POWHATAN
COUNTY
VIRGINIA
OFFICE
OF
THE
COMMISSIONER
OF
THE
REVENUE
PHONE
(804)
598-5616
RETURN
OF
BUSINESS
TANGIBLE
PERSONAL
PROPERTY,
MACHINERY
AND
TOOLS
IMPORTANT:
PLEASE
READ
INFORMATION
ON
BACK
BEFORE
COMPLETING
THIS
RETURN
NAME
OF
TAXPAYER:
FED.
ID
OR
SS#
Please
Print.
If
Partneiship,
Give
Name
Of
Each
Partner
TRADE
NAME
BUSINESS:
MAILING
ADDRESS:
TRUCKS,
CARS,
TRAILERS
AND
ALL
TYPES
OF
MOTOR
VEHICLES
THAT
ARE
REGISTERED
WITH
THE
DEPARTMENT
OF
MOTOR
VEHICLES
SHOULD
NOT
BE
LISTED
ON
THIS
FORM.
SCHEDULE
1
Tangible
Personal
Property
including
furniture,
fixtures,
books,
office
and
business
machines,
shop
tools
used
in
any
business
or
profession.
ENTER
ORIGINAL
CAPITALIZED
COST
TO
FOR
USE
BY
COMM.
OF
THE
REVENUE
RIGHT
AS
INDICATED
BELOW
BUSINESS
PROPERTY
ASSESSED
VALUATION
PERCENT
TO
BE
USED
COST
OF
PROPERTY
ACQUIRED
PRIOR
TO
DECEMBER
31,2016
$
20
COST
OF
PROPERTY
PURCHASED
2017
$
30
COST
OF
PROPERTY
PURCHASED
2018
$
37,5
COST
OF
PROPERTY
PURCHASED
2019
$
45
COST
OF
PROPERTY
PURCHASED
2020
$
60
TOTAL
COST
OF
PROPERTY
OWNED
AS
OF
$
JANUARY
1,
2021
SCHEDULE
2
MACHINERY
&
TOOLS
for
taxpayers
engaged
in
manufacturing,
mining
,
processing
,
reprocessing
,
radio
&
television
broadcasting,
dry
cleaners
or
laUndry
or
dairy
business.
ENTER
ORIGINAL
CAPITALIZED
COST
TO
FOR
USE
BY
COMM.
OF
THE
REVENUE
RIGHT
AS
INDICATED
BELOW
BUSINESS
PROPERTY
ASSESSED
VALUATION
PERCENT
TO
BE
USED
COST
OF
PROPERTY
ACQUIRED
PRIOR
TO
DECEMBER
31,
2016
$
20
COST
OF
PROPERTY
PURCHASED
2017
$
30
COST
OF
PROPERTY
PURCHASED
2018
$
37.5
COST
OF
PROPERTY
PURCHASED
2019
$
45
COST
OF
PROPERTY
PURCHASED
2020
$
60
TOTAL
COST
OF
PROPERTY
OWNED
AS
OF
JANIJARYI,
2021
$
A
CURRENT
DETAILED
DEPRECIATION
SCHEDULE
FROM
YOUR
FEDERAL
INCOME
TAX
RETURN,
INCLUDING
ALL
FULLY
DEPRECIATED
ITEMS
AND
A
LIST
OF
FIXED
ASSETS
ITEMIZING
ALL
PROPERTY
REPORTED
IN
THE
SCHEDULES
ABOVE
MUST
BE
SUBMITTED
WITH
THIS
RETURN.
NOTE:
It
is
a
misdemeanor
for
any
person
to
willfully
subscribe
a
return
which
he
does
not
believe
to
be
true
and
correct
as
to
every
material
matter.
(Code
of Virginia
.
Sec.
58.
1-11)
DECLARATION
BY
TAXPAYER:
I
declare
that
the
foregoing
statements
and
figures
are
true,
full
and
correct
to
the
best
of
my
knowledge
and
belief.
(Signature
of
person
,
other
than
taxpayer,
(Date)
preparing
this
retum)
(Name
of
firm
or
employees,
if
any)
(Signature
of
taxpayer)
Phone:
(Date)
2021
2021
(OVER)
Every
taxpayer
owning
or
having
in
their
possession
tangible property
or
machinery
and
tools
used
in
business
or
professional
occupation,
located
in
Powhatan
County,
Virginia
on
January
1,
2021
must report
same
on
this
return
and
file
on
or
before
March
1,
2021
with
the
Commissioner
of
Revenue,
3834
Old
Buckingham
Rd.
Suite
C,
Powhatan,
Virginia
23139.
(Required
under
Section
58,1-1108
Code
of
Virginia)
TANGIBLE
PERSONAL
PROPERTY
LEASED
OR
RENTED
FROM
OTHERS
MUST BE
LISTED
AS
REQUIRED
BY
SECTION
58.1-3518,
CODE
OF
VIRGINIA.
Values
to
be
reported
are
actual
cost
of
the
furniture, fixtures,
machinery
and
tools
before
allowance
for
depreciation.
COST
OF ITEMS
FULLY
DEPRECIATED,
BUT STILL
IN
USE,
MUST
BE
INCLUDED.
Failure
to
furnish
complete
information
may
require
assessment
to
be
made
from
best
available
source.
LIST
BELOW
ALL
TANGIBLE
PERSONAL
PROPERTY
VEHICLES)
LEASED
OR
RENTED
FROM
OTHERS.
AND
MACHINERY
&
TOOLS
(EXCEPT
MOTOR
.II.._
_,.
-
I
‘-‘‘
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. .
•••-•
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FROM LEASE
AGREEMENT
TYPE
OF
QUOTED
PURCHASE
NAME
OF
OWNER
ADDRE55
OF
OWNER
EQUIPMENT
DATE
OF
LEASE
PRICE OF
EOtJIPMENT
..
:.
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