Free 24057.FH11 - Indiana

INFORMATION RETURN OF OWNED PERSONAL PROPERTY
State Form 24057 (R5 / 1-06)

FORM 103 - 0
PRIVACY NOTICE
The records in this series are CONFIDENTIAL according to IC 6-1.1-35-9.

MARCH 1, 20 ________
For assessor's use only

Prescribed by the Department of Local Government Finance

INSTRUCTIONS: Attach to and file with Form 102 or 103.
Name of owner (please print or type) Address of owner (number and street, city, state, and ZIP code) County DLGF taxing district number

Report all personal property owned by this taxpayer but held, possessed or controlled by another person on March 1 of the current assessment year, in Schedule I or Schedule II. (If Special Tools report on Form 103-T) (See 50 IAC 4.2-2-4 and 5; and 50 IAC 4.2-8-3 and 4 ) SCHEDULE I - ASSESSED TO OWNER ON FORM 102 OR 103 Information return of all personal property owned (including operating leases) and reported for assessment on Form 102 or 103 as of March 1 of the current assessment year by this taxpayer but which was held, possessed or controlled by another person. NAME AND ADDRESS OF PERSON POSSESSING PROPERTY LOCATION OF PROPERTY DATE OF LEASE
MODEL NUMBER AND DESCRIPTION LINE NO. REPORTED 102 OR 103

QUANTITY

COST PER 50 IAC 4.2

Schedule I includes, but is not limited to, the reporting of: Consigned Inventory; Other Inventory; Returnable Containers; Operating Leases; and all other property owned by this taxpayer but held, possessed or controlled by another person. Excluded from Schedule I is: Personal property subject to Capital Lease - See Schedule II. Special Tools - See Form 103-T

TOTAL

FORM 103 - 0
Name of owner (please type or print) Address of owner (number and street, city, state, and ZIP code)

SCHEDULE II

MARCH 1, 20________
County DLGF taxing district number

Report all personal property owned by this taxpayer but held, possessed or controlled by another person on March 1 of the current assessment year, in Schedule I or Schedule II. (If Special Tools report on Form 103-T) (See 50 IAC 4.2-2-4 and 5; and 50 IAC 4.2-8-3 and 4) TO BE ASSESSED AS A CAPITAL LEASE TO PERSON IN POSSESSION OF PROPERTY Information return of all personal property owned by this taxpayer which is classified as a capital lease per Regulation 16, Rule 8, Section 4 and which was reported for assessment as of March 1 of the current assessment year by the person holding, possessing or controlling the property as listed in Schedule II. NAME AND ADDRESS OF PERSON POSSESSING PROPERTY LOCATION OF PROPERTY DATE OF LEASE
MODEL NUMBER AND DESCRIPTION LINE NO. REPORTED 102 OR 103

QUANTITY

COST PER 50 IAC 4.2

TOTAL Schedule II includes personal property subject to Capital Lease only.