CID: PID:
(1) A complete list of all assets employed in your trade or
business, the date acquired and the total original cost.
(2) A copy of all Federal Income Tax Return Forms and
Schedules, including Form 4562, filed for this business the
immediate past year. IFTA form is required when applicable.
(3) Sufficient evidence to support disposition of assets
previously reported.
4. COMPUTER EQUIPMENT: Report below the total original cost of all
computer equipment including mainframe and personal computers, PDA's,
monitors, CPUs, servers, disk drives, peripheral equipment including
printers, scanners, memory cards, cables and any other tangible property
used in business, including those fully depreciated.
2011 & Prior x 30%= x 10%=
2012 x 40%= x 50%=
2013 x 50%= x 70%=
2014 x 60%= x 80%=
2015 x 70%=
2016 x 80%=
TOTAL
x 20%=
x 20%=
x 20%=
2009 & Prior x 40%=
2010-2012 x 50%=
DECLARATION BY TAXPAYER: I declare that the foregoing statements and
2013-2016 x 60%=
figures are true, full and correct to the best of my knowledge and belief.
TOTAL
2011 & Prior x 10%=
2012 x 20%=
2013 x 30%=
2014 x 50%=
2015 x 60%=
2016 x 80%=
TOTAL
Name:
Address:
Email Address
Phone Number
Email Address
Phone Number
Printed Name of Preparer
3. TRUCKS TRACTORS, TRAILERS NOT LISTED ON BACK PAGE &
HEAVY CONSTRUCTION EQUIPMENT: Report Below any heavy
equipment that isn't already listed on the back page of this form
including those fully depreciated.
YEAR
ACQUIRED
ORIGINAL
COST
%
ASSESSED VALUE
Signature of Taxpayer
Date
Printed Name of Taxpayer
Signature of Preparer
Date
1. BUSINESS FURNITURE, FIXTURES & LIGHT EQUIPMENT:
Report below the total original cost of all furniture, fixtures,
business/mobile phones, books, signs and any other tangible
property used in business, including those fully depreciated.
YEAR
ACQUIRED
ORIGINAL
COST
%
ASSESSED VALUE
TOTAL
TYPE OF INVENTORY
Assessed
Value
YEAR
ACQUIRED
ORIGINAL
COST
%
755 Roanoke St, Suite 1A, Christiansburg, VA 24073
Commissioner of the Revenue
Helen P. Royal
Phone: (540) 382-5710 Fax: (540) 381-6838
Email: businesspp@montgomerycountyva.gov
FEIN/Taxpayer Social
Security Number
DBA if different than
name to the left
Business Start Date
in Montgomery County
lawn equipment, hand/power tools, office machines,
Business Cease Date
in Montgomery County
Physical Address
of Property
Nature of
Business
YOU MUST INCLUDE THE FOLLOWING WITH YOUR RETURN:
Location of Business
on January 1
Blacksburg Christiansburg County
PLEASE READ INSTRUCTIONS (FRONT AND BACK) CAREFULLY BEFORE COMPLETING.
ASSESSED VALUE
2013 & Prior
2016
2015
2014
Original Cost
as Listed by Taxpayer
%
YEAR
ACQUIRED
ORIGINAL
COST
%
ASSESSED VALUE
Inventory on Hand
Daily Rental Property
Daily Rental Vehicles
TOTAL
2. MACHINERY AND TOOLS: Report below the total original
capitalized cost of all machinery and tools used directly in
manufacturing, mining, processing, reprocessing, radio,
broadcasting, dry cleaning, commercial laundry or motor vehicle
cleaning business including those fully depreciated.
click to sign
signature
click to edit
click to sign
signature
click to edit
6. LEASED PROPERTY: List all Tangible Personal Property leased, rented, borrowed or made available for use as of January 1 (Virginia Code 58.1-3518)
Attach a separate sheet if more space is required.
Year
Make Model
Title
Number
Plate
Number
Weight PSD
Purchase
Date
Sold
Date
Original
Cost
HELEN P. ROYAL
COMMISSIONER OF THE REVENUE
COUNTY OF MONTGOMERY
755 ROANOKE ST STE 1A
CHRISTIANSBURG VA 24073-3169
It is a Class 1 Misdemeanor for any person willfully to subscribe a return which he does not believe to be true and correct as to every
material matter (Code of Virginia 58.1-11).
7. MOTOR VEHICLES USED IN BUSINESS: All Motor vehicles listed below have been identified from the Virginia Department of Motor Vehicles record.
All property owned or in your possession is subject to tax. To avoid improper assessment, indicate date of sale for any property and list below any
additional motor vehicles, mobile homes, boats and campers owned.
What happens if I do nothing? Since the assessment is based on information and schedules that you provide, an assessment will be made by means of
percentage of original cost and /or fair market value. If no information is provided, the Commissioner of the Revenue is required by law to assess property
based on the best information available, which will result in a tax bill due. This is called a statutory assessment (VA Code Sec. 58.1-3519).
IMPORTANT PLEASE NOTE:
The use of "SAME AS LAST YEAR", "NO CHANGE", "SEE ATTACHED" or returning a blank form will constitute an invalid filing and may be subject to a late filing
penalty. If "ZERO" or "NONE" is listed, an explanation describing how you are able to operate a business without tangible personal property must be
provided.
How can I get help? Additional forms, information and assistance are provided by the Commissioner of the Revenue Office. You may call (540) 382-5710 or
email businesspp@montgomerycountyva.gov.
MONTGOMERY COUNTY BUSINESS PERSONAL PROPERTY RETURN INSTRUCTIONS
What is this form? This is your Business Personal Property declaration on which you are to file all furniture, fixtures, tools, light/heavy equipment, computer
equipment and merchants capital (inventory) used in a trade or business. Machinery and Tools used in manufacturing, mining, processing, reprocessing, radio
or television broadcasting, dry cleaning, commercial laundry or motor vehicle cleaning business are to be listed and segregated as a separate class (VA Code
Sec. 58.1-3507)
What should I do with it? First take a look at the preprinted ownership information for accuracy. Then follow the instructions for each box where applicable.
You need to provide a complete list of all property used in your business. The list should include the name of the item, acquisition date and cost (whether
fully depreciated or not for federal income tax purposes). In the event there was no cost for acquisition, please provide an estimate of fair market value at the
time of acquisition.
Am I required to file this form? If you conducted business as an individual, partnership or corporation, or if you own leased business equipment in
Montgomery County on January 1 of this year, you must complete and return this form.
When is it due? The form and associated schedules/property lists are due no later than May 1st. If you file late or not at all, by law a 5% penalty or $10.00
whichever is greater will be added to your bill. If you are unable to file by May 1st, you may request a 60 day extension. The request must be in writing to the
Commissioner of the Revenue and must be made prior to May 1st.
LIST BELOW VEHICLES THAT ARE USED IN BUSINESS Indicate costs of vehicles 14,000lbs or more, boats plus motors & aircraft in the space provided.
Vehicle ID
(VIN)
Address & Phone Number of Owner
Start & End Dates
of Lease
Description of Item (ID, Serial, Model or
Title Numbers)
Quoted
Purchase Price
Name of Owner
(Lessor)