MARINE SCHEDULE D
THIS SCHEDULE IS CONSIDERED CONFIDENTIAL
INFORMATION AND NOT OPEN FOR PUBLIC INSPECTION.
RETURN COMPLETED FORM TO ADDRESS LISTED BELOW
TAXPAYER NAME AND ADDRESS
GEORGIA COUNTY WHERE BOAT IS FUNCTIONALLY LOCATED 184 DAYS A YEAR OR MORE
(
LIST
)
:
GA. REGISTRATION NO. BOAT #1
(
LIST
)
: MOTOR # 1
MFG. NAME:
(
MAKE
)
MFG. NAME:
(
MAKE
)
MODEL NAME OR #: MODEL NAME OR #:
YEAR BUILT: YEAR BUILT:
LENGTH: HULL MATERIAL: HORSEPOWER:
DATE PURCHASED: ELECTRIC START
[ ]
RECOIL
[ ]
PURCHASED: NEW
[ ]
USED
[ ]
DATE PURCHASED:
COST:
(
BOAT
)
PURCHASED: NEW
[ ]
USED
[ ]
TOTAL COST OF BOAT & MOTOR
(EXCLUDING TRAILER): COST:
(
MOTOR
)
:
CHECK TYPE OF BOAT
[ ]
INBOARD
[ ]
OUTBOARD
[ ]
INBOARD/OUTBOARD
[ ]
SAILBOAT
[ ]
PONTOON
[ ]
HOUSEBOAT
[
]
JET BOAT
[ ]
JET SKI
[ ]
OTHER
(
LIST
)
:
BOAT # 2
COUNTY NAME AND RETURN ADDRESS
LIST ALL BOAT AND MOTOR ACCESSORY EQUIPMENT ON THE BACK OF THIS FORM. EXAMPLE - TROLLING MOTOR, ETC.
Is there anything functionally wrong with your boat and motor? Yes( )
No( ). If yes, please provide the Board of Assessors with documentation
in order for them to make a proper assessment.
NAME OF PURCHASER: __________________________
ADDRESS: _____________________________________
CITY, STATE, ZIP: ________________________________
DATE SOLD: ______________ SALE PRICE: _________
DESCRIPTION __________________________________
NAME: _________________________________________
ADDRESS: _____________________________________
CITY, STATE, ZIP ________________________________
TAX SITUS (WHERE YOU LIVE) CHECK ONE
[ ]
UNINCORPORATED AREA
[ ]
CITY OF
(
LIST
)
If you sold or traded your boat and motor and did not own
on January 1 this year, this section should be completed
in order for the items to be removed from your account.
If purchased used this year, list the name and
address of the previous owner.
FEDERAL DOCUMENTED VESSEL #1
➥
TYPE AND USE OF VESSEL: _____________________________________________________________________________
VESSEL NAME: _____________________ LENGTH: _________ YEAR BUILT:___________ HULL MATERIAL: __________
HORSEPOWER AND TYPE OF ENGINE: _______________________ COAST GUARD NUMBER: ____________________
YEAR PURCHASED: ____________ PURCHASED: NEW [ ] USED [ ] AMOUNT OF PURCHASE:__________________
HOME PORT: ________________________________________ WHERE DOCKED:_________________________________
PAGE 3
TAX YEAR
IF ASSISTANCE NEEDED CALL ACCOUNT NUMBER
DUE DATE
OWNERS PHONE NUMBER (LIST)
BOAT # 1
GEORGIA COUNTY WHERE BOAT IS FUNCTIONALLY LOCATED 184 DAYS A YEAR OR MORE
(
LIST
)
:
GA. REGISTRATION NO. BOAT #2
(
LIST
)
: MOTOR # 2
MFG. NAME:
(
MAKE
)
MFG. NAME:
(
MAKE
)
MODEL NAME OR #: MODEL NAME OR #:
YEAR BUILT: YEAR BUILT:
LENGTH: HULL MATERIAL: HORSEPOWER:
DATE PURCHASED: ELECTRIC START
[ ]
RECOIL
[ ]
PURCHASED: NEW
[ ]
USED
[ ]
DATE PURCHASED:
COST:
(
BOAT
)
PURCHASED: NEW
[ ]
USED
[ ]
TOTAL COST OF BOAT & MOTOR
(EXCLUDING TRAILER): COST:
(
MOTOR
)
:
CHECK TYPE OF BOAT
[ ]
INBOARD
[ ]
OUTBOARD
[ ]
INBOARD/OUTBOARD
[ ]
SAILBOAT
[ ]
PONTOON
[ ]
HOUSEBOAT
[
]
JET BOAT
[ ]
JET SKI
[ ]
OTHER
(
LIST
)
:
LIST ADDITIONAL BOATS AND MOTORS, AND EQUIPMENT ON THE BACK OF THIS FORM.
ATTACH ADDITIONAL SHEETS IF NEEDED.
FAYETTE COUNTY BOARD OF TAX ASSESSORS
140 STONEWALL AVE WEST
STE 108
FAYETTEVILLE, GA 30214