Rental Property Listing
Due by January 31, 2017
Brunswick County Tax Department
PO Box 269 • Bolivia, NC 28422
(910) 253-2829 • FAX (910) 253-5809
Email - taxadminbpp@brunswickcountync.gov
Are you the owner as of January 1st:
Yes or No
Is this property used as a
rental (income producing)
for any part of the year?
Yes No
2017
For Tax Of ce
Use Only
Beach House
Name
Beach House
Address
City State Zip
Parcel ID:
House Value:
5% of House Value
OR
Note: This is not a bill; please don’t enclose payment with this listing form.
Due on or before January 31
st
, 2017
Itemized Listing
5% (Taxable) Value:
Email: Phone / Cell Number:
Property website / ID Number:Rental Agent:
Account Number:
Account Parcel ID TWP City Abstract
North Carolina General Statute 105-304 (f)(1) states, “Tangible personal property situated at or commonly used in connection with a
temporary or seasonal dwelling owned or leased by the owner of the personal property is taxable at the place at which the temporary or
seasonal dwelling is situated.” All furnishings must be listed; this includes stove, refrigerator, washer, dryer, etc. The taxpayer has the option
to use 5% of the house value (doesn’t include land), or provide a detailed fair market listing of furnishings. However the tax of ce will have
the option to adjust the detailed fair market value, if your value seems unrealistic. A separate form must be completed for each property
you own. Please be sure to sign, date and return this form to the Brunswick County Tax Assessors Of ce on or before January
31, 2017 or a late list penalty will be applied to your bill. Note: This is not a bill; please don’t enclose payment with this listing form.
You have the option to accept 5% of your “house” value only or provide a detail list of fair market value of your furnishings. Please indicate
your selection below: FAILURE TO RETURN THIS FORM WILL RESULT IN A 10% PENALTY.
This is the taxable value on which
your tax bill will be based,
NOT the amount of tax due.
Rental Property Listing Form - Brunswick County Tax Department - (910) 253-2829
http://www.BrunswickCountyNC.gov/
Signature and Date Abstract #
Please Complete the
Itemized Rental Property Schedule
on the back
2423PRPL 11/18/16 K
click to sign
signature
click to edit
Itemized Rental Property Schedule 2017
List or update the Fair Market Value for Personal Property for each of the following items/categories
Abstract: Parcel ID:
Item / Category Fair Market Value ($) Item / Category Fair Market Value ($)
Stoves
Refrigerators
Freezers
Ice Makers
Dishwashers
Washer/Dryer
Microwaves
Small Kitchen Appliances
Pots, Pans, Dishes, etc.
Cutlery & Utensils
Vacuum Cleaners
Irons & Ironing Boards
Trash Compactor
Beds & Bedroom Furniture
Dining Room Furniture
Sofas, Chairs & Stools
Coffee & End Tables
Lamps
Drapes/Blinds/Curtains
Golf Carts
Linens
Rugs & Area Carpets
Pictures/Frames/Mirrors
Deck & Patio Furniture
BBQ Grills
Pool Tables & Game Tables
TV’s, VCR’s & DVD’s
Videos & Digital Discs
Entertainment Systems
Radios, CDs, Stereos, etc.
Video Games
Computers, Printers & Software
Phone/Answering Machine
Sports Equipment
Bicycles, Toys & Games
Fishing Gear
Outdoor Decorations
Window A/C
Hot Tubs
Other:
Total
I hereby certify that the information and valuation stated above by me are true, correct and
complete to the best of my knowledge and belief. If prepared by someone other than the
owner, their declaration is based on all information of which they have any knowledge.
Owner’s Signature and Date
0