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FILLING OUT A PT-50P – BUSINESS PERSONAL PROPERTY RETURN GENERAL INFORMATION: THE BUSINESS PERSONAL PROPERTY TAX RETURN IS A DEPARTMENT OF REVENUE FORM PT- 50P YOU ARE REQUIRED TO SEND IN A TAX RETURN EACH YEAR YOU ARE IN BUSINESS AND A FINAL RETURN IF YOU CLOSE, SELL, OR MOVE OUT OF COLUMBIA COUNTY MAKE SURE THE RETURN IS SIGNED, DATED AND A CONTACT PHONE NUMBER IS LISTED AND SUBMITTED BY APRIL 1ST IF YOU START A BUSINESS OR MOVE YOUR BUSINESS TO COLUMBIA COUNTY AND YOU DO NOT COMPLETE AND MAIL IN THE BUSINESS PERSONAL PROPERTY TAX RETURN BY THE APRIL 1ST DEADLINE, AN ESTIMATE OF VALUE WILL BE ASSIGNED AND A TAX BILL WILL BE GENERATED PT-50P – BUSINESS PERSONAL PROPERTY RETURNS CAN BE FOUND AT: THE FOLLOWING GUIDE WILL HELP WALK YOU THROUGH THE PROCESS OF COMPLETING THE RETURN. YOU CAN CONTACT OUR OFFICE WITH ANY QUESTIONS AT (706) 312-7474 ---PAGE BREAK--- INSTRUCTION SHEET INSTRUCTIONS FOR PAGE ONE - BUSINESS PERSONAL PROPERTY TAX RETURN 1. If taxpayer name or address has changed or is incorrect, provide correct name and address in the space provided. 2. To avoid a 10% penalty on assets that have not been previously returned, this return must be filed no later than date listed under the due date column on page one. 3. Taxpayer return value: Georgia Law (O.C.G.A.§ 48-5-6) requires the taxpayer to return property at its fair market value. If the values indicated from Schedules A, B, or C do not in your opinion reflect fair market value, you may list your opinion here. Attachments must be provided by you listing the reasons for change. 4. Value from Schedule A, B, & C: Schedules A, B, & C should be completed and the total values from these schedules should be listed in this column. 5. Taxpayers Declaration: This declaration must be signed by the taxpayer or agent and dated in order for this to be a valid return. INSTRUCTIONS FOR PAGE TWO - GENERAL INFORMATION AND IMPORTANT INFORMATION 1. The information requested in the general information section is very important. This area should be completed in detail. The information in this section is open for public inspection. 2. The information found in the reference information section may be of great interest to the taxpayer. This section contains information about various laws and exemptions that may be available to the taxpayer. INSTRUCTIONS FOR PAGE THREE - SCHEDULE A - FURNITURE / FIXTURES / MACHINERY / EQUIPMENT 1. This section provides for the uniform calculation of value for all assets of the business owned on January 1 of this year. Expensed assets as well as capitalized assets should be listed and valued using indicated schedule. Leasehold improvements personal property in nature and trade fixtures should also be reported on this schedule. Leasehold improvements such as walls, doors, floor covering, electrical, plumbing, heating and air distribution systems, ceiling and lighting that are attached to and form an integral part of the building should not be reported as personal property. 2. The indicated basic cost approach value of assets for tax purposes is computed by multiplying the total adjusted original cost new by the composite conversion factor of each year’s acquisition listed in the appropriate economic life group. Cost amounts are subject to audit. Cost should include installation, trade-in allowances, sales tax, investment credits, transportation, etc. 3. Internal Revenue Service Publication 946 “How to Depreciate Property” Appendix B - Table of Class Lives and Recovery Periods - column headed “Class Life in Years”, should be used for determining the economic life group of an asset for Ad Valorem Tax purposes. See examples of economic life groups listed below. ACRS and MACRS should not be used for determining the economic life of an asset for Ad Valorem Tax purposes. 4. Deduct cost of items disposed of or transferred out from the cost of assets acquired during the corresponding year; add cost of items transferred in. (Disposals include only those items which have been sold, junked, transferred or otherwise no longer located at the business on January 1, this year). List disposals and items transferred in or out and reasons for disposals or transfer on page 4 under sections three or four. 5. A copy of the most current asset listing indicating the date of acquisition, original cost, and description of each asset should be submitted with this schedule. If an asset listing is not available please submit a copy of your most current I.R.S. form 4562 Depreciation Schedule and all supplemental schedules utilized to develop depreciation deduction for A.C.R.S. assets and assets listed under the column headed “Other Depreciation” as well as supplemental depreciation schedule used for M.A.C.R.S. assets. This information is needed for verification purposes and is not available for public inspection (O.C.G.A.§ 48-5-314). DEPRECIATION GROUPING EXAMPLES GROUP1:ECONOMICLIFEOF 5-7 YEARS GROUP2:ECONOMICLIFEOF 8-12 YEARS GROUP3:ECONOMICLIFEOF13YEARSORMORE GROUP4:ECONOMICLIFEOF1-4 YEARS ALSOASSETCLASS00.12 IRSPUBLICATION946 1) Copiers, Duplicating Equip.,Typewriters 2) Calculators, Adding and AccountingMachines 3) Electronic Instrumentation Mfg. 4) Construction Equipment 5) Timber CuttingEquipment 6) Mfg. of Electronic Components &Products 7) Radio and T.V. BroadcastingEquipment 8) DrillingofOilandGasWells 9) TemporarySawmills 10) Any Semiconductor Mfg.Equipment 11) Telegraph and SatelliteCommunications 12) Vending Equipment, CoinOperated 13) Rental Appliances andTelevisions 14) HandTools 15) Nuclear FuelAssemblies 16) FishingEquipment 17) Cattle, Breeding, or DairyEquipment 1) OfficeFurniture,Fixtures andEquipment 2) Agriculture MachineryandEquipment 3) Recreation or EntertainmentServices 4) Mining andQuarrying 5) Mfg. of TextileProducts 6) Mfg. of WoodProductsandFurniture 7) Permanent Sawmills 8) Mfg. ofChemicals and Allied Products 9) Mfg. of finished PlasticsProducts 10) Mfg. of Leather and LeatherProducts 11) Mfg. of Electrical and Non-electricalMachinery 12) Mfg. of Athletic, JewelryandOtherGoods 13) RetailTradesFurniture,FixturesandEquipment 14) Restaurant and BarEquipment 15) Hotel and Motel Furnishing andEquipment 16) AutomobileRepair and Shop Equipment 17) Personal and Professional Services 1) Petroleum RefiningEquipment 2) Grain and Grain Mill Products(Mfg.) 3) Mfg. of Sugar and SugarProducts 4) Mfg. of VegetableOilsandProducts 5) Mfg. of Tobacco and TobaccoProducts 6) Mfg. of Pulp andPaper 7) Mfg. of RubberProducts 8) Mfg. ofCement 9) Mfg. of StoneandClayProducts 10) Mfg. of Primary NonferrousMetals 11) Mfg. of 12) Mfg. of Primary Steel MillProducts 13) Tanks andStorage 14) Billboards/Signs 15) Radio/T.V. Antennas andTowers 16) ColdStorageandIceMakingEquipment 17) Mfg. of GlassProducts 1) Computers - NonProduction 2) Peripheral ComputerEquipment 3) Jigs, Dies, Molds, Patterns 4) Special Tools andGauges 5) ReturnableContainers 6) Special Transfer and ShippingDevices 7) Pallets 8) RentalMovies 9) Card Readers 10) High SpeedPrinters 11) Data 12) Teleprinters 13) Plotters 14) Terminals, Tape Drives, DiscDrives 15) Magnetic TapeFeeds 16) Optical Character Readers INSTRUCTIONS FOR PAGE FOUR - BUSINESS PERSONAL PROPERTY SCHEDULE B - INVENTORY 1. Inventory should be reported at 100% cost on January 1, this year. Cost should include, but not be limited to, freight in, overhead or burden, Federal, State, or Local Taxes, or any other charges imposed upon the item that makes it more valuable to the owner. Costs will be arrived at by converting anything other than current cost back to cost. “LIFO” is not acceptable. 2. The name and address of the legal owner of any consigned goods or any other type goods not owned by you and not reported under Schedule B should be listed under Section 1, Consigned Goods. This will insure that the taxes are charged to the legal owner. 3. Schedule C - Construction in Progress - if you had any unallocated cost for Construction in Progress, which is personal property in nature, that was not reported under Schedule A it should be reported under Schedule C. A description of the property, year acquired, useful life in years, and total cost should be reported. 4. If you had in your possession on January 1 any leased or rented equipment, machinery, furniture, fixtures, tools, vending machines, or other types of property, the legal owners name and address should be listed under Section 2 headed Leased or Rented Equipment. This will insure that the taxes are charged to the legal owner. NOTE: Schedules A, B, and C and all documents furnished by the taxpayer are considered confidential and not open to public inspection. O.C.G.A.,§ 48-5-314. Returns are public information. THIS PAGE IS INCLUDED WITH THE RETURN AS AN INSTRUCTIONAL GUIDE. IT ALSO CONTAINS LAWS THAT PERTAIN TO THE PT-50P ---PAGE BREAK--- BUSINESS PERSONAL PROPERTY TAX RETURN THIS RETURN IS CONSIDERED PUBLIC INFORMATION AND WILL BE OPEN FOR PUBLIC INSPECTION RETURN COMPLETED FORM TO ADDRESS LISTED BELOW. TAXYEAR IF ASSISTANCE NEEDED CALL ACCOUNT NUMBER 2020 (706) 312-7474 DUE DATE MAP AND PARCEL I.D. NO. NAICS NO. APRIL 1, 2020 COUNTY NAME AND RETURN ADDRESS TAXPAYER NAME AND ADDRESS COLUMBIA COUNTY BOARD OF TAX ASSESSORS PO BOX 498 EVANS, GA 30809 To avoid a 10% penalty on items not previously returned, file not later than the due date listed above. This return is subject to audit by the Board of Tax Assessorsunder O.C.G.A. §48-5-299 and §48-5-300. The return and supporting schedule must be completed and returned in order for property to be properly returned. Department of Revenue Rule 560-11-10-.08 BUSINESS PHYSICAL LOCATION IF MAILING ADDRESS OR NAME IS INCORRECT, PLEASE CORRECT IN THE SPACE PROVIDED BELOW. NAME: ADDRESS: CITY, STATE, ZIP: L I N PERSONAL PROPERTY STRATA The values from Schedules A, B, and C should be listed below. If these values, in your opinion, do not reflect fair market value then declare your estimate of value under the column headedTaxpayers ReturnedValue. E TAXPAYER RETURNED IINDICATED VALUE FROM FOR TAX VALUE, AS OF JAN. 1 SCHEDULES A, B, & C OFFICE USE F. Furniture/Fixtures/Machinery/Equipment — includes all fixtures, furniture, office equipment, computer hardware, production machinery, off-road vehicles, farm equipment and implements, tools and implements of manual laborers’ trade, leasehold improvements personal property in nature and construction in progress personal property in nature. I. Inventory — Includes all raw materials, goods in process, finished goods, livestock and agricultural products, all consumable supplies used in the process of manufacturing, distributing, storing or merchandising of goods and services, floor planned inventory and spare parts. Does not include inventory receiving Freeport Exemption under O.C.G.A. § 48- 5-48.2. P.Freeport Inventory — Includes inventory receiving exemption Under O.C.G.A. § 48-5-48.2 Z. Other Personal— Includes all personal propertynot otherwise defined above. TOTALS It shall be the duty of the county Board of Tax Assessors to investigate and to inquire into the property owned in the county for the purpose of ascertaining what property is subject to taxation and to require the proper return of the property for taxation. TAXPAYER’S DECLARATION “I do solemnly swear that I have carefully read (or have heard read) and have duly considered the questions propounded in the foregoing tax list, and that the value placed by me on the property returned, as shown by the list, is the true market value thereof; and I further swear that I returned, for the purpose of being taxed thereon, every species of property that I own in my own right or have control of either as agent, executor, administrator, or otherwise; and that in making this return, for the purpose of being taxed thereon, I have not attempted either by transferring my property to another or by any other means to evade the laws governing taxation in this state. I do further swear that in making this return I have done so by estimating the true worth and value of every species of property contained therein.” TAXPAYER OR AGENTX Signature PLEASE PRINT OR TYPENAME TITLE DATE: PHONE NUMBER: PAGE1 ADDRESS CHANGES NEED TO BE NOTATED HERE VALUE OF ASSETS SHOULD BE PLACED HERE A SEPARATE ASSET LIST MUST BE INCLUDED TO VERIFY ACCURACY THESE SECTIONS WILL BE PREPRINTED WITH YOUR BUSINESS INFORMATION – ANY ERRORS OR CHANGES TO ADDRESS OR BUSINESS NAME SHOULD BE NOTATED BELOW ENTER THE VALUE OF ALL REPLENISHABLE ITEMS AS OF JAN. 1 (SUPPLIES, INVENTORY, RAW MATERIALS, ETC.) SEE SCHEDULE B WORKSHEET TOTAL AMOUNT OF ALL RETURNED ASSETS RETURN MUST BE SIGNED TO BE VALID ---PAGE BREAK--- [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] GENERAL INFORMATION - THIS SECTION SHOULD BE COMPLETED IN DETAIL (NOTE:THIS INFORMATION IS OPEN TO PUBLIC INSPECTION) 1. CHECK TYPE OF BUSINESS: COMMERCIAL INDUSTRIAL AGRICULTURAL 2. CHECK TYPE OF GA. INCOME TAX FILED: CORPORATION INDIVIDUAL PARTNERSHIP 3. FISCAL YEAR ENDING DATE OF BUSINESS: 4. FEDERAL EMPLOYER IDENTIFICATION NUMBER: 5. STATE TAXPAYER IDENTIFICATION(S.T.I.) NUMBER: STATE SALES TAXNUMBER: 6. NAME OF PRESIDENT OF CORPORATION OR OWNERS NAME: 7. DOING BUSINESS AS: 8. NAME ON BUSINESS LICENSE: 9. IF BUSINESS LOCATED WITHIN CITY LIMITS, LIST CITY NAME: 10. PREPARERSNAME: ADDRESS: PHONE:# 11. PERSON WHO SHOULD BE CONTACTED CONCERNING QUESTIONS ABOUT THIS RETURN: NAME: PHONE 12. LOCATION OF SUPPORTING RECORDS: 13. PHONE NUMBER OF BUSINESS: HOME OFFICE NUMBER: TOLL FREE NUMBER: FAX NUMBER: EMAIL ADDRESS: 14. MAIN BUSINESS PRODUCT OR ACTIVITY: 15. NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) NUMBER: 16. SQUARE FOOTAGE OF BUILDING: IF RETAIL, SQUARE FOOTAGE OF RETAIL AREA: 17. IF YOU CLOSED OR SOLD YOUR BUSINESS, PLEASE LIST NEW OWNER’S NAME AND ADDRESS 18. DATE BUSINESS BEGAN IN THIS COUNTY: WAS RETURN FILED LAST YEAR? YES NO 19. DO YOU OR YOUR BUSINESS HAVE ASSETS LOCATED IN OTHER COUNTIES IN THIS STATE? YES NO 20. DOES THE BUSINESS OWN A BOAT AND MOTOR? YES NO AIRCRAFT? YES NO IF YES, PLEASE REQUEST MARINE FORM PT-50M OR AIRCRAFT FORM PT 50A. REFERENCE INFORMATION 1. O.C.G.A. § 48-5-299 requires the Board of Tax Assessors to diligently investigate and inquire into the property owned in the county for the purpose of ascertaining what property, real and personal is subject to taxation in the county and require its proper return for taxation. 2. O.C.G.A. § 48-5-300 grants the Board of Tax Assessors authority to require production of books, papers, or documents, by subpoena, if necessary, which may aid in determining the proper assessment. 3. O.C.G.A. § 48-5-269 grants the State Revenue Commissioner the authority to prescribe the forms, books, and records to be used for standard property tax reporting for all taxing units, including but not limited to, the forms, books, and records to be used in the listing, appraisal and assessment of property and how the forms, books, and records shall be compiled and kept. 4. O.C.G.A. § 48-5-269.1 grants the State Revenue Commissioner the authority to adopt and require the use of uniform procedural manual for appraising tangible real and personal property. 5. In accordance with the above sections of the Georgia Code this return and schedules are submitted to you for your completion. Failure to file a completed copy of this form may lead to an audit of your records and/or the placing of an assessment on your property from the best information obtainable in accordance with O.C.G.A. § 48-5-299 6. Freeport Exemption (O.C.G.A. § 48-5-48.2) may be available in your county (exemption of inventory of goods in the process of manufacture or production, finished goods and finished goods stored for out of state shipment). Applications are available on request and must be completed and filed with the business personal property return and schedules prior to the deadline for filing. 7. Any air and water pollution control facilities owned may be exempt under O.C.G.A. § 48-5-41 (11) which states… “All property used in or which is a part of any facility which has been installed or constructed at any time for the primary purpose of eliminating or reducing air and water pollution of such facilities and has been certified by the Department of Natural Resources as necessary and adequate for the purpose intended” shall be exempt from all Ad Valorem Property Taxes in this state. 8. Most counties do not accept metered mail dates as filing dates unless counter stamped by the post office. Be sure that the date of deposit and the postmark date are the same if mailing close to the deadline. 9. O.C.G.A. § 48-5-41.1 states… “All farm products grown in this state and remaining in the hands of the producer during the one year beginning immediately after their production and harvested agricultural products which have a planting-to-harvest cycle of 12 months or less, which are customarily cured or aged for a period in excess of one year after harvesting and before manufacturing, and which are held in this state for manufacturing and processing purposes and all qualified farm products grown in this state shall be exempt from Ad Valorem Property Taxes.” 10. O.C.G.A. § 48-5-43 states… “Consumers of commercial fertilizers shall not be required to return for taxation any commercial fertilizer or any manures commonly used by farmers and others as fertilizers if the land upon which the fertilizer is to be used has been properly returned for taxation.” 11. Boats and motors and aircraft should be reported on a separate reporting form which will be provided upon request. 12. Computer software (O.C.G.A. § 48-1-8) .shall constitute personal property only to the extent of the value of the unmounted or uninstalled medium on or in which it is stored or transmitted except that held as inventory ready for sale. PAGE 2 WHEN YOUR BUSINESS CLOSES ITS BOOKS USUALLY 12/31 LANDSCAPING, HAIR STYLIST, HANDYMAN, PHOTOGRAPHER ETC. ***NOTATE HERE IF YOU NO LONGER OWN THE BUSINESS. IF SOLD, GIVE NEW OWNER INFO*** THIS SECTION CONTAINS INFORMATION ABOUT VARIOUS LAWS AND EXEMPTIONS ---PAGE BREAK--- ( ) ( ENTER TOTAL INDICATED VALUE ON PAGE ONE LINE F UNDER INDICATED VALUE FROM SCHEDULES COLUMN. PAGE 3 ➛ BUSINESS PERSONAL PROPERTY SCHEDULE A (FURNITURE / FIXTURES / MACHINERY / EQUIPMENT) THIS SCHEDULE IS CONSIDERED CONFIDENTIALAND WILL NOT BE OPEN FOR PUBLIC INSPECTION RETURN COMPLETED FORM TO ADDRESS LISTED BELOW TAXYEAR IF ASSISTANCE NEEDED CALL ACCOUNT NUMBER 2020 (706) 312-7474 DUE DATE MAP AND PARCEL I.D. NO. NAICS NO. APRIL 1, 2020 COUNTY NAME AND RETURN ADDRESS TAXPAYER NAME AND ADDRESS COLUMBIA COUNTY BOARD OF TAX ASSESSORS PO BOX 498 EVANS, GA 30809 DID YOU OR YOUR BUSINESS OWN ANY MACHINERY, EQUIPMENT, FURNITURE, OR FIXTURES ON JANUARY 1 OF THIS YEAR? YES NO IF YES, PLEASE LIST BELOW. BUSINESS PHYSICAL LOCATION YEAR ACQUIRED PREVIOUSLY REPORTED ORIGINAL COST NEW + ADDITIONS OR TRANSFERSIN - DISPOSALS OR TRANSFERSOUT = ADJUSTED ORIGINAL COST NEW X COMP CONV. FACTOR = INDICATED BASIC COST APPROACH VALUE GROUP 1: TYPICAL ECONOMIC LIFE OF 5-7 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .87 = 2017 + - = X .74 = 2016 + - = X .58 = 2015 + - = X .43 = 2014 + - = X .32 = 2013 + - = X .26 = 2012 + - = X .21 = PRIOR + - = X .20 = TOTAL GROUP1 GROUP 2: TYPICAL ECONOMIC LIFE OF 8-12 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOTACCEPTABLE 2018 + - = X .92 = 2017 + - = X .85 = 2016 + - = X .78 = 2015 + - = X .70 = 2014 + - = X .63 = 2013 + - = X .54 = 2012 + - = X .44 = 2011 + - = X .34 = 2010 + - = X .28 = 2009 + - = X .25 = 2008 + - = X .25 = PRIOR + - = X .20 = TOTAL GROUP2 GROUP 3: TYPICAL ECONOMIC LIFE OF 13 YEARS OR MORE (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .95 = 2017 + - = X .91 = 2016 + - = X .87 = 2015 + - = X .82 = 2014 + - = X .79 = 2013 + - = X .75 = 2012 + - = X .70 = 2011 + - = X .63 = 2010 + - = X .57 = 2009 + - = X .52 = 2008 + - = X .47 = 2007 + - = X .41 = 2006 + - = X .35 = 2005 + - = X .31 = 2004 + - = X .29 = 2003 + - = X .28 = PRIOR + - = X .20 = TOTAL GROUP3 GROUP 4: TYPICAL ECONOMIC LIFE OF 1-4 YEARS; ALSO I.R.S. ASSET CLASS 00.12 I(EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .67 = 2017 + - = X .54 = 2016 + - = X .31 = PRIOR + - = X .10 = TOTAL GROUP4 TOTAL ALLGROUPS COLUMN 1: THE NUMBERS YOU ENDED UP WITH IN COLUMN 4 FROM LAST YEAR WILL PRE-PRINT IN COLUMN 1 IF THIS IS YOUR FIRST YEAR MAKING A RETURN COLUMN 1 WILL BE BLANK YOU MUST REPORT THE ORIGINAL COST OF THE ASSET WHEN IT WAS PURCHASED NEW, IN THE YEAR IT WAS NEW ASSETS INCLUDE: MACHINERY, EQUIPMENT, FURNITURE, AND FIXTURES, WHICH ARE USED IN THE BUSINESS AND/OR LOCATED AT THE BUSINESS PROPERTY COST SHOULD INCLUDE: SALES TAX, SHIPPING, INSTALLATION YOU ARE REQUIRED TO ATTACH A DETAILED ASSET LISTING TO SUPPORT THE NUMBERS REPORTED ON THIS SCHEDULE THE DETAILED ASSET LISTING IS AS OF JANUARY 1ST OF THE CURRENT YEAR IF BUSINESS ASSETS ARE LOCATED ON THE PROPERTY THEY ARE TO BE REPORTED, REGARDLESS IF THEY WERE DEPRECIATED OFF YOUR IRS 4562 THESE SECTIONS WILL BE PREPRINTED WITH YOUR BUSINESS INFORMATION ---PAGE BREAK--- ( ) ( ENTER TOTAL INDICATED VALUE ON PAGE ONE LINE F UNDER INDICATED VALUE FROM SCHEDULES COLUMN. PAGE 3 ➛ BUSINESS PERSONAL PROPERTY SCHEDULE A (FURNITURE / FIXTURES / MACHINERY / EQUIPMENT) THIS SCHEDULE IS CONSIDERED CONFIDENTIALAND WILL NOT BE OPEN FOR PUBLIC INSPECTION RETURN COMPLETED FORM TO ADDRESS LISTED BELOW TAXYEAR IF ASSISTANCE NEEDED CALL ACCOUNT NUMBER 2020 (706) 312-7474 DUE DATE MAP AND PARCEL I.D. NO. NAICS NO. APRIL 1, 2020 COUNTY NAME AND RETURN ADDRESS TAXPAYER NAME AND ADDRESS COLUMBIA COUNTY BOARD OF TAX ASSESSORS PO BOX 498 EVANS, GA 30809 DID YOU OR YOUR BUSINESS OWN ANY MACHINERY, EQUIPMENT, FURNITURE, OR FIXTURES ON JANUARY 1 OF THIS YEAR? YES NO IF YES, PLEASE LIST BELOW. BUSINESS PHYSICAL LOCATION YEAR ACQUIRED PREVIOUSLY REPORTED ORIGINAL COST NEW + ADDITIONS OR TRANSFERSIN - DISPOSALS OR TRANSFERSOUT = ADJUSTED ORIGINAL COST NEW X COMP CONV. FACTOR = INDICATED BASIC COST APPROACH VALUE GROUP 1: TYPICAL ECONOMIC LIFE OF 5-7 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .87 = 2017 + - = X .74 = 2016 + - = X .58 = 2015 + - = X .43 = 2014 + - = X .32 = 2013 + - = X .26 = 2012 + - = X .21 = PRIOR + - = X .20 = TOTAL GROUP1 GROUP 2: TYPICAL ECONOMIC LIFE OF 8-12 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOTACCEPTABLE 2018 + - = X .92 = 2017 + - = X .85 = 2016 + - = X .78 = 2015 + - = X .70 = 2014 + - = X .63 = 2013 + - = X .54 = 2012 + - = X .44 = 2011 + - = X .34 = 2010 + - = X .28 = 2009 + - = X .25 = 2008 + - = X .25 = PRIOR + - = X .20 = TOTAL GROUP2 GROUP 3: TYPICAL ECONOMIC LIFE OF 13 YEARS OR MORE (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .95 = 2017 + - = X .91 = 2016 + - = X .87 = 2015 + - = X .82 = 2014 + - = X .79 = 2013 + - = X .75 = 2012 + - = X .70 = 2011 + - = X .63 = 2010 + - = X .57 = 2009 + - = X .52 = 2008 + - = X .47 = 2007 + - = X .41 = 2006 + - = X .35 = 2005 + - = X .31 = 2004 + - = X .29 = 2003 + - = X .28 = PRIOR + - = X .20 = TOTAL GROUP3 GROUP 4: TYPICAL ECONOMIC LIFE OF 1-4 YEARS; ALSO I.R.S. ASSET CLASS 00.12 I(EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .67 = 2017 + - = X .54 = 2016 + - = X .31 = PRIOR + - = X .10 = TOTAL GROUP4 TOTAL ALLGROUPS THESE SECTIONS WILL BE PREPRINTED WITH YOUR BUSINESS INFORMATION COLUMN 2: ADD THE DOLLAR AMOUNT OF ASSETS THAT WERE ADDED DURING THE LAST YEAR, OR SINCE YOUR LAST RETURN THESE ASSETS SHOULD BE PLACED IN THE YEAR THEY WERE NEW ---PAGE BREAK--- ( ) ( ENTER TOTAL INDICATED VALUE ON PAGE ONE LINE F UNDER INDICATED VALUE FROM SCHEDULES COLUMN. PAGE 3 ➛ BUSINESS PERSONAL PROPERTY SCHEDULE A (FURNITURE / FIXTURES / MACHINERY / EQUIPMENT) THIS SCHEDULE IS CONSIDERED CONFIDENTIALAND WILL NOT BE OPEN FOR PUBLIC INSPECTION RETURN COMPLETED FORM TO ADDRESS LISTED BELOW TAXYEAR IF ASSISTANCE NEEDED CALL ACCOUNT NUMBER 2020 (706) 312-7474 DUE DATE MAP AND PARCEL I.D. NO. NAICS NO. APRIL 1, 2020 COUNTY NAME AND RETURN ADDRESS TAXPAYER NAME AND ADDRESS COLUMBIA COUNTY BOARD OF TAX ASSESSORS PO BOX 498 EVANS, GA 30809 DID YOU OR YOUR BUSINESS OWN ANY MACHINERY, EQUIPMENT, FURNITURE, OR FIXTURES ON JANUARY 1 OF THIS YEAR? YES NO IF YES, PLEASE LIST BELOW. BUSINESS PHYSICAL LOCATION YEAR ACQUIRED PREVIOUSLY REPORTED ORIGINAL COST NEW + ADDITIONS OR TRANSFERSIN - DISPOSALS OR TRANSFERSOUT = ADJUSTED ORIGINAL COST NEW X COMP CONV. FACTOR = INDICATED BASIC COST APPROACH VALUE GROUP 1: TYPICAL ECONOMIC LIFE OF 5-7 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .87 = 2017 + - = X .74 = 2016 + - = X .58 = 2015 + - = X .43 = 2014 + - = X .32 = 2013 + - = X .26 = 2012 + - = X .21 = PRIOR + - = X .20 = TOTAL GROUP1 GROUP 2: TYPICAL ECONOMIC LIFE OF 8-12 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOTACCEPTABLE 2018 + - = X .92 = 2017 + - = X .85 = 2016 + - = X .78 = 2015 + - = X .70 = 2014 + - = X .63 = 2013 + - = X .54 = 2012 + - = X .44 = 2011 + - = X .34 = 2010 + - = X .28 = 2009 + - = X .25 = 2008 + - = X .25 = PRIOR + - = X .20 = TOTAL GROUP2 GROUP 3: TYPICAL ECONOMIC LIFE OF 13 YEARS OR MORE (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .95 = 2017 + - = X .91 = 2016 + - = X .87 = 2015 + - = X .82 = 2014 + - = X .79 = 2013 + - = X .75 = 2012 + - = X .70 = 2011 + - = X .63 = 2010 + - = X .57 = 2009 + - = X .52 = 2008 + - = X .47 = 2007 + - = X .41 = 2006 + - = X .35 = 2005 + - = X .31 = 2004 + - = X .29 = 2003 + - = X .28 = PRIOR + - = X .20 = TOTAL GROUP3 GROUP 4: TYPICAL ECONOMIC LIFE OF 1-4 YEARS; ALSO I.R.S. ASSET CLASS 00.12 I(EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .67 = 2017 + - = X .54 = 2016 + - = X .31 = PRIOR + - = X .10 = TOTAL GROUP4 TOTAL ALLGROUPS THESE SECTIONS WILL BE PREPRINTED WITH YOUR BUSINESS INFORMATION COLUMN 3: SUBTRACT THE DOLLAR AMOUNT OF ASSETS THAT WERE DISPOSED DURING THE LAST YEAR OR SINCE YOUR LAST RETURN A DISPOSAL LIST IS REQUIRED TO REMOVE ASSETS FROM YOUR ACCOUNT ---PAGE BREAK--- ( ) ( ENTER TOTAL INDICATED VALUE ON PAGE ONE LINE F UNDER INDICATED VALUE FROM SCHEDULES COLUMN. PAGE 3 ➛ BUSINESS PERSONAL PROPERTY SCHEDULE A (FURNITURE / FIXTURES / MACHINERY / EQUIPMENT) THIS SCHEDULE IS CONSIDERED CONFIDENTIALAND WILL NOT BE OPEN FOR PUBLIC INSPECTION RETURN COMPLETED FORM TO ADDRESS LISTED BELOW TAXYEAR IF ASSISTANCE NEEDED CALL ACCOUNT NUMBER 2020 (706) 312-7474 DUE DATE MAP AND PARCEL I.D. NO. NAICS NO. APRIL 1, 2020 COUNTY NAME AND RETURN ADDRESS TAXPAYER NAME AND ADDRESS COLUMBIA COUNTY BOARD OF TAX ASSESSORS PO BOX 498 EVANS, GA 30809 DID YOU OR YOUR BUSINESS OWN ANY MACHINERY, EQUIPMENT, FURNITURE, OR FIXTURES ON JANUARY 1 OF THIS YEAR? YES NO IF YES, PLEASE LIST BELOW. BUSINESS PHYSICAL LOCATION YEAR ACQUIRED PREVIOUSLY REPORTED ORIGINAL COST NEW + ADDITIONS OR TRANSFERSIN - DISPOSALS OR TRANSFERSOUT = ADJUSTED ORIGINAL COST NEW X COMP CONV. FACTOR = INDICATED BASIC COST APPROACH VALUE GROUP 1: TYPICAL ECONOMIC LIFE OF 5-7 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .87 = 2017 + - = X .74 = 2016 + - = X .58 = 2015 + - = X .43 = 2014 + - = X .32 = 2013 + - = X .26 = 2012 + - = X .21 = PRIOR + - = X .20 = TOTAL GROUP1 GROUP 2: TYPICAL ECONOMIC LIFE OF 8-12 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOTACCEPTABLE 2018 + - = X .92 = 2017 + - = X .85 = 2016 + - = X .78 = 2015 + - = X .70 = 2014 + - = X .63 = 2013 + - = X .54 = 2012 + - = X .44 = 2011 + - = X .34 = 2010 + - = X .28 = 2009 + - = X .25 = 2008 + - = X .25 = PRIOR + - = X .20 = TOTAL GROUP2 GROUP 3: TYPICAL ECONOMIC LIFE OF 13 YEARS OR MORE (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .95 = 2017 + - = X .91 = 2016 + - = X .87 = 2015 + - = X .82 = 2014 + - = X .79 = 2013 + - = X .75 = 2012 + - = X .70 = 2011 + - = X .63 = 2010 + - = X .57 = 2009 + - = X .52 = 2008 + - = X .47 = 2007 + - = X .41 = 2006 + - = X .35 = 2005 + - = X .31 = 2004 + - = X .29 = 2003 + - = X .28 = PRIOR + - = X .20 = TOTAL GROUP3 GROUP 4: TYPICAL ECONOMIC LIFE OF 1-4 YEARS; ALSO I.R.S. ASSET CLASS 00.12 I(EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .67 = 2017 + - = X .54 = 2016 + - = X .31 = PRIOR + - = X .10 = TOTAL GROUP4 TOTAL ALLGROUPS THESE SECTIONS WILL BE PREPRINTED WITH YOUR BUSINESS INFORMATION COLUMN 4: VALUE FROM COLUMN 1 + COLUMN 2 – COLUMN 3 = ADJUSTED ORIGINAL COST NEW ---PAGE BREAK--- ( ) ( ENTER TOTAL INDICATED VALUE ON PAGE ONE LINE F UNDER INDICATED VALUE FROM SCHEDULES COLUMN. PAGE 3 ➛ BUSINESS PERSONAL PROPERTY SCHEDULE A (FURNITURE / FIXTURES / MACHINERY / EQUIPMENT) THIS SCHEDULE IS CONSIDERED CONFIDENTIALAND WILL NOT BE OPEN FOR PUBLIC INSPECTION RETURN COMPLETED FORM TO ADDRESS LISTED BELOW TAXYEAR IF ASSISTANCE NEEDED CALL ACCOUNT NUMBER 2020 (706) 312-7474 DUE DATE MAP AND PARCEL I.D. NO. NAICS NO. APRIL 1, 2020 COUNTY NAME AND RETURN ADDRESS TAXPAYER NAME AND ADDRESS COLUMBIA COUNTY BOARD OF TAX ASSESSORS PO BOX 498 EVANS, GA 30809 DID YOU OR YOUR BUSINESS OWN ANY MACHINERY, EQUIPMENT, FURNITURE, OR FIXTURES ON JANUARY 1 OF THIS YEAR? YES NO IF YES, PLEASE LIST BELOW. BUSINESS PHYSICAL LOCATION YEAR ACQUIRED PREVIOUSLY REPORTED ORIGINAL COST NEW + ADDITIONS OR TRANSFERSIN - DISPOSALS OR TRANSFERSOUT = ADJUSTED ORIGINAL COST NEW X COMP CONV. FACTOR = INDICATED BASIC COST APPROACH VALUE GROUP 1: TYPICAL ECONOMIC LIFE OF 5-7 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .87 = 2017 + - = X .74 = 2016 + - = X .58 = 2015 + - = X .43 = 2014 + - = X .32 = 2013 + - = X .26 = 2012 + - = X .21 = PRIOR + - = X .20 = TOTAL GROUP1 GROUP 2: TYPICAL ECONOMIC LIFE OF 8-12 YEARS (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOTACCEPTABLE 2018 + - = X .92 = 2017 + - = X .85 = 2016 + - = X .78 = 2015 + - = X .70 = 2014 + - = X .63 = 2013 + - = X .54 = 2012 + - = X .44 = 2011 + - = X .34 = 2010 + - = X .28 = 2009 + - = X .25 = 2008 + - = X .25 = PRIOR + - = X .20 = TOTAL GROUP2 GROUP 3: TYPICAL ECONOMIC LIFE OF 13 YEARS OR MORE (EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .95 = 2017 + - = X .91 = 2016 + - = X .87 = 2015 + - = X .82 = 2014 + - = X .79 = 2013 + - = X .75 = 2012 + - = X .70 = 2011 + - = X .63 = 2010 + - = X .57 = 2009 + - = X .52 = 2008 + - = X .47 = 2007 + - = X .41 = 2006 + - = X .35 = 2005 + - = X .31 = 2004 + - = X .29 = 2003 + - = X .28 = PRIOR + - = X .20 = TOTAL GROUP3 GROUP 4: TYPICAL ECONOMIC LIFE OF 1-4 YEARS; ALSO I.R.S. ASSET CLASS 00.12 I(EXAMPLES ON INSTRUCTION SHEET) A.C.R.S./ M.A.C.R.S. NOT ACCEPTABLE 2018 + - = X .67 = 2017 + - = X .54 = 2016 + - = X .31 = PRIOR + - = X .10 = TOTAL GROUP4 TOTAL ALLGROUPS THESE SECTIONS WILL BE PREPRINTED WITH YOUR BUSINESS INFORMATION COLUMN 5: COLUMN 4 X THE COMP CONV. FACTOR = INDICATED BASIC COST APPROACH VALUE ---PAGE BREAK--- ( ) ( ) ( ) ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ) ( ) ( BUSINESS PERSONAL PROPERTY SCHEDULE B INVENTORY THIS SCHEDULE IS CONSIDERED CONFIDENTIAL AND NOT OPEN TO PUBLIC INSPECTION SCHEDULE B - INVENTORY - SEE INSTRUCTION SHEET Did you or your business own any inventory on January 1, this year? Yes No If yes, please list in space provided below. Show total 100% cost, do not include licensed motor vehicles, or dealer heavy duty equipment for sale weighing over 5,000 pounds and to be used for construction purposes. 1. Indicate your inventory accounting method (Lower of Cost or Market, Retail Method, Weighted Average, Physical, etc.) 2. Check Cost Method as it applies to your inventory: Actual LIFO FIFO LIFO not acceptable 3 Fiscal Year ending date ofbusiness If your FiscalYear ends at a point in time other than January 1, you should attach a breakdown of how you arrived at your January 1 inventory. 4. Inventory reported on previous year Georgia Income Tax Return: 5. The 100% delivered cost should include freight, burden and overhead at your level of trade on January 1. 6. If you file a Corporate or Partnership Income Tax Return, a photocopy of your mostcurrent balance sheet (Corporation.Form1120, Schedule A & L - Partnership, Form 1065, Schedule A & L) as filed with your U.S. Income TaxReturn is requested. If you filed an Individual or Sole Proprietorship Income Tax Return, a photo copy of your most current Profit or Loss Statement Form 1040, Schedule C, Pages 1 & 2 as filed with your U.S. Income Tax Return is requested. These documents are requested for inventory verification purposes and will not be available for public inspection (O.C.G.A. § 48-5-314). Under GA Law you cannot be required to furnish any Income Tax Records or Returns. 7. Inventory is subject to audit and verification from your records or those you have filed with the State of Georgia Department of Revenue. 8. Do not make any deductions for anticipated mark-down or shrinkage. Do not discount, figures are to be taken directly from your books. 9. If inventory is less than the previous year an explanation for the decrease should be submitted. 10. Gross Sales for the previous calendar year: 11. All taxable livestock and farm products should be reported as inventory. See O.C.G.A. § 48-5-41.1 for details of exemption. 1. Merchandise 2. Raw Materials 3. Goods in Process 4. FinishedGoods 5. Goods inTransit 6. Warehoused 7. Consigned 8. FloorPlanned 9. Spare Parts 10. Supplies Includes computer, medical, office and operating supplies, fuel, and tangible prepaid expensed items) 11. Packaging Materials 12. Livestock (Non Exempt 48-5-41.1) 13. TOTALINVENTORY Enter total on page 1 Line I schedulecolumn.If Freeport account enter exempt amount on Line P and taxable amount on LineI. SCHEDULE C - CONSTRUCTION IN PROGRESS Did you have unallocated costs for construction in progress on January 1 this year? Yes No If yes, did you have tangible personal property connected with this construction in progress that has not been reported in any other section of this schedule? Yes No If yes, please list in the space provided below. Add Indicated Value to Total on Page 1 Line F Schedule Column. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED USEFUL LIFE (YEARS) TOTAL COST X MARKET VALUE FACTOR = INDICATED VALUE OFFICE USE ONLY X .75 = SECTION 1: CONSIGNED GOODS Did you have any consigned goods, floor planned merchandise, or any other type of goods that were loaned, stored or otherwise held on January 1, this year, and not owned by you and was not reported in your inventory value in schedule B above of this report? Yes No If yes, list in the space provided below. DESCRIPTION OF GOODS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) FULL COST NAME AND ADDRESS OF LEGAL OWNER SECTION 2: LEASED OR RENTED EQUIPMENT Did you have in your possession or was there located at your business on January 1, this year, any machinery, equipment, furniture, fixture, tools, vending machines (coffee, cigarette, candy, games etc.) or other type personal property which was leased, rented, loaned, stored or otherwise located at your business and not owned by you? Yes No If yes, list the equipment in the space provided below (exclude licensed motor vehicles). Attach supplemental sheet if necessary. NAME/ADDRESS OF OWNER DESCRIPTION OF ITEM SELLING PRICE RENTAL AMOUNT PERMONTH DATE OF MANUFACTURE DATE INSTALLED LENGTH OF LEASE SECTION 3: ADDITIONS OR ITEMS TRANSFERRED IN Did you have items which were added or transferred in for prior years or the current year that were not previously reported? Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED ORIGINAL COST NEW SECTION 4: DISPOSALS OR ITEMS TRANSFERRED OUT Did you have items which have been sold, junked, transferred or otherwise no longer located at the business January 1 this year?Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED DATE DISPOSED ORIGINAL COST NEW REASON IF EQUIPMENT SOLD, NAME AND ADDRESS OF PURCHASER SHOULD BE LISTED BELOW PAGE4 INVENTORY IS REPORTED AS A DOLLAR AMOUNT THAT WAS ON HAND ON JANUARY 1ST EXAMPLES OF SOME OF THE MORE COMMON FORMS OF INVENTORY OWNED BY BUSINESSES MERCHANDISE: INVENTORY AVAILABLE FOR SALE (REPORT WHOLESALE COST NOT RETAIL) SPARE PARTS SUPPLIES: THIS INCLUDES (BUT NOT LIMITED TO) OFFICE, MEDICAL SUPPLIES, AND ANY OTHER ITEMS THAT ARE USED AND REPLENISHED PACKING MATERIAL RAW MATERIALS, GOODS IN PROCESS, FINISHED GOODS, GOODS IN TRANSIT, WAREHOUSED, AND FLOOR PLANNED INVENTORY ---PAGE BREAK--- ( ) ( ) ( ) ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ) ( ) ( BUSINESS PERSONAL PROPERTY SCHEDULE B INVENTORY THIS SCHEDULE IS CONSIDERED CONFIDENTIAL AND NOT OPEN TO PUBLIC INSPECTION SCHEDULE B - INVENTORY - SEE INSTRUCTION SHEET Did you or your business own any inventory on January 1, this year? Yes No If yes, please list in space provided below. Show total 100% cost, do not include licensed motor vehicles, or dealer heavy duty equipment for sale weighing over 5,000 pounds and to be used for construction purposes. 1. Indicate your inventory accounting method (Lower of Cost or Market, Retail Method, Weighted Average, Physical, etc.) 2. Check Cost Method as it applies to your inventory: Actual LIFO FIFO LIFO not acceptable 3 Fiscal Year ending date ofbusiness If your FiscalYear ends at a point in time other than January 1, you should attach a breakdown of how you arrived at your January 1 inventory. 4. Inventory reported on previous year Georgia Income Tax Return: 5. The 100% delivered cost should include freight, burden and overhead at your level of trade on January 1. 6. If you file a Corporate or Partnership Income Tax Return, a photocopy of your mostcurrent balance sheet (Corporation.Form1120, Schedule A & L - Partnership, Form 1065, Schedule A & L) as filed with your U.S. Income TaxReturn is requested. If you filed an Individual or Sole Proprietorship Income Tax Return, a photo copy of your most current Profit or Loss Statement Form 1040, Schedule C, Pages 1 & 2 as filed with your U.S. Income Tax Return is requested. These documents are requested for inventory verification purposes and will not be available for public inspection (O.C.G.A. § 48-5-314). Under GA Law you cannot be required to furnish any Income Tax Records or Returns. 7. Inventory is subject to audit and verification from your records or those you have filed with the State of Georgia Department of Revenue. 8. Do not make any deductions for anticipated mark-down or shrinkage. Do not discount, figures are to be taken directly from your books. 9. If inventory is less than the previous year an explanation for the decrease should be submitted. 10. Gross Sales for the previous calendar year: 11. All taxable livestock and farm products should be reported as inventory. See O.C.G.A. § 48-5-41.1 for details of exemption. 1. Merchandise 2. Raw Materials 3. Goods in Process 4. FinishedGoods 5. Goods inTransit 6. Warehoused 7. Consigned 8. FloorPlanned 9. Spare Parts 10. Supplies Includes computer, medical, office and operating supplies, fuel, and tangible prepaid expensed items) 11. Packaging Materials 12. Livestock (Non Exempt 48-5-41.1) 13. TOTALINVENTORY Enter total on page 1 Line I schedulecolumn.If Freeport account enter exempt amount on Line P and taxable amount on LineI. SCHEDULE C - CONSTRUCTION IN PROGRESS Did you have unallocated costs for construction in progress on January 1 this year? Yes No If yes, did you have tangible personal property connected with this construction in progress that has not been reported in any other section of this schedule? Yes No If yes, please list in the space provided below. Add Indicated Value to Total on Page 1 Line F Schedule Column. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED USEFUL LIFE (YEARS) TOTAL COST X MARKET VALUE FACTOR = INDICATED VALUE OFFICE USE ONLY X .75 = SECTION 1: CONSIGNED GOODS Did you have any consigned goods, floor planned merchandise, or any other type of goods that were loaned, stored or otherwise held on January 1, this year, and not owned by you and was not reported in your inventory value in schedule B above of this report? Yes No If yes, list in the space provided below. DESCRIPTION OF GOODS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) FULL COST NAME AND ADDRESS OF LEGAL OWNER SECTION 2: LEASED OR RENTED EQUIPMENT Did you have in your possession or was there located at your business on January 1, this year, any machinery, equipment, furniture, fixture, tools, vending machines (coffee, cigarette, candy, games etc.) or other type personal property which was leased, rented, loaned, stored or otherwise located at your business and not owned by you? Yes No If yes, list the equipment in the space provided below (exclude licensed motor vehicles). Attach supplemental sheet if necessary. NAME/ADDRESS OF OWNER DESCRIPTION OF ITEM SELLING PRICE RENTAL AMOUNT PERMONTH DATE OF MANUFACTURE DATE INSTALLED LENGTH OF LEASE SECTION 3: ADDITIONS OR ITEMS TRANSFERRED IN Did you have items which were added or transferred in for prior years or the current year that were not previously reported? Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED ORIGINAL COST NEW SECTION 4: DISPOSALS OR ITEMS TRANSFERRED OUT Did you have items which have been sold, junked, transferred or otherwise no longer located at the business January 1 this year?Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED DATE DISPOSED ORIGINAL COST NEW REASON IF EQUIPMENT SOLD, NAME AND ADDRESS OF PURCHASER SHOULD BE LISTED BELOW PAGE4 LEASED OR RENTED EQUIPMENT THE NAME AND ADDRESS OF THE OWNER OF ALL LEASED/RENTED AND CONSIGNED PROPERTY MUST BE PROVIDED IF NOT SPECIFIED, YOU ASSUME RESPONSIBILITY OF THE TAXES DUE ON THE PROPERTY ---PAGE BREAK--- ( ) ( ) ( ) ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ) ( ) ( BUSINESS PERSONAL PROPERTY SCHEDULE B INVENTORY THIS SCHEDULE IS CONSIDERED CONFIDENTIAL AND NOT OPEN TO PUBLIC INSPECTION SCHEDULE B - INVENTORY - SEE INSTRUCTION SHEET Did you or your business own any inventory on January 1, this year? Yes No If yes, please list in space provided below. Show total 100% cost, do not include licensed motor vehicles, or dealer heavy duty equipment for sale weighing over 5,000 pounds and to be used for construction purposes. 1. Indicate your inventory accounting method (Lower of Cost or Market, Retail Method, Weighted Average, Physical, etc.) 2. Check Cost Method as it applies to your inventory: Actual LIFO FIFO LIFO not acceptable 3 Fiscal Year ending date ofbusiness If your FiscalYear ends at a point in time other than January 1, you should attach a breakdown of how you arrived at your January 1 inventory. 4. Inventory reported on previous year Georgia Income Tax Return: 5. The 100% delivered cost should include freight, burden and overhead at your level of trade on January 1. 6. If you file a Corporate or Partnership Income Tax Return, a photocopy of your mostcurrent balance sheet (Corporation.Form1120, Schedule A & L - Partnership, Form 1065, Schedule A & L) as filed with your U.S. Income TaxReturn is requested. If you filed an Individual or Sole Proprietorship Income Tax Return, a photo copy of your most current Profit or Loss Statement Form 1040, Schedule C, Pages 1 & 2 as filed with your U.S. Income Tax Return is requested. These documents are requested for inventory verification purposes and will not be available for public inspection (O.C.G.A. § 48-5-314). Under GA Law you cannot be required to furnish any Income Tax Records or Returns. 7. Inventory is subject to audit and verification from your records or those you have filed with the State of Georgia Department of Revenue. 8. Do not make any deductions for anticipated mark-down or shrinkage. Do not discount, figures are to be taken directly from your books. 9. If inventory is less than the previous year an explanation for the decrease should be submitted. 10. Gross Sales for the previous calendar year: 11. All taxable livestock and farm products should be reported as inventory. See O.C.G.A. § 48-5-41.1 for details of exemption. 1. Merchandise 2. Raw Materials 3. Goods in Process 4. FinishedGoods 5. Goods inTransit 6. Warehoused 7. Consigned 8. FloorPlanned 9. Spare Parts 10. Supplies Includes computer, medical, office and operating supplies, fuel, and tangible prepaid expensed items) 11. Packaging Materials 12. Livestock (Non Exempt 48-5-41.1) 13. TOTALINVENTORY Enter total on page 1 Line I schedulecolumn.If Freeport account enter exempt amount on Line P and taxable amount on LineI. SCHEDULE C - CONSTRUCTION IN PROGRESS Did you have unallocated costs for construction in progress on January 1 this year? Yes No If yes, did you have tangible personal property connected with this construction in progress that has not been reported in any other section of this schedule? Yes No If yes, please list in the space provided below. Add Indicated Value to Total on Page 1 Line F Schedule Column. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED USEFUL LIFE (YEARS) TOTAL COST X MARKET VALUE FACTOR = INDICATED VALUE OFFICE USE ONLY X .75 = SECTION 1: CONSIGNED GOODS Did you have any consigned goods, floor planned merchandise, or any other type of goods that were loaned, stored or otherwise held on January 1, this year, and not owned by you and was not reported in your inventory value in schedule B above of this report? Yes No If yes, list in the space provided below. DESCRIPTION OF GOODS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) FULL COST NAME AND ADDRESS OF LEGAL OWNER SECTION 2: LEASED OR RENTED EQUIPMENT Did you have in your possession or was there located at your business on January 1, this year, any machinery, equipment, furniture, fixture, tools, vending machines (coffee, cigarette, candy, games etc.) or other type personal property which was leased, rented, loaned, stored or otherwise located at your business and not owned by you? Yes No If yes, list the equipment in the space provided below (exclude licensed motor vehicles). Attach supplemental sheet if necessary. NAME/ADDRESS OF OWNER DESCRIPTION OF ITEM SELLING PRICE RENTAL AMOUNT PERMONTH DATE OF MANUFACTURE DATE INSTALLED LENGTH OF LEASE SECTION 3: ADDITIONS OR ITEMS TRANSFERRED IN Did you have items which were added or transferred in for prior years or the current year that were not previously reported? Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED ORIGINAL COST NEW SECTION 4: DISPOSALS OR ITEMS TRANSFERRED OUT Did you have items which have been sold, junked, transferred or otherwise no longer located at the business January 1 this year?Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED DATE DISPOSED ORIGINAL COST NEW REASON IF EQUIPMENT SOLD, NAME AND ADDRESS OF PURCHASER SHOULD BE LISTED BELOW PAGE4 ADDITIONS OR ITEMS TRANSFERRED IN YOU SHOULD INCLUDE YOUR ADDITIONS ON YOUR DETAILED ASSET LIST THERE IS AN ASSET LIST FORM THAT IS ON OUR WEBSITE THAT YOU CAN USE ---PAGE BREAK--- ( ) ( ) ( ) ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ( ) ( ) ( ) ( BUSINESS PERSONAL PROPERTY SCHEDULE B INVENTORY THIS SCHEDULE IS CONSIDERED CONFIDENTIAL AND NOT OPEN TO PUBLIC INSPECTION SCHEDULE B - INVENTORY - SEE INSTRUCTION SHEET Did you or your business own any inventory on January 1, this year? Yes No If yes, please list in space provided below. Show total 100% cost, do not include licensed motor vehicles, or dealer heavy duty equipment for sale weighing over 5,000 pounds and to be used for construction purposes. 1. Indicate your inventory accounting method (Lower of Cost or Market, Retail Method, Weighted Average, Physical, etc.) 2. Check Cost Method as it applies to your inventory: Actual LIFO FIFO LIFO not acceptable 3 Fiscal Year ending date ofbusiness If your FiscalYear ends at a point in time other than January 1, you should attach a breakdown of how you arrived at your January 1 inventory. 4. Inventory reported on previous year Georgia Income Tax Return: 5. The 100% delivered cost should include freight, burden and overhead at your level of trade on January 1. 6. If you file a Corporate or Partnership Income Tax Return, a photocopy of your mostcurrent balance sheet (Corporation.Form1120, Schedule A & L - Partnership, Form 1065, Schedule A & L) as filed with your U.S. Income TaxReturn is requested. If you filed an Individual or Sole Proprietorship Income Tax Return, a photo copy of your most current Profit or Loss Statement Form 1040, Schedule C, Pages 1 & 2 as filed with your U.S. Income Tax Return is requested. These documents are requested for inventory verification purposes and will not be available for public inspection (O.C.G.A. § 48-5-314). Under GA Law you cannot be required to furnish any Income Tax Records or Returns. 7. Inventory is subject to audit and verification from your records or those you have filed with the State of Georgia Department of Revenue. 8. Do not make any deductions for anticipated mark-down or shrinkage. Do not discount, figures are to be taken directly from your books. 9. If inventory is less than the previous year an explanation for the decrease should be submitted. 10. Gross Sales for the previous calendar year: 11. All taxable livestock and farm products should be reported as inventory. See O.C.G.A. § 48-5-41.1 for details of exemption. 1. Merchandise 2. Raw Materials 3. Goods in Process 4. FinishedGoods 5. Goods inTransit 6. Warehoused 7. Consigned 8. FloorPlanned 9. Spare Parts 10. Supplies Includes computer, medical, office and operating supplies, fuel, and tangible prepaid expensed items) 11. Packaging Materials 12. Livestock (Non Exempt 48-5-41.1) 13. TOTALINVENTORY Enter total on page 1 Line I schedulecolumn.If Freeport account enter exempt amount on Line P and taxable amount on LineI. SCHEDULE C - CONSTRUCTION IN PROGRESS Did you have unallocated costs for construction in progress on January 1 this year? Yes No If yes, did you have tangible personal property connected with this construction in progress that has not been reported in any other section of this schedule? Yes No If yes, please list in the space provided below. Add Indicated Value to Total on Page 1 Line F Schedule Column. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED USEFUL LIFE (YEARS) TOTAL COST X MARKET VALUE FACTOR = INDICATED VALUE OFFICE USE ONLY X .75 = SECTION 1: CONSIGNED GOODS Did you have any consigned goods, floor planned merchandise, or any other type of goods that were loaned, stored or otherwise held on January 1, this year, and not owned by you and was not reported in your inventory value in schedule B above of this report? Yes No If yes, list in the space provided below. DESCRIPTION OF GOODS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) FULL COST NAME AND ADDRESS OF LEGAL OWNER SECTION 2: LEASED OR RENTED EQUIPMENT Did you have in your possession or was there located at your business on January 1, this year, any machinery, equipment, furniture, fixture, tools, vending machines (coffee, cigarette, candy, games etc.) or other type personal property which was leased, rented, loaned, stored or otherwise located at your business and not owned by you? Yes No If yes, list the equipment in the space provided below (exclude licensed motor vehicles). Attach supplemental sheet if necessary. NAME/ADDRESS OF OWNER DESCRIPTION OF ITEM SELLING PRICE RENTAL AMOUNT PERMONTH DATE OF MANUFACTURE DATE INSTALLED LENGTH OF LEASE SECTION 3: ADDITIONS OR ITEMS TRANSFERRED IN Did you have items which were added or transferred in for prior years or the current year that were not previously reported? Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED ORIGINAL COST NEW SECTION 4: DISPOSALS OR ITEMS TRANSFERRED OUT Did you have items which have been sold, junked, transferred or otherwise no longer located at the business January 1 this year?Yes No If yes, list in the space provided below. DETAILED DESCRIPTION OF ITEMS (ATTACH SUPPLEMENTAL SHEETS IF NEEDED) YEAR ACQUIRED DATE DISPOSED ORIGINAL COST NEW REASON IF EQUIPMENT SOLD, NAME AND ADDRESS OF PURCHASER SHOULD BE LISTED BELOW PAGE4 DISPOSALS OR ITEMS TRANSFERRED OUT A DETAILED DISPOSAL ASSET LIST IS REQUIRED TO REMOVE ASSETS FROM YOUR ACCOUNT ---PAGE BREAK--- ACCOUNT # DATE: SIGNATURE: BUSINESSNAME: GROUP (OFFICE USEONLY) ASSET NAME MANUFACTURED YEAR OF ASSET (YEAR IT WASNEW) ORIGINAL COST NEW QUANTITY TOTAL COST DISPOSAL DATE DESK 2017 550 2 1,100 COMPUTER 2018 1,200 2 2,400 CELL PHONE 2016 799 1 799 CHAIR 2016 150 2 300 SHREDDER 2017 750 1 750 DESK PHONE 2016 150 2 300 PRINTER 2018 100 2 200 SECURITY SYSTEM 2015 1,750 1 1,750 CABINETS 2015 550 2 1,100 EXTERIOR SIGN 2015 2,500 1 2,500 TOTAL 11,199 ANY ASSET USED TO HELP CONDUCT BUSINESS MUST BE INCLUDED ON THE ASSET LIST ALL ASSETS ARE TO BE LISTED USING THE YEAR THEY WERE ORIGINALLY PURCHASED NEW AND AT THEIR ORIGINAL COST NEW SIGN HERE DATE HERE INSERT BUSINESS NAME TAXPAYER ID ---PAGE BREAK--- PLEASE USE THIS FORM TO LIST ALL OF YOUR ACTIVE BUSINESS ASSETS IN PLACE ON JANUARY 1ST. WHAT TO INCLUDE ON YOUR LIST: •YOUR ASSET LIST SHOULD INCLUDE ANYTHING YOUR BUSINESS USES TO OPERATE. THIS MAY INCLUDE ITEMS THAT WERE OWNED BEFORE THE BUSINESS WAS CREATED, OR ITEMS PERSONALLY OWNED THAT ARE SHARED WITH THE BUSINESS. (EX. - YOUR PERSONAL CELLPHONE THAT YOU ALSO USE FOR THE BUSINESS. A COMPUTER YOU PURCHASED FOR PERSONAL USE 3 YEARS BEFORE YOU OPENED THE BUSINESS, THAT YOU NOW USE FOR BILLING). •EVERY BUSINESS IS UNIQUE, SO IT IS NOT POSSIBLE TO LIST EVERYTHING HERE THAT YOU NEED TO INCLUDE ON YOUR LIST, BUT HERE ARE SOME TYPES OF ASSETS THAT ARE COMMON TO MANY BUSINESSES: DO NOT INCLUDE: CELL/DESKPHONE HEAVY EQUIPMENT TAGGEDVEHICLES COMPUTERS CABINETS COPIERS DISPLAYS TAGGEDTRAILERS PRINTERS SECURITY/VIDEOSYSTEMS TRADE TOOLS APPLIANCES DESK TOP SOFTWARE **EXAMPLES OF NON-DEPRECIABLE INVENTORY AND SUPPLIES THAT ARE TO BE ENTERED ON SCHEDULE B (PAGE 4 OF YOUR RETURN) PRINTER INK OFFICE SUPPLIES COPY PAPER CLEANING SUPPLIES BUSINESSCARDS REPLENISHABLESUPPLIES SPARE PARTS SPARK PLUGS STYLING PRODUCTS PAPER PRODUCTS RAWMATERIALS RETAIL GOODS FOR SALE ASSETS TO INCLUDE: OFFICE FURNITURE SIGNAGE INSTRUCTIONS FOR COMPLETING ASSET LIST •UNDER ASSET TYPE, LIST THE NAME OF THE ASSET IN A WAY THAT WE WILL UNDERSTAND AND YOU WILL RECOGNIZE IN YEARS TO COME. •IN THE 2ND COLUMN LIST THE YEAR THE ASSET WAS NEW. IF YOU PURCHASED THE ASSET USED, PLEASE ESTIMATE THE YEAR IT WAS NEW. •IN THE 3RD COLUMN, LIST THE ORIGINAL COST OF THE ASSET WHEN IT WAS NEW. IF IT WAS PURCHASED USED, PLEASE ESTIMATE THE COST OF THE ITEM NEW. •UNDER THE QUANITY COLUMN, LIST THE NUMBER OF THE ITEMS BEING REPORTED. •MULTIPLY THE ORIGINAL COST BY THE QUANITY TO GET THE TOTAL COST OF THE ASSETS. * USE THE SAME LIST EACH YEAR AND CONTINUE TO UPDATE IT AS YOU REMOVE AND ADD ASSETS TO YOUR BUSINESS * •IF YOU TOOK AN ITEM OUT OF SERVICE, SOLD IT, OR OTHERWISE DISPOSED OF IT, PLEASE LIST THE DATE YOU DID SO IN THE LAST COLUMN •IF YOU REPLACE THE DISPOSED ITEM, JUST ADD IT TO THE BOTTOM OF THE LIST. EXAMPLE: ASSET TYPE YEAR OF ASSET (NEW) ORIGINAL COST OF ASSET QUANTITY TOTAL COST DISPOSAL DATE CONFERENCE TABLE 2006 $950 1 $950 CHAIRS 2006 $80 6 $480 6/30/2014 CHAIRS 2014 $110 6 $660 THIS PAGE IS INCLUDED WITH THE ASSET LIST TO ANSWER FREQUENTLY ASKED QUESTIONS