Schedule A - Personal Property +
Deduction per Form 103 ERA or Form 103-CTP -
Final Assessed Valuation =
If taxpayer answers "yes" to question 5, the owner must file Form 103-O and the possessor must file Form 103-N. Failure to properly disclose lease information may result in a
double assessment. (See 50 IAC 4.2-2 and 50 IAC 4.2-8).
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 the 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.
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)). This information would include, but not be limited to, completion of the heading and related
information, 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 $25 shall be imposed. (IC 6-1.1-37-7(d))
* NAICS - North American Industry Classification System - A complete list of codes may be found at www.census.gov.
NOTE: The NAICS Code Number appears on your federal income tax return.
** An individual using his Social Security Number as the Federal Identification Number is only required to provide the last four digits of that number. IC 4-1-10-3.
1. Federal income tax year ends __________________________
Name filed under _________________________________________________
2. Location of accounting records ____________________________________________________________________________________________
3. Form of business
Partnership or Joint Venture Sole Proprietorship Corporation Estate or Trust
Other, describe: ___________________________________________________________________________
4. Do you have other locations in Indiana? Yes No
5. 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?
_____________________________________________________________________________________________________________________
6. Did you own, hold, possess or control any leased, rented or other depreciable personal property on January 1? Yes No (See 50 IAC 4.2-8)
7. Did you own, hold, possess or control any Special Tools on January 1? Yes No
(See 50 IAC 4.2-6-2)
8. Did you own, hold, possess or control any returnable containers on January 1? Yes No
(See 50 IAC 4.2-6-4)
Name of taxpayer
Name under which business is conducted
Address where property is located (number and street, city, state, and ZIP code)
Nature of business
Name and address to which Assessment and Tax Notice are to be mailed (If different than above)
Federal identification number **
DLGF taxing district number
DLGF taxing district name
Township
County
Retail merchant’s certification number
Signature of authorized person
Name and title of authorized person (please type or print)
Signature of person preparing return, if different than authorized person
Under penalties of perjury, I hereby certify that this return (including any accompanying schedules, deduction claims, or 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
NAICS Code number *
BUSINESS TANGIBLE PERSONAL
PROPERTY ASSESSMENT RETURN
State Form 11405 (R42 / 11-19)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:
1. Please type or print.
2. This form must be filed with the Township Assessor, if any, or the 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. Contact information for the Assessor is available at http://www.in.gov/dlgf/2440.htm.
3. A Form 104 must be filed with this return.
JANUARY 1, 2020
For Assessor's Use Only
Page 1 of 4
$
$
$
$
$
$
E-mail contact
Name and contact information of preparer (please type or print)
SECTION I
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.
SECTION IV
SECTION III
SECTION II
FORM 103 - LONG
PRIVACY NOTICE
This form contains information
confidential pursuant to IC 6-1.1-35-9.
Reset Form
Total All Pools
30% of Adjusted Cost (Line 52, Column C) (enter zero (0) if filing 103-P5
and entity is a qualified steel mill or oil refinery per IC 6-1.1-3-23).
Equipment not placed in service and/or critical
spare parts (50 IAC 4.2-6-1 & 6) per Form 106.
Tools, dies, jigs, fixtures, etc., per Form 103-T. (50 IAC 4.2-6-2)
Permanently retired equipment (50 IAC 4.2-4-3) and/or returnable
containers (50 IAC 4.2-6-4) per Form 106.
Commercial aircraft and commercial bus line fleet, not subject to excise tax per
Form 103-I. (50 IAC 4.2-10)
Total additions to True Tax Value. (Lines 55, 56, 57 and 58)
Total True Tax Value before adjustments for "Abnormal Obsolescence." (Line 54 plus Line 59)
Abnormal Obsolescence Adjustment per Form 106. (50 IAC 4.2-4-8)
Total True Tax Value of personal property. (To page 1, Form 103 Summary)
Line
1
2
3
4
5
6
7
8
9
10
11
12
52
53
54
55
56
57
58
59
60
61
62
Report all personal property assessable to this taxpayer below. (Round all figures below to nearest dollar)
Total cost of tangible depreciable personal property. (50 IAC 4.2-4-2)
Adjustment to federal tax basis per Form 106. (50 IAC 4.2-4-4)
Total cost and base year value of tangible depreciable personal property. (Line 1 plus 2)
Stationary industrial air purification systems. (Attach Form 103-P)
Industrial waste control facilities. (Attach Form 103-P)
Enterprise information technology equipment. (Attach Form 103-IT)
Vehicles / airplanes subject to excise tax.
Subtotal
Cost of all depreciable personal property still in use but written off. (50 IAC 4.2-4-3(b))
Cost of installation and foundations applicable to depreciable personal property. (50 IAC 4.2-4-2(d))
Cost of interest incurred during construction and installation applicable to depreciable personal property.
(50 IAC 4.2-4-3(j))
Deduct Exempt Property (See 50 IAC 4.2-11.1)
Total cost of exempt property (Deduct from Line 3 and enter on Line 8)
Additions: See 50 IAC 4.2-1-1.1 and 50 IAC 4.2-4-3(b) and 4
Adjustments to True Tax Value
COST
FORM 103 - LONG
See 50 IAC 4.2-4
TANGIBLE PERSONAL PROPERTY
CONFIDENTIAL
SCHEDULE A
JANUARY 1, 2020
Total cost and base year value of assessable depreciable personal property.
(add Lines 8, 9, 10 and 11. Line 12 must agree with Line 52 Column A)
POOLING SUMMARY
(From Schedule A-1 or Form 103-P5)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TRUE TAX VALUE
COLUMN D
TOTAL COST
COLUMN A
$$
$
$
$
$
ADJUSTMENTS
COLUMN B
ADJUSTED COST
COLUMN C
$
$
Greater of Lines 52D or 53.
X 10%
Cost
Page 2 of 4
Federal Identification Number
Number of Units
Cost
Cost
Cost
$
SECTION V
TANGIBLE PERSONAL PROPERTY
CONFIDENTIAL
YEAR OF ACQUISITION COLUMN A COLUMN B COLUMN C COLUMN D
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
POOL NUMBER 1:
(1 TO 4 YEAR LIFE)
TOTAL COST OR
BASE YEAR VALUE
ADJUSTMENTS
** (See Note Above)
ADJUSTED COST T.T.V.% TRUE TAX VALUE
$
$
$
$
POOL NUMBER 2: (5 TO 8 YEAR LIFE)
POOL NUMBER 3: (9 TO 12 YEAR LIFE)
POOL NUMBER 4: (13 YEAR AND LONGER LIFE)
1-2-19 To 1-1-20
1-2-18 To 1-1-19
1-2-17 To 1-1-18
Prior To 1-2-17
TOTAL POOL NUMBER 1
1-2-19 To 1-1-20
1-2-18 To 1-1-19
1-2-17 To 1-1-18
1-2-16 To 1-1-17
3-2-15 To 1-1-16
3-2-14 To 3-1-15
Prior To 3-2-14
TOTAL POOL NUMBER 2
1-2-19 To 1-1-20
1-2-18 To 1-1-19
1-2-17 To 1-1-18
1-2-16 To 1-1-17
3-2-15 To 1-1-16
3-2-14 To 3-1-15
3-2-13 To 3-1-14
3-2-12 To 3-1-13
3-2-11 To 3-1-12
3-2-10 To 3-1-11
Prior To 3-2-10
TOTAL POOL NUMBER 3
1-2-19 To 1-1-20
1-2-18 To 1-1-19
1-2-17 To 1-1-18
1-2-16 To 1-1-17
3-2-15 To 1-1-16
3-2-14 To 3-1-15
3-2-13 To 3-1-14
3-2-12 To 3-1-13
3-2-11 To 3-1-12
3-2-10 To 3-1-11
3-2-09 To 3-1-10
3-2-08 To 3-1-09
Prior To 3-2-08
TOTAL POOL NUMBER 4
Page 3 of 4
65
50
35
20
40
56
42
32
24
18
15
40
60
55
45
37
30
25
20
16
12
10
40
60
63
54
46
40
34
29
25
21
15
10
5
* * The total cost of special tools, dies, jigs, fixtures, etc., permanently retired equipment; commercial aircraft, and commercial bus line fleet, not subject
to excise tax is to be deducted in full in Column B below. The true tax value of such property is to be computed on the proper Form(s) (103-T, 106
AND 103-I, respectively) and recorded on Line(s) 56, 57 and 58.
NOTE: All Column B adjustments above must be supported on Form 106, Form 103-T, or Form 103-I.
TOTAL ALL POOLS
SCHEDULE A-1
JANUARY 1, 2020
FORM 103 - LONG
See 50 IAC 4.2-4
ROUND ALL FIGURES BELOW TO THE NEAREST DOLLAR.
$
$
$
$
$
$
$
$
$
$
$
$
Filing Basics:
For the assessment date of January 1, 2020, IC 6-1.1-3-7.2 was amended to allow an exemption for taxpayers
with less than $40,000 in acquisition costs to be reported within a county. Failure to timely file a personal property
tax return with the applicable assessor declaring the exemption will result in a $25 penalty. (IC 6-1.1-37-7)
For more information, refer to this link: http://www.in.gov/dlgf/7576.htm.
Taxpayers may request up to a thirty (30) day extension of time to file their return. The written request should
be sent to the Assessor before the filing deadline of May 15, 2020, and should include a reason for the request.
The Assessor may, at their discretion, approve or deny the request in writing.
Personal property must be assessed in each taxing district where property has a tax situs.
Inventory located in the State of Indiana is exempt and is not required to be reported per IC 6-1.1-1-11(b)(3).
It is the responsibility of the taxpayer to obtain forms from the Assessor and file a timely return. The forms
are also available on-line at the Indiana Department of Local Government Finance’s website at www.in.gov/dlgf.
If you hold, possess, or control not-owned personal property on the assessment date, you have a liability for
the taxes imposed for that year unless you establish that the property is to be assessed to the owner. This
is done by completing a Form 103-N, attaching it to the Form 103-Long, and filing it with the Assessor.
A taxpayer declaring the exemption on page one of this form may, as deemed necessary by the applicable
assessor, need to file Form 103-O or 103-N, as applicable, to verify that he is the appropriate taxpayer to claim
the exemption.
NOTE: Failure to properly disclose lease information may result in a double assessment. (IC 6-1.1-2-4(a))
Taxpayers who discover an error was made on their original timely filed personal property tax return have
the right to file an amended return. The amended return must be filed within twelve (12) months of the due
date or the extended due date (if up to a thirty (30) day extension was granted) of their original return.
Frequently Asked Questions:
A. How do I find out my Taxing District Name and Number?
You will need to contact your County Assessor for assistance since heavily populated areas can have several
taxing districts within a single township.
B. How do I find out my NAICS number?
This six-digit code number appears on the federal returns filed for businesses. For a complete list of the codes,
go to www.census.gov.
C. Will my local Assessor fill this form out for me?
Indiana’s personal property tax system is a self-assessment system. An Assessor can offer assistance with the
filing; however, an authorized person representing the business must sign the form under penalties of perjury
that it is true and correct so the responsibility of filing an accurate return remains with the taxpayer.
D. How can I find contact information for the various county offices (Assessor, Auditor, or Treasurer)
throughout the State of Indiana, locate forms or learn more about Indiana’s personal property tax system?
Go to the Indiana Department of Local Government Finance’s website at www.in.gov/dlgf.
Contact information for the Assessor is available at http://www.in.gov/dlgf/2440.htm.
Name and
Address of the Owner
Location of
Property
Date of Lease
(month, day, year)
Model Number
and Description
Quantity
Cost,
if Known
Page 4 of 4
INFORMATION OF NOT-OWNED PERSONAL PROPERTY WHICH IS TO BE ASSESSED TO THE OWNER
NOTE: This form is for the reporting of two or less Operating Leases. For all other leases, the Form 103-N (for the lessee)
and the Form 103-O (for the lessor) should be utilized. For more information on the reporting of leased equipment, refer to
50 IAC 4.2-8. Failure to properly disclose lease information may result in a double assessment.
SECTION VI