Free 46062.FH11 - Indiana

INFORMATION RETURN OF NOT OWNED LOCALLY ASSESSED PERSONAL PROPERTY
State Form 46062 (R7 / 12-08) Department of Local Government Finance

FORM 1-N
PRIVACY NOTICE
The records in this series are confidential according to I.C. 6-1.1-35-9.

MARCH 1, 20 _____
For assessor's use only

INSTRUCTIONS: Attach to and file with Form 1.
Name of person in possession of property (please print or type)

FEIN

County

Address (number and street, city, state, and ZIP code)

Taxing district

Report all locally assessed personal property held, possessed or controlled on March 1 of the current assessment year, in Schedule I or Schedule II. SCHEDULE I - ASSESSED TO OWNER ON FORM 103 Information return of all personal property which was held, possessed or controlled by this taxpayer but owned and reported for assessment on Form 103 as of March 1 of the current assessment year by the OWNER. NAME AND ADDRESS OF OWNER LOCATION OF PROPERTY DATE OF MODEL NUMBER LEASE AND DESCRIPTION (month, day, year) QUANTITY COST IF KNOWN

Schedule I includes, but is not limited to, the reporting of: Returnable Containers; Operating Leases; and all other property held, possessed or controlled by this taxpayer but owned by another person, except inventory. Excluded from Schedule I is: Personal property subject to Capital Lease - See Schedule II.

TOTAL

SIGNATURE AND VERIFICATION Under the penalties of perjury, I hereby certify that this return (including any accompanying sheets or statements) to the best of my knowledge and belief, is true, correct and complete, and reports all fixed personal property owned, held, possessed or controlled by the named taxpayer within the stated township and county on the assessment date of this return.
Signature of authorized person Title Date signed (month, day, year)

Printed name

Signature of person preparing return based on all information of which he/she has any knowledge

Telephone number

Email address

Fax number

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FORM I-N
Name of person in possession of property (please type or print)

SCHEDULE II
FEIN County

MARCH 1, 20 ______

Address (number and street, city, state, and ZIP code)

Taxing district

Report all locally assessed personal property held, possessed or controlled on March 1 of the current assessment year, in Schedule I or Schedule II. TO BE ASSESSED AS A CAPITAL LEASE TO PERSON HOLDING, POSSESSING OR CONTROLLING PROPERTY Information return of all personal property which was held, possessed or controlled and reported for assessment on Form 1 as of March 1 of the current assessment year by this taxpayer but owned by another person. TO BE ASSESSED AS A CAPITAL LEASE TO PERSON IN POSSESSION OF PROPERTY NAME AND ADDRESS OF OWNER LOCATION OF PROPERTY DATE OF LEASE MODEL NUMBER AND DESCRIPTION COST PER 50 IAC 5.1

TOTAL

Schedule II includes locally assessed personal property subject to Capital Lease only.