BUSINESS OWNER’S NAME(s)/PERSON(s) RESPONSIBLE TO PAY TAXES:
NAME OF BUSINESS (DBA):
BUSINESS LOCATION:
BUSINESS MAILING ADDRESS:
TELEPHONE #: FAX#:
DESCRIPTION OF BUSINESS ACTIVITY:
TYPE OF OWNERSHIP:
MAINE CORPORATION FOREIGN CORPORATION
PARTNERSHIP OTHER,(LIST) _____________________
CHARTER NUMBER: _______________________________________
IF CORPORATION, ENTER CORPORATE ADDRESS:
STATE OF MAINE PROPERTY TAXATION: TITLE 36
Sec. 601. Personal Property; Dened: Personal Property for the purposes of taxation includes all tangible goods and chattels wheresoever they are and all vessels, at home
or abroad.
Sec. 706-A. Taxpayers to list property; notice; penalty; verication: Before making an assessment, the assessor or assessors, chief assessor of a primary assessing area or
State Tax Assessor in the case of the unorganized territory may give seasonable notice in writing to all persons liable to taxation or qualifying for exemption pursuant
to subchapter 4-C in the municipality, the primary assessing area or the unorganized territory to furnish to the assessor or assessors, chief assessor or State Tax
Assessor true and perfect lists of all the property the taxpayer possessed on the rst day of April of the same year and may at the time of the notice or thereafter
require the taxpayer to answer in writing all proper inquiries as to the nature, situation and value of the taxpayers property liable to be taxed in the State or subject
to exemption pursuant to subchapter 4-C. The list and answers are not conclusive upon the assessor or assessors, chief assessor or State Tax Assessor.
DEPARTMENT OF ASSESSING
BUSINESS PERSONAL PROPERTY DECLARATION
FY 2022
APRIL 1, 2021 ASSESSMENT DATE.
RETURN MUST BE FILED BY
APRIL 19, 2021.
ADDRESS: 73 Harlow Street, Bangor, ME 04401
TELEPHONE: (207) 992-4215, FAX: (207) 945-4433
ONLY CHECK THIS BOX IF IN THE PAST YEAR THERE HAVE BEEN NO ADDITIONS OR DELETIONS TO THE
ENCLOSED ASSESSMENT LIST. (YOU WILL ALSO NEED TO SIGN & DATE THE BACK OF THIS FORM)
;
NO CHANGE
Location Address:
WARNING: FAILURE TO REPORT WILL TRIGGER AN ASSESSOR’S AUDIT
SECTION 1 FURNITURE AND FIXTURES, LEASEHOLD IMPROVEMENTS AND SIGNS: (Lump Sum Totals Not Accepted)
DESCRIPTION OF ITEM MODEL #/SERIAL # QTY. MO./YR. ACQUIRED COST EACH TOTAL COST
SECTION 2 MACHINERY AND EQUIPMENT: (Lump Sum Totals Not Accepted)
DESCRIPTION OF ITEM MODEL #/SERIAL # QTY. MO./YR. ACQUIRED COST EACH TOTAL COST
DESCRIPTION OF ITEM QTY. DESCRIPTION OF ITEM QTY
(a) KITCHEN STOVES/OVENS (b) REFRIGERATORS
(c) DISHWASHER (d) CLOTHES DRYER
(e) CLOTHES WASHER TOTAL NUMBER OF ALL HOUSEHOLD APPLIANCES (a,b,c,d,&e)
TOTAL NUMBER OF RENTAL UNITS AT THIS LOCATION
SECTION 3 COMPUTER EQUIPMENT: (Lump Sum Totals Not Accepted)
DESCRIPTION OF ITEM MODEL #/SERIAL # QTY. MO./YR. ACQUIRED COST EACH TOTAL COST
CI
TY
OF
BANGOR
FAILURE TO RETURN THIS FORM
VOIDS YOUR RIGHT TO AN
ABATEMENT OR AN APPEAL
SEE BACK OF COVER LETTER FOR
GENERAL INFORMATION AND INSTRUCTIONS.
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
identied 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 satises 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: ____________________________
Ocial 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