIONS
NEW OR FIRST TIME TAXPAYERS: must submit a complete listing of ALL PERSONAL
PROPERTY used in the operation of the business as of April1, using the format below as a guide. This
form must be signed on the reverse side and returned with an attached itemized list to the Assessor’s of on
or before May 1
st
.
ITEM DESCRIPTION
QTY
YEAR
NEW
COST
EACH
Please list all leased items as shown here.
LEASED
FROM
ADDRESS
QTY
DESCRIPTION
MONTHLY
RENTAL FEE
PREVIOUSLY ASSESSED TAXPAYERS: must submit a list of all ADDITIONS and/or
DELETIONS to the prior year’s listing (see reverse of this form). Attach additional sheet if necessary.
IF THERE HAVE BEEN NO CHANGES (no additions or deletions) in the past year:
please check here and sign the reverse side.
IF YOU HAVE MOVED from Ellsworth OR CLOSED THE BUSINESS in the past year:
Please note the date here and sign the reverse side.
ADDITIONS
DESCRIPTION
QTY
YEAR NEW
COST EACH
CURRENT VALUE
DELETIONS
LINE
#
DESCRIPTION
QTY
YEAR
NEW
COST
EACH
CURRENT
VALUE
LEASED EQUIPMENT
LEASED FROM
ADDRESS
QTY
DESCRIPTION
YEAR
ACQUIRED
MONTHLY
RENTAL
FEE
SIGNATURE: _________________________________________NAME/TITLE_______________________
DATE:__________________________
PLEASE RETURN FROM TO : City of Ellsworth, Assessing Department, 1 City Hall Plaza, Ellsworth,
ME 04605. or by email assessing@ellsworthmaine.gov or by fax 207-669-6618