PART ONE: START HERE
PART TWO: OKLAHOMA TAXABLE FIXED ASSETS, FROM FORM 904 SCHEDULE 3 OR 3A
Leasehold Improvement
Original Cost
State of Oklahoma • County of __________________________________________________
I, _________________________________________________________________________ under penalties of perjury, do hereby depose and say that
I am _____________________________________________ of _______________________________________________________________ company;
that as such I am acquainted with the books, accounts, and affairs of said company and know that the accompanying statement to be true, correct, and
complete, and that all information requested herein has been fully and correctly given to the best of my knowledge. (68 O.S. Section 2945 provides penalties for
false oaths)
Signature of preparer if other than taxpayer Date
Signature of taxpayer Date
Preparer’s address
Preparer’s identication number Preparer’s phone number
Don’t Forget
to Sign
Beginning Total
Original Cost or RCN
Not Book Value
A) Total Fixed Assets
Description
Additions to Total
Original Cost or RCN
Not Book Value
Deletions to Total
Original Cost or RCN
Not Book Value
Ending Total Original
Cost or RCN
Not Book Value
Furniture and Fixtures
Original Cost
Electronic Equipment
Original Cost
Computer Equipment
Original Cost
Machinery and Equipment
Original Cost
Forklifts and Construction
Original Cost
Tooling, Dies and Molds
Original Cost
Other Assets and Trade Tools
Original Cost
Leased from Others
Original Cost ( See Instructions)
Leased to Others
Original Cost ( See instructions)
Reconciled
Assessed Value
Assessor Use
Total
Net Inventory
Total Assessed
Penalty
Total Net
Date Filed
_____ / _____ / _____
Assessment % School District
Are you renting or leasing this business location? Yes No
If yes, do you own any real estate improvements at this location?
Yes No
When did you start business at this location? Date _____/_____/_____
What is the occupied square footage at this location? _______________
RE# PP#
Phone Number
Email Address
Owner/DBA
Mailing
Address
City, State, ZIP
FEIN: ________________________________________________________
Type of Business: _______________________________________________
North American Industry
Classication System
Are other businesses included in this rendition? Yes No
If yes, please list: ______________________________________________
Physical location if different from mailing address:
_____________________________________________________________
Inventories
Total supplies, parts,
equipment, etc. stored
and/or not currently in use
including raw materials,
work in progress, nished
goods, etc.
B) Net Taxable Inventory
C) Grand Total (add A + B)
Average Inventory (From Part 6)
Less Freeport Exemption (Form 901-F)
Consignment and/or Floorplan Inventory
=
=
Total
PART THREE: OKLAHOMA TAXABLE INVENTORY
OTC 901
Revised 11-2021
Return to County Assessor - Filing Date: January 1 - Delinquent Penalties after March 15
State of Oklahoma
Business Personal Property Rendition
REPORT ONLY TANGIBLE ASSETS
Are you still in business at this location? Yes No
If no, Where? __________________________________
If no, do you still own the business personal property?
Yes No
Date Disposed/Sold: ____/____/____
If disposed or sold, stop here.
Sign and return.
Tax Year 2022
Column Totals
Form 901 Instructions
Who Must File...
All business concerns, corporations, partnerships and professionals are required
by Oklahoma statutes to le each year a statement of taxable assets as of January
1, which are located within this county. This rendition must be signed by an owner,
partner, ofcer of the corporation or a bonade agent.
Penalties...
Failure to le by March 15th will subject the taxpayer to a mandatory penalty of 10
percent, or a 20 percent penalty if not led by April 15th (68 O.S. Section 2836C). If
received through the mail by this ofce, it must be postmarked no later than March 15th.
Postage metered mail overstamped by the Post Ofce after March 15th, will carry the
mandatory penalty.
Taxpayers Filing Form 901 in this County ...
Attach a complete detailed listing of all TANGIBLE assets used in business,
grouped by description, year acquired and original cost, and items that have zero
book value, use reporting Asset Listing 904 Schedule 3 or 3A, which is available
from the county assessor. Report ONLY TANGIBLE ASSETS.
North American Industry Classication System (NAICS)...
This is your six digit Federal Business Activity Code.
Location of Property...
You must le a separate rendition for each location for assessment allocation to the
various school districts.
Original Cost Values or RCN...
Report the total new or used total cost or replacement cost new, including freight-in and
installation costs. Do not deduct investment credit, trade-in allowances or depreciation.
If unknown, estimate the original cost. Estimated costs will not be depreciated without
supporting documents.
Year Acquired...
This is the purchase date. Depreciation cannot be calculated unless the year acquired is
reported.
Leasehold Improvements...
Report cost and detailed description of improvements to property owned by others. Do
not report building expansions or repairs, rough plumbing or electrical service, which are
included in real estate values. Report all other items such as partitions, new store fronts, etc.
Furniture and Fixtures...
Items included: ofce desks, chairs, credenzas, le cabinets, table booths, shelving
display cases, racks, gondolas, retail xtures, hotel and motel furnishings, apartment
appliances, etc.
Electronic Equipment ...
Items included: calculators, copiers, drafting machines, blueprinting machines, fax
machines, postage machines, telephone equipment, typewriters, lunch room appliances,
etc. Also, include electronic and computer controls used with machinery and equipment.
Computer Equipment ...
Items included: computer hardware, monitors, drives and other such hardware compo-
nents, custom software is exempt as an intangible.
Machinery and Equipment...
Items included: auto repair, agricultural, bakeries, barber and beauty shops, cleaning
and laundry, fuel storage tanks, gas pumps, medical, restaurants, signs, theaters, etc..
All equipment and machinery (forklifts, mobile yard cranes, drilling rigs, tools) is also
included. Equipment installed on trucks or trailers after purchase must also be reported.
Do not list licensed vehicle such as autos, trucks, semitrailers, boats over 10 h.p., etc.
Forklifts and Construction Equipment...
Items include: forklifts, back hoes, compactor, dozers, draglines, earth movers, graders,
mobile cranes, rollers, trenchers, etc.
Tooling, Dies and Molds...
Items include: Tooling, dies, punches, molds, patterns, jigs, etc.
Trade Tools and Equipment...
Include items used by carpenters, cement nishers, craftsmen, electricians, mason,
mechanics, repair services, roofers, etc.
Leased to Others...
List lessee, address, asset type, original cost, and age of asset. Additional sheets may be
attached if necessary.
Leased from Others...
List lessor, address, asset type, age of asset, and beginning year of lease. Additional
sheets may be attached if necessary.
Inventories...
Add your total monthly inventories. Then divide the sum by the number of months you
have inventory in this county for the year to determine your average inventory. Inventories
held for others or cosigned must be reported separately. Inventory claimed exempt must
be accompanied by a Freeport Exemption Form (901-F). Companies primarily engaged in
selling of lumber and other building material including cement and concrete except for
home centers classied under Industry No. 444110 of the North American Industrial
Classication Systems (NAICS) Manual, shall be assessed at the average inventory value
on hand each January, 1 and December, 31 of the same calendar year.
If the Business is Sold, Closed or Name Changed...
To avoid possible incorrect or duplicate assessment, taxpayers should provide information
as follows:
• Business Sold: date of sale, name and address of new owner.
• Business Closed: date of closing or date all personal property was disposed, report
location and value of any remaining property still owned on the assessing date,
even if in storage.
• Business Name Change: date of change and new name.
Intangible Business Personal Property...
If any intangible property is imbedded in the reported assets the intangible property must be
identied and valued to the county assessor with supporting documentation. Supplemental
Form 901-IP must be used for any submission.
PART FOUR: ADDITIONS DURING THE REPORTING YEAR, OR SCHEDULE 3, OR 3A
Item
Number
Item Description
Year Acquired
New Used
Total Original Cost or RCN
Total
PART FIVE: DELETIONS DURING THE REPORTING YEAR
Item
Number
Item Description
Year Acquired
New Used
Total Original Cost or RCN
Total
PART SIX: BEGINNING OR MONTHLY INVENTORY
▲ ▲
Average
January
July
February
August
March
September
April
October
May
November
June
December
Business Personal Property Rendition - Page 2