SCHEDULE A-3 -- AIR POLLUTION CONTROL EQUIPMENT
State Form 47337 (11-95)
INSTRUCTIONS:
1. Pursuant to IC 6-1.1-10-10, report below all personal property employed predominately in the operation of an industrial air purification system for elimination of air contamination caused by industrial wastes. 2. Attach additional schedules if necessary. AIR POLLUTION CONTROL EQUIPMENT IN SERVICE P.S.C.I. Account Description of Property Number Net Tax Value (Federal Cost Less Tax Depr.)
Year Acqrd.
Location of Property
Federal Tax Cost
TOTALS - CARRY THE TOTAL COST TO SCHEDULE A, LINE 16
0.00
0.00
Year Acqrd.
Location of Property
AIR POLLUTION CONTROL EQUIPMENT IN CIP P.S.C.I. Account Description of Property Number
Federal Tax Cost
Net Tax Value (Federal Cost Less Tax Depr.)
TOTAL - CARRY TO SCHEDULE A-1
0.00
Under penalties of perjury, I hereby certify that this schedule, to the best of my knowledge and belief, is true, correct and complete; and reports the total cost of all personal property claimed by the taxpayer to be exempt from assessment and taxation pursuant to IC 6-1.1-10-10.
Signature of authorized person Title Date signed (month, day, year)