INSTRUCTIONS: This form must be filed with the Township Assessor, if any, or County Assessor of the county in which the property is located not
later than May 15, 2020, unless an extension of up to thirty (30) days is granted in writing. Please type or print. A Form 104 must be filed
with this return. Contact information for the Assessor is available at http://www.in.gov/dlgf/2440.htm.
SCHEDULE A - PERSONAL PROPERTY +
FINAL ASSESSED VALUE =
Name and address of owner(s) of land share on rent basis
3. Type of farm: Livestock:
4. Was any land removed from production since the last assessment date?
FARMER'S TANGIBLE PERSONAL
PROPERTY ASSESSMENT RETURN
State Form 50006 (R22 / 12-19)
Prescribed by the Department of Local Government Finance
1. Did you own, hold, possess or control any leased or other Depreciable Personal Property on January 1? If yes, report it on Page 3 or file the Form 103-N or 103-O
(See 50 IAC 4.2-8-3 & 4). Note: Failure to properly disclose lease information may result in a double assessment.
Name of taxpayer
Name under which business is conducted
Address where property is located (number and street, city, state, and ZIP code)
Type of operation (grain, dairy, etc.)
Name and address to which Assessment and Tax Notice is to be mailed (If different than above)
* NAICS - North American Industry Classification System - A complete list of codes may be found at www.census.gov. Note: Number appears on your federal income tax return.
** An individual using his/her Social Security number as the federal identification number is only required to provide the last four (4) digits of that number. IC 4-1-10-3
In completing a personal property return for a year, a taxpayer must make a complete disclosure of all information relating to the value, nature or location of personal property
owned, held, possessed or controlled on the assessment date. [IC 6-1.1-3-9 (a)].
Failure to file a return on or before the due date as required by law will result in the imposition of a twenty-five dollar ($25) penalty. In addition, if return is not filed within thirty
(30) days after such return is due, a penalty equal to twenty percent (20%) of the taxes finally determined to be due with respect to the property which should have been
reported will be imposed. A personal property return is not due until the expiration of any extension period granted by the Township Assessor or County Assessor under IC
6-1.1-3-7(b). If the total assessed value that a person reports on a personal property return is less than the total assessed value that the person is required by law to report and
if the amount of the undervaluation exceeds five percent (5%) of the value that should have been reported on the return, then the County Auditor shall add a penalty of twenty
percent (20%) of the additional taxes finally determined to be due as a result of the undervaluation.
This information would include, but not be limited to, completion of the heading and related information, and answers to all questions on the face of the return, and entries on all
of the appropriate lines of Schedule A. If such information is not provided, the taxpayer will be contacted and directed to provide that information. In addition, a penalty of twenty
five dollars ($25) shall be imposed. [IC 6-1.1-37-7(d)]
JANUARY 1, 2020
For Assessor's Use Only
Federal Identification number **
DLGF taxing district number
DLGF taxing district name
Township
County
Total number of acres owned
Signature of authorized person
Title
E-mail address
Printed name of authorized person
Signature of person preparing return, if different than authorized person
Under penalties of perjury, I hereby certify that this return (including any accompanying schedules and statements), to the best of my knowledge and belief, is true, correct, and
complete; if applicable, reports all tangible personal property subject to taxation owned, held, possessed or controlled by the named taxpayer in the stated township or taxing district
on the assessment date, as required by law; and is prepared in accordance with IC 6-1.1 et seq., as amended, and regulations promulgated with respect thereto.
SIGNATURE AND VERIFICATION
$
$
$
$
$
$
Date (month, day, year)
Telephone number
( )
SUMMARY (round all numbers to nearest ten dollars)
REPORTED BY TAXPAYER CHANGE BY ASSESSOR
CHANGE BY THE COUNTY BOARD
Page 1 of 4
NAICS Code number *
Total number acres leased or rented
Number of acres Land Is now used for:
Dairy Beef Hogs Feeder Pigs
GRAIN:
Total number of acres
raised previous year.
Corn Soybeans Wheat
Specify other livestock:
Specify other (Grains, Forage, Etc.):
Yes No
2. Total number of acres operated Total number acres farmed on share basis
Other
Printed name and contact information of preparer
SECTION I
SECTION II
SECTION IV
SECTION III
NOTE: For taxpayers with less than $40,000 in acquisition costs to report within the county, legislation was passed in 2019 which exempts this property. If
you are declaring this exemption, check this box, enter the total acquisition cost of your personal property in the county, and complete only sections I, II, and
IV of this form. If you are declaring this exemption through this form, you also need to file a Form 104.
$ ________________________
RETURN THIS FORM TO THE APPLICABLE ASSESSOR BY MAY 15, 2020.
An exemption granted under IC 6-1.1-10 or any other statute supersedes this exemption. In other words, a taxpayer whose personal property is exempt
because the taxpayer applied for and was granted an exemption by the county must follow all applicable procedures for the approved exemption, which
may include fully completing the personal property return.
FORM 102
PRIVACY NOTICE
This form contains information
confidential pursuant to IC 6-1.1-35-9.
Yes No
Yes No
5. Do you have property in multiple locations? 6. If property is in more than one location, what is the address for the location where the sum of acquisition costs for the property is greatest?
