Randolph County Tax Department
Business Personal Property Tax Listing
725 McDowell Road Asheboro, NC 27205
Phone: (336) 318-6500
TAX YEAR: 2021
To Avoid Late Listing Penalty of 10%
Return signed complete listing by
February 1
st
Tax Year: 2021
Phone (336) 318-6500
Fax (336) 318-6571
Email: debra.hill@randolphcountync.gov
Website:
www.randolphcountync.gov
FOR DEPARTMENT
USE ONLY
ABSTRACT #
TAX JURISDICTION/MUNICIPALITY
PENALTY%
TOTAL ASSESSED VALUE
PARCEL
NAICS:___________ OR Principal Business Activity:
PHYSICAL ADDRESS(Where Assets are located):
OTHER NC COUNTIES WHERE PERSONAL PROPERTY IS LOCATED:
CONTACT PERSON FOR AUDIT: NAME:_________________________________ADDRESS:______________________________________________________
PHONE:___________________________ EMAIL:____________________________
BUSINESS INFORMATION
BUSINESS BEGAN(in this county)DATE:
BUSINESS (fiscal) YEAR END:
OWNERSHIP TYPE - CHECK ONE:
CORPORATION
PROPRIETORSHIP
PARTNERSHIP
UNINCORP ASSOC.
OTHER(SPECIFY) BUSINESS
BUSINESS CLASS - CHECK ONE:
RETAIL
WHOLESALE
LEASING/RENTAL
SERVICE
FARMING
MANUFACTURING
OTHER(SPECIFY
IF OUT OF BUSINESS COMPLETE THIS SECTION
SSN# , FED.ID#
_____________________________________
Real Estate Owned By:
_____________________________________
DATE CEASED:
CHECK ONE:
SOLD EQUIPMENT/FIXTURES/SUPPLIES TO: (BUYER’S ADDRESS & PHONE)
_______________________________________________
___________________________________________________________________
________________________________________________________________
SOLD CLOSED
BANKRUPT OTHER____________
SCHEDULE A
REPORT ALL HISTORIC COSTS IN THE APPROPRIATE CATEGORY BELOW- SEE INSTRUCTIONS
YEAR
ACQUIRED
GROUP(1) MACHINERY & EQUIPMENT
YEAR
ACQUIRED
GROUP(3) OFFICE FURNITURE
ORIGINAL COSTS ADDITIONS DELETIONS
CURRENT
YEAR COST
ORIGINAL
COSTS
ADDITIONS DELETIONS
CURRENT
YEAR COST
2020 2020
2019
2019
2018
2018
2017
2017
2016
2016
2015
2015
2014
2014
2013
PRIOR
2012
TOTAL
2011
YEAR
ACQUIRED
GROUP(4) COMPUTERS & SOFTWARE
2010
ORIGINAL
COSTS
ADDITIONS DELETIONS
CURRENT
YEAR COST
2009
2020
2008
2019
2007
2018
2006
2017
2005
PRIOR
PRIOR TOTAL
TOTAL
GROUP(7) SUPPLIES SEE INSTRUCTIONS
GROUP(2) CONSTRUCTION IN PROGRESS
TYPE COST TYPE COST
LIST TOTAL OF ALL PERSONAL PROERTY EXPENDITURES IN CIP ACCOUNT ON
JANYARY 1, BUT NOT INCLUDED ABOVE- ITEMIZE IN SCHEDULE G
(1)
(4)
(2)
(5)
TOTAL CIP: $
(3) (6)
TOTAL SUPPLIES: $
YEAR
ACQUIRED
GROUP(5) IMPROVEMENTS TO LEASED PROPERTY (ATTACH
DESCRIPTION)
YEAR
ACQUIRED
GROUP(6) EXPENSED ITEMS
Capitalization Threshold ______
PRIOR YR
COSTS
ADDITIONS DELETIONS
CURRENT YEAR
COST
PRIOR YR
COSTS
ADDITIONS DELETIONS
CURRENT
YEAR COST
2020 2020
2019 2019
2018 2018
2017 2017
2016 2016
2015 2015
2014 2014
2013 2013
2012 2012
2011 2011
2010 2010
2009 2009
2008 2008
2007 2007
PRIOR
PRIOR
TOTAL
TOTAL
YEAR
ACQUIRED
GROUP(8) OTHER DESCRIBE
PRIOR YR
COSTS
ADDITIONS DELETIONS
CURRENT
YEAR COST
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
PRIOR
TOTAL
AFFIRMATION
LISTING MUST BE SIGNED BY A LEGALLY AUTHORIZED PERSON- Please check the capacity in which you are signing the
affirmation.
For Individual Taxpayers: Taxpayer Guardian Authorized Agent Other person having knowledge of and charged with the care of the person
Or property of the taxpayer
For
Corporations, Partnerships, Limited Companies, Unincorporated Associations:
Principal Officer of the Taxpayer Full-time employee of the taxpayer who has been officially empowered by a principal officer to list
Title ____________________ the property and sign the affirmation. Title _____________________________________
Authorized agent If this capacity is selected, I certify that I have NCDOR Form AV-59 on file for this taxpayer Yes No
Und
er penalties prescribed by law, I affirm that to the best of my knowledge and belief the listing, including any accompanying statements, inventories,
Schedules, and any other information is true and complete. (if this is signed by an individual other than the taxpayer, he affirms that he is familiar with
The extent and true value of all of the taxpayer’s property subject to taxation in this county and that his affirmation is based on all the information of which
He has any knowledge.)
_____________________________________________________ ____________________________________________________
Signature Date Authorized Agent Address Date
___
__________________________________________________ _____________________________________________________
Telephone Number Fax Email Address
Any individual who willfully makes and subscribes an abstract listing required by this Subchapter II of Chapter 105 of North Carolina General Statutes which he
does not believe to be true and correct as to every material matter shall be guilty of a Class 2 misdemeanor. (Punishable by imprisonment up to 60 days.)
click to sign
signature
click to edit
If yo
u need additional space to list property under schedules B and C, please attach a separate report in THE SAME FORMAT as below. Write “see attached”
on the schedules if this is necessary.
0001957075
SCHEDULE B
VEHICULAR EQUIPMENT & MOBILE OFFICES- SEE INSTRUCTIONS
GROUP (1) UNREGISTERED MOTOR VEHICLES, SPECIAL BODIES, AND MULTI-YEAR TAGGED TRAILERS- SEE INSTRICTIONS
YEAR
MAKE
MODEL
BODYSIZE
TITLE#
VEHICLE ID. #
(VIN)
ORIG. COST
FOR OFFICE USE
GROUP(2) BOATS & BOAT MOTORS- SEE INSTRUCTIONS
TYPE
YEAR/MAKE/MODEL
LENGTH/SIZE
REGIS. #
LOCATION
ENGINE TYPE
ORIG COST
FOR OFFICE USE
BOAT
MOTOR
GROUP(3) AIRCRAFT-SEE INSTRUCTIONS
YEAR
MAKE
MODEL
SERIAL#
LOCATION
TAIL#
ORIGINAL COST
FOR OFFICE USE
GROUP(4) MANUFACTURED HOMES & OFFICE TRAILERS- SEE INSTRUCTIONS
YEAR
MAKE
WIDTH/LENGTH
TITLE#
VEHICLE ID#(VIN)
ORIGINAL
COST
FOR OFFICE USE
SCHEDULE C
NUMBER OF DOGS:
SCHEDULE D
ADDITIONS AND/OR DELETIONS TO LEASEHOLD IMPROVEMENTS SINCE JANUARY 1, 2020
ORIGINAL COST
OWNER OF REAL ESTATE WHERE LEASE HOLDS ARE LOCATED:
SCHEDULE E
CHANGES IN LAND AND BUILDINGS
NEW CONSTRUCTION PROPERTY IMPROVEMENTS
SPECIFY: CONSTRUCTION COST:
SCHEDULE F
PROPERTY IN YOUR POSSESSION ON JANUARY 1
ST
, OWNED BY OTHERS
NAME & ADDRESS OF OWNER
DESCRIPTION OF PROPERTY
LEASE/ACCT #
MONTHLY PAYMENT
COST NEW
START/END LEASE DATE
SCHEDULE G
ACQUISITIONS AND/OR DISPOSALS SINCE JANUARY 1, 2020
ITEMIZE IN DETAIL ALL ACQUISITIONS AND/OR DISPOSALS (ATTACH SCHEDULE IF NECESSARY)
ACQUISITIONS
ITEMIZE IN DETAIL
100% COST
INSTALLED
DISPOSALS ITEMIZE IN
DETAIL
100 % ORIGINAL COST
YEAR ACQUIRED
INSTRUCTIONS Listings due By February 1st .
Commonly Asked Questions
Who must file a listing, and what do I list?
Any individual(s) or business(es) owning or possessing personal property used or connected with a
business or other income producing purpose on January 1. Temporary absence of personal property
from the place at which it is normally taxable shall not affect this rule. For example, a lawn tractor used
for personal use, to mow the lawn at your home is not listed. However, a lawn tractor used as part of a
landscaping business in this county must be listed if the lawn tractor is normally in this county, even if it
happens to be in another state or county on January 1
NCGS §105-308 reads: "any person whose duty it is to list any property who willfully fails or refuses to
list the same within the time prescribed by law shall be guilty of a Class 2 misdemeanor. The failure to
list shall be prima facie evidence that the failure was willful."
A class 2 misdemeanor is punishable by imprisonment of up to 60 days.
When and where to list?
Listings are due on or before February 1. Mailing address: Tax Department-Business Personal
Property, 725 McDowell Road, Asheboro NC, 27205
As required by state law, late listings will receive a penalty. An extension of time to list may be obtained
by sending a written request showing "good cause" to the Randolph County Tax Department by February
1
st.
.
How do I list? -- Three important rules:
(1) R
ead these INSTRUCTIONS for each schedule or group. Contact our office if you need additional
clarification.
(2) If a Schedule or Group does not apply to you, indicate so on the listing form, DO NOT LEAVE A
SECTION BLANK, DO NOT WRITE "SAME AS LAST YEAR". A listing form may be rejected for these
reasons and could result in late listing penalties.
(3) Listings must be filed based on the tax district where the property is physically located.
If you have received multiple listing forms, each form must be completed separately.
INFORMATION SECTION
Complete all sections at the top of the form, whether or not they are specifically addressed in these
INSTRUCTIONS. Attach additional sheets if necessary.
(1) Other N.C. Counties where personal property is located: If your business has property normally
located in other counties, list those counties here.
(2) Contact person for audit: In case the Tax Dept needs additional information, or to verify the
information listed, list the person to be contacted here.
(3) Physical address: Please note here the location of the property. The actual physical location may be
different from the mailing address. PO and Personal Mail Boxes are not acceptable.
(4) Principal Business in this County: What does the listed business do? For example: Tobacco Farmer,
Manufacture electrical appliances, Laundromat, Restaurant. The SIC or NAICS code may help describe
this information, if you do not know the SIC or NAICS code, please write “unknown”.
(5) Complete other requested business information. Make any address changes.
(6) If out of business: If the business we have sent this form to has closed, complete this section and
attach any additional information regarding the sale of the property.
(7) The disclosure of ssn number is voluntary. This number is needed to establish the identification of
individuals. The authority to require this number for the administration of a tax is given by United States
code title 42, section 405(c)(2)(C)(I) and N.C.G.S. 105-309.
Note: If you purchased an existing business and its assets since January 1, 2017, do not
complete this Listing form without first contacting the county tax office for further instructions.
SCHE
DULE A
The year acquired column: These rows indicate by year, when you acquired the property being listed. All
equipment should be listed in the original year acquired.
Sc
hedule A is divided into eight (8) groups. Each is addressed below. Prior year cost (Original Costs)
may be pre-printed. This column should contain the cost information from last year's listing. If it does not,
please complete this column, referring back to your last year's listing. List Current Year's Cost (Total
Cost) 100% cost of all depreciable personal property in your possession on January 1. Include all fully
depreciated assets as well. Round amounts to the nearest dollar. Use the "Additions" and "Deletions"
column to explain changes from "Original Cost" to "Total Cost". The "Original Cost" plus "Additions"
minus "Deletions" should equal "Total Cost” If there are any additions and/or deletions, please attach an
acquisitions and disposals detail. If the deletion is a transferred or paid out lease, please note this, and
to whom the property was transferred.
COST - Note that cost information you provide must include all costs associated with the acquisition as
well as the costs associated with bringing that property into operation. These costs may include, but are
not limited to invoice cost, trade-in allowances, freight, installation costs, sales tax, expensed costs, and
construction period interest.
The cost figures reported should be historical cost, which is the original cost of an item when
first purchased, even if it was first purchased by someone other than the current owner. For
example, you, the current owner, may have purchased equipment in 2003 for $100, but the
individual you purchased the equipment from acquired the equipment in 1998 for $1000. You, the
current owner, should report the property as acquired in 1998 for $1000.
Property should be reported at its actual historical installed cost IF at the retail level of trade. For
example, a manufacturer of computers can make a certain model for $1000 total cost. It is typically
available to any retail customer for $2000. If the manufacturer uses the model for business purposes, he
should report the computer at its cost at the retail level of trade, which is $2000, not the $1000 it actually
cost the manufacturer. Leasing companies must list property they lease at the retail trade level, even if
their actual cost is at the manufacturer or wholesaler level of trade.
Group (1) Machinery & Equipment
This is the group used for reporting the cost of all machinery and equipment. This includes all ware-house
and packaging equipment, as well as manufacturing equipment, production lines, hi-tech or low-tech. List
the total cost by year of acquisition, including fully depreciated assets that are still connected with the
business. For example, a manufacturer of textiles purchased a knitting machine in October 2006
for $10,000. The sales tax was $200, shipping charges were $200, and installation costs were $200. The
total cost that the manufacturer should report is $10,600, if no other costs were incurred. The $10,600
should be added in group (1) to the 2006 “Original Costs” cost column, every year until it is removed.
Group (2) Construction in Progress (CIP)
CIP is business personal property which is under construction on January 1. The accountant will typically
not capitalize the assets under construction until all of the costs associated with the asset are known. In the
interim period, the accountant will typically maintain the costs of the asset in a CIP account. The total of this
account represents investment in tangible personal property, and is to be listed with the other capital assets
of the business during the listing period. List in detail. If you have no CIP, write "none".
Group (3) Office Furniture & Fixtures
This group is for reporting the costs of all furniture & fixtures and small office machines used in the business
operation. This includes, but is not limited to, file cabinets, desks, chairs, adding machines, curtains, blinds,
ceiling fans, window air conditioners, telephones, intercom systems, and burglar alarm systems.
Group (4) Computer Equipment
This group is for reporting the costs of non-production computers & peripherals. This includes, but is not
limited to, personal computers, midrange, or mainframes, as well as the monitors, printers, scanners,
magnetic storage devices, cables, & other peripherals associated with those computers. Note: The
development cost of software or any modification cost to software, whether done internally by the
taxpayer or externally by a third party to meet the customer’s specified needs is excluded and
should not be reported. This category also includes software that is capitalized and purchased from an
unrelated business entity. This does not include high tech equipment such as proprietary computerized
point of sale equipment or high tech medical or computer controlled equipment, or the high-tech computer
components that control the equipment. This type of equipment would be included in Group (1) or “other”.
Group (5) Leasehold Improvements
This group includes real estate improvements to leased property contracted for, installed, and paid for by
the lessee which may remain with the real estate, thereby becoming an integral part of the leased fee real
estate upon expiration or termination of the current lease, but which are the property of the current lessee
who installed it. (Examples are lavatories installed by lessee in a barbershop, special lighting, or dropped
ceiling.) If you have no leasehold improvements write "none".
Group (6) Expensed Items
This group is for reporting any assets which would typically be capitalized, but due to the business’
capitalization threshold, have been expensed. Section 179 expensed items should be included in the
appropriate group (1) through (4). Fill in the blank which asks for your business' "Capitalization Threshold."
If you have no expensed items write "none".
Group (7) Supplies
This group is for reporting normal business operating supplies. List the cost on hand as of January 1. The
temporary absence of property on January 1 does not mean it should not be listed if it is normally present.
Supplies immediately consumed in the manufacturing process or that become a part of the property being
sold, such as packaging materials, or a manufacturers raw materials, do not have to be listed. Even though
inventory is exempt, supplies are not. Even if a business carries supplies in an inventory account, they
remain taxable. Supply Types: (1) Office/Janitorial/Barber/Beauty/Medical/Dental (2) Fuels held for
consumption (3) Replacement and spare parts (4) Restaurant and hotel items :
linens/smallwares/cookware not listed in Schedule A (5) Rental items not sold in the normal course
of business and not listed in Schedule A (6) Miscellaneous Supplies
Group (8) Other
This group will not be used unless instructed by authorized county tax personnel.
SCHEDULE B VEHICULAR EQUIPMENT Attach additional detail as needed
Motor Vehicles registered with the NC Department of Motor Vehicles as of January 1 do not have to be
listed. If you own Unregistered Vehicles, Multi-year tagged trailers, vehicles under the International
Registration Plan, vehicles with permanent plates, vehicles with 3 month registration or special bodies
attached they must be listed.
SCHEDULE C DOG COUNT-Please list number of dogs associated with this business.
SCHEDULE D LEASEHOLD IMPROVEMENTS
Briefly describe any additions or deletions to leasehold improvements. Take care to itemize so that the real
and personal property can be differentiated. State the owner of the real property and its location.
SCHEDULE E, CHANGES IN LAND AND BUILDING
Please list any changes in land or buildings To include new construction, property improvements, etc.
SCHEDULE F, PROPERTY IN YOUR POSSESSION ON JANUARY 1, OWNED BY OTHERS
If you have any personal property owned by others in your possession on January 1, it must be reported as
to owner, property description, lease account, monthly payment, cost new and start/end lease date.
AFF
IRMATION
If the form is not signed by an authorized person, it may be rejected and could be subject to penalties. This
section describes who may sign the listing form. Listings submitted by mail shall be deemed to be filed
as of the date shown on the postmark affixed by the U.S. Postal Service. Any other indication of the
date mailed (such as your own postage meter) is not considered and the listing shall be deemed to
be filed when received in the tax department. Any person who willfully attempts, or who willfully aids or
abets any person to attempt, in any manner to evade or defeat the taxes imposed under this Subchapter (of
the Revenue Laws), whether by removal or concealment of property or otherwise, shall be guilty of a Class
2 misdemeanor. (Punishable by imprisonment up to 60 days)
APPLICATION FOR BUSINESS PROPERTY EXEMPTION
Under the provisions of G.S. 105-282.1, every owner of the types of property described below claiming
exemption or exclusion from property taxes thereon must demonstrate that it meets the statutory
requirements for exemption or classification. A one-time application (subsequent applications are required if
additions or deletions are made) must be filed with the assessor of the county in which the property is
located during the statutory listing period.
(1) Property used for pollution abatement
(2) Property used for recycling or resource recovery
Application for business property tax exemption (Form AV10) may be obtained by contacting the Tax
Department.
Description
Property ID
(system)
Description
Property ID
(system)