CITY OF STAUNTON
INITIAL RETURN OF TANGIBLE PROPERTY
TAX YEAR 2021
RETURN TO:
Commissioner of the Revenue
City of Staunton
P.O. Box 4
Staunton, VA 24402-0004
Due date: May 1, 2021
FEIN or Social Security #
Name :
DBA :
Address:
City, State, Zip :
Contact Name :
Phone : Fax :
Quantity
Owned
Date
Acquired
Item Description Make Model # Serial # Original Capitalized
Cost
I declare that the statements and figures submitted on all pages of this return are true, full and correct to the best of my knowledge and belief. I understand that it is a
misdemeanor for any person willfully to subscribe a return which he/she does not believe to be true and correct as to every material matter (Code of Virginia 58.1-11)
Signature : Date :
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