SECTION 5 LEASED, LOANED OR RENTED PERSONAL PROPERTY:
List below all personal property which is located at your place of business that is leased, loaned, or rented and is owned
by someone else. This would include such items as vending machines, postage machines, computer equipment, copy
machines, telephone systems, security alarms, trash containers, video games, furniture, typewriters, calculators, water
coolers, ice machines, storage trailers, construction equipment or any other type of equipment that is not owned by you
but is located on your premises.
FULL NAME AND ADDRESS OF OWNER DESCRIPTION OF ITEM QTY COST
(ATTACH ADDITIONAL SHEETS, IF NECESSARY)
LEASE
DATE
MONTHLY
RENT
NUMBER
OF MONTHS
SECTION 6 TRUE OR CONDITIONAL LEASES - THIS SECTION FOR LESSORS OR LENDERS ONLY:
Leasing Companies: To help avoid duplication of accounts related to leased personal property, PLEASE complete the following:
Does your business lease personal property in the City of Bangor? Yes No
Does your business handle conditional leases on equipment located in the City of Bangor? Yes No
If yes, provide the name and address of the person(s) or business to whom the property was leased or nanced to on the assessment
date. Also include a description of the item(s), its model #, serial #, the quantity leased, year acquired and original cost. Attach list
identied as “Leased” or “Conditional Leased” Personal Property. PLEASE SPECIFY WHO IS RESPONSIBLE FOR THE PERSONAL
PROPERTY TAXES.
SECTION 4 ALL OTHER PERSONAL PROPERTY NOT INCLUDED IN SECTIONS 1, 2 OR 3: (Lump Sum Totals Not Accepted)
EX: TRAILERS (CARGO, BULK HAULING, STORAGE, OFFICE), LAW LIBRARY, ART WORK, ETC. IN THIS SECTION.
(PLEASE SEE NOTE ON INSTRUCTION LETTER BEFORE COMPLETING THIS SECTION)
DESCRIPTION OF ITEM MODEL # / SERIAL # QTY. MO./YR. ACQUIRED COST EACH TOTAL COST
If notice is given by mail and the taxpayer does not furnish the list and answers to all proper inquiries, the taxpayer may
not apply to the assessor or assessors, chief assessor of a primary assessing area or State Tax Assessor in the case of the
unorganized territory for an abatement or appeal an application for abatement of those taxes unless the taxpayer furnishes
the list and answers with the application and satises the assessing authority or authority to whom an appeal is made that
the taxpayer was unable to furnish the list and answers in the time required. The list and answers are not conclusive upon
the assessor or assessors, chief assessor or State Tax Assessor. The assessor or assessors, chief assessor of a primary
assessing area or State Tax Assessor in the case of the unorganized territory may require the person furnishing the list and
answers to all proper inquiries to subscribe under oath to the truth of the list and answers.
I hereby certify that this declaration form, together with any accompanying exhibits or statements has been examined by me and to the
best of my knowledge, information and belief sets forth a full, true, and perfect list of all taxable personal property owned by me or in my
possession, or under my control, located in the City of Bangor on April 1, 2021 that such property has been reasonably described and
its cost fairly represented; and that no attempt has been made to mislead the Assessor as to its age, quality, quantity or cost.
I also understand that this return is subject to audit by the Assessor or an agent acting on his/her behalf.
Signed: _______________________________
Print Name: ____________________________
Ocial Title: ____________________________
Email Address: _______________________________________
Taxpayer ID#: _______________________________________
Person authorized to disclose records: ___________________________
TELEPHONE #: ____________________________________________
Date: _____________________________________________________
APRIL 1, 2021 ASSESSMENT DATE.
RETURN MUST BE FILED BY
APRIL 19, 2021.
AFTER COMPLETION, PLEASE MAIL THIS FORM TO:
City of Bangor
Assessing Department
73 Harlow Street
Bangor, ME 04401
Email Address:
declarations@bangormaine.gov
This form was printed on paper that contains 30% recycled material
YES NO
I’ve attached/included
the BETE Exemption
Application Form
IF THE ASSESSOR DOES NOT RECEIVE THIS FORM BACK, HE WILL HAVE NO CHOICE BUT
TO ESTIMATE THE PERSONAL PROPERTY USED IN YOUR PLACE(S) OF BUSINESS.
TO
