Grand total from page 2
Grand total from page 3
Grand total from page 4
Total cost of Idle Equipment from Form 2698
Total cost of Personal Property Construction in Progress
Total cost of Cable TV, Utility and Wind Energy Assets from Forms 633, 3589 and 4565
Total cost of cellular site equipment from Form(s) 4452
TOTAL
Yes
SUMMARY AND CERTIFICATION. Complete ALL questions.
The undersigned certifies that he/she is an owner, officer and/or the duly authorized
agent for the above named taxpayer and that the above summary, with its
supporting documents, provides a full and true statement of all tangible personal
property owned or held by the taxpayer at the locations listed above on December
31, 2016.
Signature of Certifier
ASSESSOR'S ADJUSTMENT(S)
EXEMPTION(S)
TRUE CASH VALUE
ASSESSED VALUE (50% of TCV)
Assessor Calculations
Date
X .50
Have you excluded any exempt "Special Tools" from this statement?
Have you excluded any air and water pollution control facilities and/or wind or water
energy conversion devices for which an exemption certificate has been issued?
Have you, to the best of your knowledge, reported all of your assessable tangible
personal property located in Michigan including fully depreciated and/or expensed
assets, to the appropriate assessment jurisdiction?
Did you hold a legal or equitable interest in personal property assessable in this
jurisdiction which you have not reported on this statement (see instructions)?
Are you a party (as either a landlord or a tenant) to a rental or lease agreement relating
to real property in this jurisdiction?
Have any of your assets been subjected to "rebooking" of costs for accounting
purposes or been purchased used (see instructions)?
Is any of your property "daily rental property," per P.A. 537 of 1998?
Are other businesses operated at your location(s)?
If Yes, state total original cost
excluded _________________
If Yes, attach itemized list.
If No, attach explanation.
If Yes, attach itemized list.
If Yes, complete Section O.
If Yes, attach itemized list.
If Yes, attach Form 3595.
If Yes, attach itemized list.
No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Enter zero if appropriate.
9b.
10b.
11b.
12b.
13b.
14b.
15b.
9a.
10a.
11a.
12a.
13a.
14a.
15a.
NOTICE: DO NOT USE THIS FORM TO CLAIM AN EXEMPTION AS ELIGIBLE MANUFACTURING PERSONAL PROPERTY (EMPP) PURSUANT
TO MCL 211.9m AND MCL 211.9n. To claim an exemption for EMPP, file Form 5278 with the local assessor where the personal property is
located no later than February 21, 2017. Lessors of equipment are not eligible to file Form 5278 and must complete this form. Pursuant to P.A.
153 of 2013, if the true cash value of the assessable personal property you or a related party own, lease or possess in this local assessing unit
is less than $80,000, then you need not file this form if you file Form 5076 with the local unit where the property is located no later than
February 10, 2017. See the instructions at Page 5.
2017 Personal Property Statement (As of 12-31-16)
2017
L-4175
Location(s) of Personal Property Reported on This Statement.
LIST ALL LOCATIONS. Attach additional sheets if necessary.
This form must be completed
and returned to the assessor by
February 21, 2017.
Michigan Department of Treasury
632 (Rev. 08-16)
TO: (Name and Address of Taxpayer)
FROM: (Name and Address of Assessor)
Legal Name of Taxpayer
Address Where Personal Property Records are Kept
Assumed Names Used by Legal Entity, if any
Name of Person in Charge of
Records
Taxpayer Telephone No.
Description of Taxpayer's Business Activity and NAICS Code
Preparer's Name, Address and Telephone Number and E-mail
address
Check One Only:
Sole Proprietorship
Partnership
Limited Liability Co.
Corporation
MI ID# ______________
Date of Organization Date Business Began at
above location
Names of Owner(s) or Partners
(If sole proprietorship or partnership)
If Sole Proprietorship, Taxpayer's Residential Address
Square Feet
Occupied
Parcel No.
Issued under authority of Public Act 206 of 1893.
Approved by the State Tax Commission September 20, 2016.
Reset Form
INSTRUCTIONS. Read carefully to obtain directions for the allocation of your personal property to Sections A - N.
All Tangible Personal Property in your possession at this location, including fully depreciated and expensed assets, must be reported in one of the
Sections A through N. If you had "Move-Ins" of used property, you must also complete Form 3966, 2017 Taxpayer Report of Personal Property
"Move-Ins" Occurring During 2016. "Move-Ins" are items of assessable personal property (hereafter referred to as "property") that were not assessed in
this city or township in 2016, including (1) purchases of used property, (2) used property you moved in from a location outside this city or township, (3)
property that was exempt in 2016 (such as exempt Industrial Facilities Tax property), and (4) property that you mistakenly omitted from your statement in
2016. "Move-Ins" DO NOT include property that has been moved from another location WITHIN this city or township or that was assessed to another
taxpayer within this city or township in 2016 (i.e., property reported by a previous owner or previously leased property reported by the lessor in 2016). All
"Move-Ins" must be reported on this page 2 and on Form 3966. Do not report 2016 acquisitions of new property on Form 3966.
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
Prior
.91
.80
.69
.61
.53
.47
.42
.37
.33
.29
.27
.24
.22
.19
.12
.12
SECTION A:
Including Furniture and Fixtures
Assessor
Calculations
TOTALS
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
Prior
.89
.76
.67
.60
.54
.49
.45
.42
.38
.36
.33
.31
.29
.28
.23
.23
TOTALS
B1
2016
2015
2014
2013
Prior
.76
.53
.29
.05
.05
TOTALS
C1
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
Prior
.84
.64
.55
.49
.44
.41
.38
.35
.33
.31
.29
.28
.26
.25
.17
.17
TOTALS
2016
2015
2014
2013
2012
2011
2010
Prior
TOTALS
$$
TAXPAYER: Add totals from cost columns
of Sections A-F (A1-F1). Enter grand total
here and carry to line 9a, page 1.
COST GRAND TOTAL (for page 2)
ASSESSOR: Add True Cash Value totals
from Sections A-F (A2-F2). Enter grand
total here and carry to line 9b, page 1.
TRUE CASH VALUE GRAND TOTAL (for page 2)
SECTION B:
Including Machinery and Equipment
Assessor
Calculations
SECTION C:
Including Rental Videotapes and Games
Assessor
Calculations
SECTION F:
Including Computer Equipment
Assessor
Calculations
SECTION D: Including Office, Electronic,
Video and Testing Equipment
Assessor
Calculations
SECTION E: Including Consumer
Coin Operated Equipment
Assessor
Calculations
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
Prior
.92
.85
.77
.69
.61
.54
.46
.38
.30
.23
.15
.15
TOTALS
B2
C2 F1 F2
E1 E2
D1 D2
A1 A2
.60
.44
.32
.24
.19
.15
.08
.08
632, Page 2
Did you have "move-ins"?
Yes No
L-4175
Property you are leasing from another person or entity should be reported under this section. "Qualified" Personal Property should be
reported under Section l. See instructions. Attach additional sheets if necessary. Any Personal Property reported in this section should
not be reported elsewhere on Form L-4175.
Lease No. Name & Address of Lessor Description of Equipment
Lease Term
(in months)
Monthly
Rental
1st Year
in Service
Selling Price New
(estimate, if necessary)
Property not owned by you but in your possession on December 31, 2016 under arrangements other than a lease agreement should be
reported under this section. See instructions. Any Personal Property reported in this section should not be reported elsewhere on Form
L-4175. Attach additional sheets if necessary.
Total Selling Price New
Name & Address of Owner Description of Equipment
Age (estimate if
necessary)
Selling Price New
(estimate, if necessary)
Total Selling Price New
Assessable Tangible Personal Property in your possession that is not entitled to depreciation under Generally Accepted Accounting
Principals (GAAP) (e.g. fine art) or that the assessor has told you to report in this section or that is otherwise described in the
instructions should be reported under this section. Any Personal Property reported in this section should not be reported elsewhere on
Form L-4175. See instructions. Attach additional sheets, if necessary.
Acquisition
Cost New
Total Acquisition Cost New
Acquisition
YearDescription of Property
SECTION G - Other Assessable Personal Property Which You Own
True Cash Value
Assessor's Calculations
632, Page 3
SECTION H - Standard Tooling
Acquisition
Year
Acquisition
Cost New
2016
2015
2014
Prior
Total Acquisition Cost
You must report your standard tooling in this Section. Complete both
columns. Notice that GAAP (Generally Accepted Accounting Principals)
net book value, as reported in this section, must implement accounting
"changes in estimate", even if not otherwise material. Any Personal
Property reported in this section should not be reported elsewhere on
Form L-4175. See Instructions.
GAAP
Net Book Value
SECTION I - Qualified Personal Property
INCLUDE ONLY "Qualified Personal Property" as defined by Michigan Compiled Laws 211.8a (6)(c). See instructions. Attach extra
schedules, if necessary, following the same format as below. Any Personal Property reported in this section should not be reported
elsewhere on Form L-4175.
Description of Equipment
and Model or Serial Number
Owner Name and
Complete Mailing Address
Original Cost
Installed
Date of
Installation
Year of
Manufacture
Total Average
Monthly Rental
TCV to be Completed
by Assessor
Lease Term
In Months
Total Installed Cost
%
SECTION J - Leased Property in Your Possession Which Is Not Qualified Personal Property
SECTION K - Other Personal Property in Your Possession Which You Do Not Own
G1 G2
H1
H2
I2
J1
K1
I1
$$
TAXPAYER: Add Total Costs and
Selling Prices from Sections G-K
(G1-K1). Enter grand total here and
carry to line 10a, page 1.
COST GRAND TOTAL (for page 3)
ASSESSOR: Add True Cash Value totals
from Sections G-I (G2-I2). Enter grand
total here and carry to line 10b, page 1.
TRUE CASH VALUE GRAND TOTAL (for page 3)
Parcel No.
Equipment that you lease to others should be reported under this section. Notice: You must also complete Sections A - F on Page 2.
See instructions. You may use attachments in lieu of completing this section if the attachments contain the information requested
below, in the same format, and if you complete the Tables on Page 2. You must report Eligible Manufacturing Personal Property
(EMPP) in this Section which you are leasing to another, unless both you and your lessee (your customer) have made an
election, using Form 5467, to have the lessee report the EMPP on its Form 5278. See the detailed notice at the beginning of
the Instructions, at the top of the first column, Page 5. Attach additional sheets, if necessary.
Address or Location of Building
Year Originally
Built
Total Capitalized
Cost
Total Capitalized Cost
True Cash Value
Assessor's Calculation
Check this box if you believe that these structures are already assessed as part of the real property.
632, Page 4
Lease No. Name & Address of Lessee
Location of
Equipment
Lease
Period (Mo.)
Monthly
Rental
1st Year
in Service
Total Original Selling Price
Are you a manufacturer of equipment? Yes No
Type of
Equipment
Original
Selling Price
Manufacturer
Cost
SECTION L - Detail of Leases (This Section is Completed by Leasing Companies)
Year Installed Description (Describe in detail)
STC
MultiplierOriginal Cost
All Leasehold Improvements (LHI) made at your place of business should be reported under this section, even if you believe that the
improvements are not subject to assessment as Personal Property. Report trade fixtures, foundation costs and equipment installation
costs, including wiring and utility connections, in the appropriate Section A through F, on page 2, not as LHI. See instructions. To
prevent a duplicate assessment, provide as much detail as possible. You may attach additional explanations and/or copies of "fixed
asset" records, if the attachment provides all of the information requested below and if you insert the total original cost in "Total Cost
Incurred" below. Personal Property reported here should not be reported elsewhere on Form L-4175.
True Cash Value
Assessor's Calculation
Total Cost Incurred (including 2016)
SECTION M - Leasehold Improvements
M1 M2
N1 N2
SECTION N - Buildings and Other Structures on Leased or Public Land and All Freestanding Signs and Billboards
Costs of Freestanding Communications Towers and Equipment Buildings at Tower sites (unless reported on Form 4452), and Costs of
Freestanding Signs and Billboards must also be reported under this Section. Any Personal Property reported in this section should not
be reported elsewhere on Form L-4175. Attach additional sheets, if necessary.
*
2016
Notice: 2016 installations must be reported above. Installations of LHI prior to 2016 are reported in this section, below this notice. The State Tax
Commission has directed that commencing in 2017 all Leasehold improvement installations in 2016, or later, must be valued as improvements made
to the leased real property. Trade fixtures and installation costs for equipment, must be reported on page 2, regardless of the date of installation.
Assessor: Do not assess
2016 installations as personal property except where the lease is a pre-1984 lease.
SECTION O - Rental Information. See Instructions. (Attach additional sheets, if necessary.)
IF YOU ARE THE TENANT
Name and address of landlord __________________________________________________________________________________
Is your landlord the owner of the property? Yes No If you are a sublessee, enter the name and address of the owner
of the property _______________________________________________________________________________________________
IF YOU ARE THE LANDLORD
Name and address of tenant ___________________________________________________________________________________
Are you the owner of the property? Yes No If you are a sublessor, enter the name and address of the owner of
the property ________________________________________________________________________________________________
TO BE COMPLETED REGARDLESS OF WHETHER YOU ARE THE LANDLORD OR TENANT
Address of property rented or leased ____________________________________________________________________________
Date that current rental arrangement began:_________. Square feet occupied:_________ Monthly rental $____________________
Date current lease expires:________________. Are there options to renew the lease? Yes No
Expenses (e.g. taxes, electric, gas, etc.) paid by the tenant ___________________________________________________________
Assessor Value
O2
$$
TAXPAYER: Add Total Cost Incurred from
Section M and Total Capitalized Cost from
Section N (M1 and N1). Enter grand total
here and carry to line 11a, page 1.
COST GRAND TOTAL (for page 4)
ASSESSOR: Add True Cash Value totals
from Sections M-O (M2-O2). Enter grand
total here and carry to line 11b, page 1.
TRUE CASH VALUE GRAND TOTAL (for page 4)
NOTICE: Do not report Eligible Manufacturing Personal Property
(EMPP), as dened in MCL 211.9m and MCL 211.9n, using this
form. Instead, use Eligible Manufacturing Personal Property
Exemption Claim, Ad Valorem Personal Property Statement and
Report of Fair Market Value of Qualied New and Previously
existing Personal Property (Combined Document) (Form 5278)
even if some or all of the personal property is not yet exempt.
For a full definition of EMPP, see the instructions to Form
5278. Generally, personal property is EMPP if it is at a qualied
location. A location qualifies if the predominant use of the
personal property at the location is for Industrial Processing
and/or Direct Integrated Support of Industrial Processing.
Form 5278 must be fully completed and received by the
assessor by February 21, 2017. Form 5278 can be accessed at
www.michigan.gov/esa. A lessor of personal property is not
eligible to le Form 5278, even if the personal property being
leased is EMPP and it must report such EMPP on this form, unless
both the lessor and the lessee have executed Election of Lessee
Report of Eligible Manufacturing Personal Property (Form 5467),
and the lessee has both reported the EMPP in question on form
5278 and has attached the fully executed Form 5467 to the 5278
submission.
NOTICE: If the true cash value of assessable personal property
that you or a related party own, lease, or possess in this (“city”
or “township”) is under $80,000, you may be eligible for an
exemption for 2017 by ling Form 5076 by February 10, 2017. IF
YOU ARE ELIGIBLE FOR THIS EXEMPTION AND FILE FORM 5076
TIMELY, YOU DO NOT HAVE TO COMPLETE THIS PERSONAL
PROPERTY STATEMENT. Review Form 5076 and the instructions
to that form to determine whether you qualify. Form 5076 and
instructions can be accessed at www.michigan.gov/taxes by
searching for Form 5076 or from the local assessor.
This form is issued under authority of the General Property Tax Act.
Filing is mandatory. Failure to le may result in imprisonment for a
period not less than thirty days, nor more than six months; a ne not
less than $100, nor more than $1,000; or both ne and imprisonment
at the discretion of the court. See MCL 211.21.
CAUTION: Read these instructions carefully before completing the
form. Complete all sections. Because this form has been coded, it
is imperative that it be returned to assure proper processing. If all of
the personal property formerly in your possession has been removed
from this assessing unit before December 31, 2016, you must notify
the assessor at once in order to change the records accordingly.
This statement is subject to audit by the State Tax Commission, the
Equalization Department or the Assessor. Failure to le this form by
its due date will jeopardize your right to le a Section 154 appeal
with the State Tax Commission. You are advised to make a copy of
the completed statement for your records. This form must be led in the
city or township where the personal property is located on December
31, 2016. Do not le this form with the State Tax Commission unless
you have been specically instructed to do so by the Commission’s
staff.
Although you must complete all sections of this form, you are not
required to le pages that do not contain any reported cost. You must,
however, insert a zero entry in the appropriate line(s) 10, 11 and/or 12
of the “Summary and Certication” on page 1 to indicate that you have
no costs to report for that page; you must complete and le section O
if you are a landlord, a lessee or a sublessee. In completing this form,
you may not use attachments in lieu of completing a section, unless the
instructions specically authorize the use of attachments for completing
the section.
FACSIMILE SIGNATURES: This form must be signed at the bottom
of page 1. A facsimile signature may be used (P.A. 267 of 2002),
provided that the person using the facsimile signature has led with the
Assessment and Certication Division of the Department of Treasury a
signed declaration, under oath, using Form 3980. A facsimile signature
is a copy or a reproduction of an original signature.
Instructions for Completing Form 632 (L-4175), 2017 Personal Property Statement
GENERAL EXPLANATION: The Michigan Constitution provides
for the assessment of all real and tangible personal property not
exempted by law. Tangible personal property is dened as tangible
property that is not real estate. Form L-4175 is used for the purpose
of obtaining a statement of assessable personal property for use in
making a personal property assessment. Michigan law provides that
the assessor must send Form L -4175 to any person or entity that may
possess assessable personal property. Michigan law also provides
that a person or entity receiving Form L-4175 must complete it and
return it to the assessor by the statutory due date, even if they have
no assessable property to report. If you had assessable personal
property in your possession on December 31, 2016, you must submit
a completed Form L-4175 to the assessor of the community where the
property is located by the statutory due date, even if the assessor does
not send you a form to complete.
COMPLETION OF FORM 632 (L-4175)
Page 1 - Statistical Information:
FROM: Insert name and address of the assessor if you are using a
form not provided by the assessor. Often this form must be led at
an address different than the assessor’s mailing address for other
purposes. It is your responsibility to assure that this form is sent to the
correct address. If you are unsure of the mailing address, call your local
assessor or county equalization department.
TO: If you are not using a preprinted form, insert your name and
address. Use the address at which you wish to receive future forms
and tax billings. If your form is preprinted with an incorrect address, line
out the incorrect portions and insert the corrections.
Parcel No.: Unless this is an initial ling, you have already been
assigned a parcel number. If you are using a form not provided by the
assessor, you must insert the correct parcel number. Failure to insert
your parcel number may result in a duplicate assessment.
Preparers Name and Address: Insert the name, address, telephone
number and e-mail address of the person who has prepared this
statement.
(Check One): Check the appropriate box indicating the form of legal
organization used by the taxpayer in conducting its business. If the
taxpayer is organized as a corporation or a limited liability company,
insert the Michigan corporate identication number of the business or,
if not authorized to do business in Michigan, the name of the state in
which it is organized.
Location(s) of Personal Property: List the street addresses of all
locations that are being reported on this statement. Locations in
different school districts or lying within the boundaries of designated
authorities or districts must be reported separately. All personal
property at a given location in the same authority or district must
be reported under one account, unless the assessor has directed
otherwise. You must le a separate statement for property on which the
tax is abated pursuant to P.A. 198 of 1974 (I.F.T.) or P.A. 328 of 1998
(certain new personal property).
Date of Organization: Insert the date that the taxpayers business was
rst organized or commenced.
Date Business Began at Above Location: Insert the date that the
taxpayer rst commenced business at a location reported on this
statement.
Square Feet Occupied: Insert the number of square feet of space
occupied by the taxpayer at the location(s) reported.
Assumed Names: State any assumed names used by the taxpayer in
conducting its business at the location(s) reported.
Names of Owners or Partners: If the taxpayer is a sole proprietorship
or a partnership, list the name(s) of the proprietor or partners.
If Sole Proprietorship, Taxpayer’s Residential Address: Insert sole
proprietor’s actual residence address. Do not use mailing address, if
different than residence address.
Legal Name of Taxpayer: Insert the taxpayer’s exact legal name.
632, Page 5
Address Where Personal Property Records Are Kept: Insert the
address where the records used to complete this statement are kept.
Only insert the address of an agent if that agent has actual possession
of all documents necessary to conduct an audit.
Name of Person in Charge of Records: Insert the name of the
person at the address where the records are kept who has actual
control of the documents necessary to conduct an audit.
Telephone Number.: Insert the telephone number of the person
having charge of the records used for ling.
Description of Taxpayers Business activity: Insert a descriptive
phrase indicating the nature of the taxpayer’s business activity and
NAICS Code.
Page 1 – Summary and Certication:
Page 1, Line 1: “Special Tools” are exempt from taxation,
pursuant to MCL 211.9b. If you are excluding “special tools” from
your statement, you must check “Yes” and insert the amount
of original cost excluded. “Special tool” means a finished or
unnished device such as a die, jig, xture, mold, pattern, special
gauge, or similar device, that is used, or is being prepared
for use, to manufacture a product and that cannot be used
to manufacture another product without substantial modication of
the device. As used herein, a “product” can be a part, a special tool,
a component, a subassembly or completed goods. “Special tools” do
not include devices that differ in character from dies, jigs, xtures,
molds, patterns, or special gauges. Machinery or equipment, even if
customized, and even if used in conjunction with special tools is not
a “special tool.” A die, jig, xture, mold, pattern, gauge, or similar tool
that is not a “special tool” is a “standard tool” and must be reported in
Section H. Machinery or equipment, even if specialized, and even if
used in conjunction with special tools or standard tools is not reported
in Section H and must, instead, be reported in Section B. Only
industrial tools in the nature of dies, jigs, xtures, molds, patterns and
special gauges can qualify for this exemption. Personal property not
directly used to carry out a manufacturing process is not a “special
tool.” Dies, jigs, xtures, molds, patterns, special gauges, or similar
devices that are not “special tools” should be reported at full acquisition
cost new under Section H of this form.
Page 1, Line 2: Air and water pollution control facilities and/or wind
or water energy conversion devices may qualify for exemption from
taxation, only if an exemption certicate has been issued by the State
Tax Commission on or before December 31, 2016. If you claim such an
exemption, check “Yes” and attach an itemized listing of the certicate
numbers, dates of issuance and amounts.
Page 1, Line 3: You must le a completed Form L-4175 with the
assessor of every Michigan assessment jurisdiction in which you had
assessable personal property on December 31, 2016. If you have
fullled this obligation, check “Yes.” If you have not led in every
required jurisdiction, attach an explanation. You are required to report
all tangible personal property in your possession in this location even
if the property has been fully expensed or depreciated for federal
income tax or nancial accounting purposes. If you answer “No,”
attach a detailed explanation.
Page 1, Line 4: The purpose of this question is to determine whether
you are a party to a contract relative to personal property located in
this jurisdiction on December 31, 2016 that you have not reported on
this statement, perhaps because of your belief that another party to the
contract is the proper party to report. This includes situations where
you believe you hold only a security interest in personal property, in
spite of the fact that the contract is labeled a “lease.” If you answered
“yes” to this question, attach a rider that includes the name(s) of the
interest holder(s), the nature of your interest, a description of the
equipment, the year the equipment was originally placed in service,
its original selling price when new and the address where the property
was located on December 31, 2016. “Conditional sale” leased
equipment must be reported by the lessor.
Page 1, Line 5: Check “Yes” if you are a lessor (landlord), a lessee
(tenant) or a sublessee (subtenant) in a rental contract relating to the
real property at this location. MCL 211.8(i) provides that, under some
circumstances, the value, if any, of a sub-leasehold estate shall be
assessed to the lessee. If you check “Yes,” complete Section O. Your
rental arrangement will be analyzed by the assessor. If you check “Yes”
and have made leasehold improvements to the real estate, you must
also complete Section M. Your completion of Sections M and O will not
necessarily result in an increased assessment.
Page 1, Line 6: The valuation multipliers contained in Sections A
through F on page 2 are intended to be applied to the acquisition
cost of new, not used, personal property. If the acquisition cost new
of an asset is known to you or can be reasonably ascertained through
investigation, you must report that cost in the year it was new when
you complete Sections A through F, even if you have adjusted the
cost in your accounting records to reect revaluation of the asset
using a “purchase,” “fresh start,” “push-down” or similar accounting
methodology, or even if your booked cost reects a “used” purchase,
lease “buy-out” price or a “trade-in” credit. If you were unable to report
the acquisition cost new for one or more of your assets, you should
check “Yes” and attach a list of all such assets. On the list, provide a
detailed description of each asset, the year or approximate year that
the asset was new, and the Section, the amount and acquisition year
at which you have reported the asset.
You must also provide a written explanation of the reason(s) that the
original acquisition cost information is not available.
Page 1, Line 7: Daily rental property” is tangible personal property,
having a cost new of $10,000 or less, that is exclusively offered for
rental, pursuant to a written agreement, on an hourly, daily, weekly or
monthly basis for a term of 6 months or less (including all permitted
or required extensions). If you acquired the property “used” you must
determine the cost new for purposes of determining whether the
property qualies for “daily rental property” treatment. If you believe
that you have such property, see Form 3595, Property Statement -
Daily Rental Property, for additional information. If you qualify, you
must complete Form 3595 and comply with the requirements set forth
therein.
Page 1, Line 8: This question requires you to disclose other
businesses that share space with you at the location(s) of your
business. If you answer “Yes” attach a list of all other businesses
operating at your location(s). If you are located in a shopping center,
ofce building or other multi-tenant facility, you are not required to list
businesses having a different legal address.
Page 1, Line 9: Complete Sections A through F, page 2, and add the
totals from Sections A through F to arrive at a Cost Grand Total. Insert
the Cost Grand Total in the box indicated at the bottom of page 2 and
carry that amount to page 1, line 9a.
Page 1, Line 10: Complete Sections G through K, page 3, and add the
totals from Sections G through K to arrive at a Cost Grand Total. Insert
the Cost Grand Total in the box indicated at the bottom of page 3 and
carry the amount to page 1, line 10a.
Page 1, Line 11: Complete sections L through O, page 4, and add
the totals from sections M and N to arrive at a Cost Grand Total, as
directed by the instruction at the bottom of the page. Insert the Cost
Grand Total in the box indicated at the bottom of page 4 and carry the
amount to page 1, line 11a.
Page 1, Line 12: If you had assets that qualied as “idle equipment” or
as “obsolete or surplus equipment” on December 31, 2016, complete
Form 2698, Idle, Obsolete and Surplus Equipment, and carry the Total
Original Cost from Form 2698 to line 12a.
“Idle equipment” is equipment that is part of a discontinued process
and that has been disconnected and is stored in a separate location.
Assets are not “idle” if they are present as standby equipment, are
used intermittently or are used on a seasonal basis. “Obsolete or
surplus equipment” is equipment that either requires rebuilding and
is in the possession of a rebuilding rm on December 31, 2016 OR
is being disposed of by means of an advertised sale because it has
been declared as surplus by an owner who has abandoned a process
or plant. Property that is part of a process that has been temporarily
suspended from operation or which is being offered for sale with the
expectation that the process will be continued at the same location,
632, Page 6
does not qualify for idle or obsolete and surplus reporting treatment.
Only property which would otherwise be reported in Sections A through
F on Page 2 of Form L-4175 qualies to be reported as idle or obsolete
and surplus equipment. For more information, see instructions to Form
2698. Do not include these assets elsewhere on this form.
Page 1, Line 13: Report the total cost incurred for Construction in
Progress, as calculated on an accrual basis, based on the extent of
physical presence of the construction in progress in the assessment
jurisdiction. Construction in Progress is property of a personal
property nature that has never been in service and was in the process
of being installed on December 31, 2016. Do not report partially
constructed electric generating facilities as Construction in Progress.
Such facilities must be reported on the Real Property Statement (Form
3991 - Gas Turbine and Diesel; Form 4070 - Hydroelectric; Form 4094
- Steam).
Page 1, Line 14: If you had cable television or utility assets on
December 31, 2016, complete and le Form 3589, Cable Television
and Public Utility Personal Property Report, or Form 633, Distribution
Personal Property Statement Electric Distribution Cooperate, and carry
the Total Original Cost from Form 3589 or Form 633 to line 15a. See
the instructions to Form 3589. If you had wind energy system assets
as dened in MCL 211.8 (i), on December 31, 2016, complete Form
4565, Wind Energy System Personal Property Report, and carry the
total original cost from Form 4565 to line 14a. See the instructions to
Form 4565.
Page 1, Line 15: If you had cellular (wireless) site assets on December
31, 2016, complete and file Form 4452, Cellular (Wireless) Site
Equipment Personal Property Report, and carry the Total Original Cost
from Form 4452 to line 15a. See the instructions to Form 4452.
Page 2 - General Instructions for Sections A through F:
You must report in these Sections the full acquisition cost new, in the
year of its acquisition new, of all machinery and equipment, computer
equipment, furniture and xtures, signs, coin operated equipment,
ofce equipment, electronic, video and testing equipment, rental video
tapes and games and other tangible personal property owned by you
and located in this assessment jurisdiction, even if you have fully
depreciated the asset or have expensed the asset under Section
179 of the Internal Revenue Code or under your accounting
policies. All costs reported must include freight, sales tax and
installation costs, even in cases where the cost was actually incurred
by another. Imputed sales tax, freight and installation costs must be
reported by equipment leasing companies in cases where the lessee
has paid or will pay such costs, or will provide the equivalent benet
in kind. Sales/Use tax must be imputed and reported by equipment
leasing companies in cases where the lessee is paying sales or use
tax on installment lease payments. The costs reported must include
all costs (except capitalized interest) that would be capitalized by an
end-user/owner of the property under generally accepted accounting
principles, including overheads and “indirect costs” associated with
the process of constructing, acquiring or making the property available
for use. Capitalized expenditures made to a piece of machinery or
equipment after the initial acquisition year must be reported in the
year the expenditure is booked as a xed asset. These costs must be
reported the same as they are shown on your nancial accounting xed
asset records, assuming that you account using generally accepted
accounting principles. You must also report in these sections any other
tangible personal property in your possession or under your control
in this jurisdiction that is not reported under sections G through N. If
you purchased an asset used, and do not know and cannot ascertain
the acquisition cost new, attach the list and explanation required by
the Page 1, Line 6 instructions. The acquisition costs for the assets
reported under each section must be totaled for each acquisition
year. Place the yearly total on the line of the section corresponding to
the year that the property was acquired. You must report the original
acquisition cost, not your estimation of the value of the property.
Equipment not fully installed on December 31, 2016 should be reported
on Page 1, Line 13 and should not be reported in these sections.
Property that was reported as construction in progress last year but
which was placed in service on or before December 31, 2016 should
be entirely reported on the 2016 acquisition line of the appropriate
table, not the 2015 line. Similarly, the cost of all assets must be
reported as acquired in the year that they were placed in service, rather
than the year of purchase, if those years differ.
Leased assets and “daily rental property” must be reported by the
Owner on sections A through H in the same manner as other property,
using a cost which represents the price that would be paid by an end-
user to acquire ownership of the property if it were to purchase rather
than lease or rent. An itemized listing of the property must also be
made in Section L (for leased assets) or pursuant to the requirements
of the instructions for Page 1, Line 7 (for daily rental assets). Lessors
do not report Eligible Manufacturing Personal Property (EMPP), which
is instead reported by the lessee on Form 5278.
All leased and daily rental assets must be reported by, and must be
assessed to, the owner (the lessor or daily rental company), in spite
of any agreement to the contrary between the parties to the lease or
rental agreement, unless the property is EMPP, is “qualied personal
property” or is owned by a bank. Leased and rental property must be
reported at selling price new, even if the owner is the manufacturer of
the asset or acquired the asset in the wholesale market for an amount
less than the price that the end-user would have incurred to purchase
the asset. If the asset is of a type that it is never sold to an end-user or
if you have constructed the asset for your own use, report the price at
which the asset would sell if a market sale did occur. See STC Bulletin
8 of 2007.
The cost reported in each of the sections of this form and on the
forms used with this form should include the full invoiced cost, without
deduction for the value of certain inducements such as service
agreements and warranties when these inducements are regularly
provided without additional charge.
Inventory is exempt from assessment. Inventory does not include
personal property under lease or principally intended for lease or
rental, rather than sale. Property allowed a cost recovery allowance or
depreciation under the Internal Revenue Code is not inventory. Motor
vehicles registered with the Michigan Secretary of State on December
31, 2016 are exempt. Special mobile equipment, as dened by MCL
257.62, and nonregistered motor vehicles are assessable. Computer
software, if the purchase was evidenced by a separate invoice amount,
and asset number, and if the software is commonly sold separately, is
exempt.
If you have had “Move Ins” of used property during calendar year 2016,
you must complete Form 3966, in addition to completing Form L-4175.
You can obtain Form 3966 from the Michigan Department of Treasury
Web Site at www.michigan.gov/taxes or from your local assessor.
“Move-Ins” are items of assessable personal property that were not
assessed in this city or township in 2016, including: acquisitions of
previously used personal property (which should be reported in the
year it was new and at the cost when new); used personal property
you have moved in from outside this city or township; personal property
that was exempt in 2016 (such as exempt industrial facilities tax
property); and personal property that you mistakenly omitted from your
statement in 2016. “Move-Ins” do not include property moved from
another location within this city or township or assessed to another
taxpayer within this city or township in 2016 (i.e. property reported by
a previous owner or previously leased property reported by the lessor
to this city or township last year). All “Move-Ins” must be reported in
the appropriate section of Form L-4175, in addition to being reported
on Form 3966. Do not report 2016 acquisitions of new property on
Form 3966.
You must report the cost of business trade xtures in the appropriate
section, A through F, rather than in section M where you report
leasehold improvements. You must also report the costs of installing
personal property in the appropriate section, A through F. Trade
xtures and installation costs of machinery and equipment must not
be reported in section M, even if you have booked them as leasehold
improvements for nancial accounting purposes. Trade xtures are
items of property that have been attached to real estate by a tenant
to facilitate the tenant’s use of the property for business purposes and
which are both capable of being removed and are removable by the
632, Page 7
tenant under the terms of the lease. Examples of trade xtures are
certain costs related to telephone and security systems and most signs.
Examples of installation costs are the costs of machine foundations
and electric, water, gas and pneumatic connections for individual
manufacturing machines.
The costs of an electrical generating facility, including the costs of all
attached equipment that is integrated as a component in accomplishing
the generating process, such as boilers, gas turbines and generators,
are not reported on this form. An exception is a small, movable
generating unit that has a xed undercarriage designed to allow easy
movement of the unit from place to place to provide temporary electric
power. Another exception is wind energy systems. See instructions to
Page 1, Line 14.
The costs associated with a generating facility that does not have
a fixed undercarriage must be reported to the assessor on the
appropriate Real Property Statement (Form 3991 - Gas Turbine and
Diesel; Form 4070 - Hydroelectric; Form 4094 - Steam). The costs
associated with small, movable electrical generation units that have a
xed undercarriage and the costs associated with other unattached,
movable machinery and equipment used at generating facilities, such
as front loaders, forklifts, etc. are reported in section B of this form.
A summary of the items that should be reported in each section is
contained in STC Bulletin 12 of 1999, its later annual supplement(s)
and in these instructions. These bulletins, along with forms and other
bulletins can be accessed via our Web site at www.michigan.gov/
taxes. MCL 211.19 requires that you complete this form in accordance
with the directions on the form and in these instructions. You may,
however, attach supplementary material for the assessor to consider in
making his or her valuation decisions. If you have questions regarding
proper categorization of property, contact the State Tax Commission
for clarication.
Completion of Section A, Page 2: The assets to be reported in this
section include decorations, seating, furniture (for ofces, apartments,
restaurants, stores and gaming establishments), shelving and racks,
animal cages and tanks, lockers, modular ofce components, cabinets,
counters, rent-to-own furnishings, medical exam room furnishings,
therapeutic medical beds and bedding, bookcases, displays, mobile
ofce trailers, special use sinks (such as those found in medical ofces,
beauty shops and restaurants), tables, nonelectronic recreational
equipment, filing systems, slat walls, non-freestanding signs,
window treatments, uniforms and linens, cooking, baking and eating
implements, shopping carts, booths and bars. Other assets may be
included at a later time.
Completion of Section B, Page 2: The assets to be reported in this
section include all assets that are not designated for disclosure in
another section. Specically, such assets include the following types of
machinery and equipment: air compressors, airport ground, non-coin
operated amusement rides and devices, auto repair & maintenance,
beauty and barber shop, boiler, furnace, bottling & canning, crane
and hoist, car wash, chemical processing, construction, unlicensed
vehicular, conveyor, non-coin operated dry cleaning and laundry, air
makeup and exhaust systems, manufacturing and fabricating, food
processing, gym & exercise, heat treating, landscaping, sawmill,
incinerators, maintenance and janitorial, nonelectronic medical
and dental and laboratory and veterinary equipment, mining and
quarrying, mortuary & cemetery, painting, hydrocarbon rening and
production and distribution, plastics, pottery & ceramics, printing and
newspaper, rubber manufacturing, scales, ski lifts, smelting, stone
& clay processing, supermarket, textile, tanning, vehicle mounted,
waste containers, wire product manufacturing, woodworking,
automated tellers (ATM), computer controlled lighting, CNC controlled
manufacturing, theater equipment, restaurant food preparation and
dispensing and storing and serving equipment, soft drink fountains,
coin counters, beverage container return machines, storage tanks,
hand tools of mechanics and trades, nonregistered motor vehicles,
freestanding and other safes not assessed as real property, oil and
gas eld equipment and gathering lines prior to commingling product
with other wells (other lines are reported in Section J, Form 3589),
portable toilets, metal shipping pallets and containers, portable saw
mills, LP tanks under 2,000 gallons, fuel dispensing control consoles,
computer-controlled printing presses, stereo lithography apparatus,
forklift trucks, non-coin operated gaming apparatus and computerized
and mechanical handling equipment, commercial mail sorting operation
equipment, pill counters, pram robotics. Other assets may be included
at a later time.
Completion of Section C, Page 2: Report the acquisition cost new
and the year of acquisition of rental videotapes, rental video games,
rental DVD’s and rental laser disks owned by you at this location. Other
assets may be included at a later time.
Completion of Section D, Page 2: The assets to be reported in this
section include ofce machines, non-computerized cash registers,
faxes, mailing and binding equipment, photography and developing
equipment, shredders, projectors, telephone and switchboard
systems (even if computerized), audio and video equipment [used
for receiving, transmitting, recording, producing and broadcasting],
ampliers, CD, cassette and disc players, speakers, cable television
local origination equipment, electronic scales, surveillance equipment,
electronic diagnostic and testing equipment (for automotive shops,
medical ofces, hospitals and dental ofces), ophthalmology testing
equipment, satellite dishes, video-screen arcade games, electronic
testing equipment, electronic laboratory equipment, cellular telephones,
medical laser equipment, reverse osmosis and hemodialysis systems,
movable dynamometer, spectrum analyzer, security systems, 2-way
and mobile land radio equipment, pay-per-view systems, wooden and
plastic pallets and shipping containers, rental musical instruments
and distributive control systems (see STC Bulletin 3 of 2000). Ofce
machines which are not capable of being integrated into a local area
or wide area computer network, ofce machines that are only capable
of being used as a facsimile transmitting/receiving machine and/or
as a copier, and ofce machines that are multifunctional but are not
capable of being used as a computer peripheral, are reported in this
section. A copier is a freestanding or desktop piece of ofce equipment,
which is most commonly used in an office setting, and which is
primarily designed to print, or to make copies of short-run text material
produced in that ofce. Copiers generally use commercially available
8 1/2” by 11” bond or copy paper and produce duplicate originals of
text documents in such a way that the use of carbon paper or other
duplicating processes can be avoided. Printing presses are not copiers
and must be reported in Section B of this form even if the operation
of the printing press is regulated or controlled digitally, is controlled
by a computer, or is automated. A printing press is a device designed
primarily to produce commercial runs of printed material, such as
books, pamphlets, forms, magazines, newspapers, or advertising
circulars, for commercial sale, regardless of the technology employed
in such production and regardless of the type of paper which is used.
The denition of a printing press specically includes any machine
that employs an offset or other non-impact printing process, if the
machine otherwise meets the denition of a printing press. Cellular
site equipment, specifically including communication towers and
land improvements must be reported on Form 4452, rather than in
this section. If you are not required to report communication tower
and land improvement costs on Form 4452, you must report such
costs in Section N of this form. See STC Bulletin 13 of 2006 and the
instructions for Form 4452. Other assets may be included at a later
time.
Completion of Section E, Page 2: The assets to be reported in
this section include consumer coin-operated equipment such as bill
& change machines, juke boxes, pin ball machines, coin-operated
pool tables and other non-video arcade games, snack & beverage
machines, other vending machines, news boxes, laundry equipment,
coin operated telephones and slot machines. Other assets may be
included at a later time.
Completion of Section F, Page 2: The assets to be reported in this
section include assessable software, personal and midrange and
mainframe computer and peripheral equipment, including servers,
data storage devices, CPUs, input devices such as scanners and
keyboards, output devices such as printers and plotters, monitors,
632, Page 8
networking equipment, computerized point of sale terminals, global
positioning system equipment, lottery ticket terminals, gambling
tote equipment, pager instruments, cable television converters and
receivers for home satellite dish television systems.
A programmable logic control device for a machine should be reported
in section B with the machine it serves. Ofce machines which are
capable of being integrated into a local area or wide area computer
network and ofce machines that are single function, or multifunction,
and which are capable of being used as a computer peripheral,
including copiers that can be used as a computer peripheral, are
reported in this section. Other assets may be included at a later time.
Cost Grand Total, Page 2: After you have completed sections A
through F, add together the totals of cells A1 through F1 to arrive at a
Cost Grand Total. Insert the Cost Grand Total in the box indicated at
the bottom of page 2 and carry to page 1, line 10a.
Section G , Page 3: Report all nonexempt tangible personal property
owned by you at this location that is not entitled to depreciation/cost
recovery under the United States Internal Revenue Code or that
the assessor has told you to report in this section or that otherwise
presents special valuation problems. An example of property
not entitled to depreciation/cost recovery is ne art. Examples of
properties that represent special valuation problems are: locally-
assessed copper and ber optic cable not reportable in Section M,
frequently supplemented professional books, feature motion picture
lms, audio and video productions not sold to the public at large,
musical instruments used for professional performance, LP tanks of
2,000 gallons or more that have not been assessed as real property,
nuclear fuel and toll bridge company structures. Provide all requested
information. An inspection of the property may be necessary. Property
reported in this section should not be reported elsewhere on this form.
Section H, Page 3: Standard tools, dies, jigs, xtures, molds, patterns
and gauges and other manufacturing requisites of a similar nature
(commonly referred to as “tooling”) will be valued at an amount equal
to the net book value of the asset. Report both Acquisition Cost New
and GAAP net book value by year of acquisition in this section. See
the instructions for line 1 for information regarding the tooling that is
assessable. For purposes of personal property reporting, net book
value shall be as determined using generally accepted accounting
principles, in a manner consistent with the taxpayer’s established
methods of depreciation. The net book value for federal income tax
purposes shall not be used for purposes of personal property tax
reporting. If an accounting change in estimate is indicated relating
to a particular asset, the net book value of that asset, as reported
for personal property assessment purposes, shall be the value that
would have existed for that asset on December 31, 2016 if a correct
estimate had originally been made. Your obligation to implement the
change in estimate for personal property reporting purposes shall not
be affected by a determination that no nancial accounting change
in estimate is necessary due to lack of materiality. In no event shall
assessable tooling be reported at an amount less than is indicated
by its expected remaining useful life plus salvage value (if applicable
under the depreciation method used).
Section I, Page 3: Report “qualied personal property” in this section.
Do not report “qualied personal property” in sections A through F.
“Qualied personal property” is property that was made available to
you by a “qualied business” (usually a leasing company or a nance
company) and which is not assessable to the “qualied business.”
Such property is assessable to you as the user. The requirements for
“qualied business” treatment are strict and many leasing and nancing
companies do not qualify. Further, such treatment only applies to
property subject to an agreement (usually labeled a lease) entered
into after December 31, 1993 that qualies for treatment as “qualied
personal property.” The “qualied business” is required to have led
a statement with the assessor by February 1
st
of the current year and
is required to have made a written agreement with you in which it is
specically agreed that you will report the property to the assessor as
“qualied personal property.” See MCL 211.8a.
Section J, Page 3: Report all business machines, postage meters,
machinery, equipment, furniture, xtures, tools, burglar alarms, signs
and advertising devices and other tangible personal property that
you are renting or leasing from another person or entity. Provide all
of the information requested for each lease. You must provide the
actual or estimated selling price new of the asset so control totals
can be generated for use on the Summary and Certication portion of
page 1. MCL 211.13 provides that all tangible personal property shall
be assessed to the owner thereof, unless the owner is not known.
A personal property statement will be sent to the owner. Property
reported in this section should not be reported elsewhere on this form.
Section K, Page 3: Report all machines, meters, machinery,
equipment, furniture, xtures, tools, signs and advertising devices
that are in your possession but are not owned, leased or rented by
you. Examples include equipment left with you by vendors, such as
display racks, coolers or fountain equipment, property loaned to you
by another, property left with you for storage or rebuilding, consigned
equipment not held for resale and assets sold but not yet picked up by
the purchaser. Provide all of the information requested for each asset.
You must provide the actual or estimated selling price new of the asset
so that control totals can be generated for use on the Summary and
Certication portion of page 1. MCL 211.13 provides that all tangible
personal property shall be assessed to the owner thereof, unless the
owner is not known. A personal property statement will be sent to the
owner.
Cost Grand Total, Page 3: After you have completed sections G
through K, add together the totals of cells G1 through K1 to arrive at
a Cost Grand Total. Insert the Cost Grand Total in the box indicated at
the bottom of page 3 and carry to line 11a on page 1.
Section L, Page 4: This section is to be completed by leasing
companies and others who lease personal property to others. In
addition to completing this section, you must complete sections A
through F and any other sections that are applicable. You may use
attachments rather than completing this section, but only if your
attachment provides all the information requested on this section and
if you insert the total original selling price where required on the form.
Section M, Page 4: This section is to be completed by tenants who
are renting or leasing real property. All improvements (leasehold
improvements) you have made to the real property should be
reported, even if you believe that the improvements are not subject
to assessment as personal property. Provide as much detail as
possible so that the assessor can determine whether a personal
property assessment should be made. Coaxial and/or fiber-optic
wiring costs and associated infrastructure of audio and/or visual
systems serving subscribers of one or more multiple unit dwellings
or temporary habitations under common ownership, and which do
not use public rights-of-way shall be reported in this section and be
clearly identied as such. You may use attachments, but only if your
attachment provides all the information requested in this section and if
you insert the Total Cost Incurred where required on the form. See the
instructions for page 1, line 5 for additional explanation.
Section N, Page 4: Report the total capitalized cost and year of
construction of buildings and other structures you have placed on land
not owned by you, such as leased or public lands or on public rights-
of-way. Costs of freestanding communications towers and associated
equipment buildings (unless such costs have been reported on Form
4452) and costs of freestanding billboards are examples of other
structures that are to be reported. The reported cost must include all
costs capitalized on your records. See STC Bulletin 8 of 2007.
Section O, Page 4: Landlords and tenants must provide rental
information relating to lease arrangements to which they are
a party. Do not report lease or rental arrangements relating to
property occupied for residential purposes. If you are a landlord with
multiple properties, contact the assessor to arrange an acceptable
alternative reporting method. See instructions for page 1, line 5.
Cost Grand Total, Page 4: After you have completed sections M and
N, add together the totals of cells M1 and N1 to arrive at a Cost Grand
Total. Insert the Cost Grand Total in the box indicated at the bottom of
page 4 and carry to line 12a on page 1.
632, Page 9