Commercial Personal Property Assessment Form Sebastian County, Arkansas 200___ Acct. Number: Name of Business: Mailing Address: This form will be used by the Assessor in your county to determine the value of your business’ personal property. An information sheet, containing instructions on completion of this form and statutory provisions regarding the assessment of your personal property, should be included with this form. Please read the instructions before completing this form. If no information sheet is included, contact the assessor’s office to obtain one. Location Address: Business Type: Owner: Manager: Phone: School District: Do no mark in any area labeled “FOR ASSESSOR USE ONLY” or shaded areas. Complete all sections pertinent to your business. Sign and return this form to the Assessor before May 31. Forms returned after that date will be delinquent and penalized 10% of the tax amount. Information reported on this form is required by Arkansas law and is subject to audit by the county assessor and/or the State of Arkansas. Upon request, you should be prepared to provide documentation for the content of this assessment. For Assessor Use Only Property Type Inventory Furniture-Fixtures Machinery-Equipment Miscellaneous Vehicles TOTALS: Value Assessed Value Vehicles: Please list the following information regarding vehicles owned by your business. Vehicles requiring proof of assessment for licensing should be listed below. Non-licensed vehicles may be listed below, in the miscellaneous section, or a separate list may be attached to this form. Year Manufacturer Model Type or Style Cylinders I hereby Swear or affirm that this is a true and complete list of all the personal property that, by law, I am required to list for taxation, and that the values rendered are true and accurate to the best of my knowledge. Wheel Drive Assessor’s Assessed Value This is to certify that the above listed vehicles have been assessed for the current year. 35 So. 6th Street, Room 105 P. O. Box 357 Fort Smith, AR 72901 Greenwood, AR 72936 501/783-8948 501/996-6591 County Assessor: Jim Perry Owner:_________________________________ Date:____________________________________ This is to certify that the above business paid personal property taxes due, as recorded by receipt #_________, on the _______ day of ___________ in the amount of ______________ for the year ____________. Sworn before and subscribed to before me this ____ day of ________. __________________________________________ Assessor, Deputy or Notary County Collector:______________________________ This form prepared in provision with Act 153 of 1957, Act 621 of 1967, and Act 35 of 1988, by the Assessment Coordination Division of the Public Service Commission. 1 American LegalNet, Inc. www.USCourtForms.com Commercial Personal Property Assessment Form Furniture and Fixtures: Please list below, or attach an itemized list, of the furniture and fixtures owned by your business, including any items reflecting a book value of zero. Subtotals representing similar items may be listed so long as they are grouped by year of purchase and estimated useful life. Quantity Item Year of Purchase Estimated Useful Life Purchase Price Current Book Value REL % Market Value Machinery and Equipment: Please list below, or attach an itemized list, of the machinery and equipment owned by your business, including any item with a book value of zero. Subtotals representing similar items may be listed, so long as they are grouped by year of purchase and estimated useful life. Short-lived items such as tools may be listed in the miscellaneous section. Quantity Item Year of Purchase Estimated Useful Life 2 Purchase Price Current Book Value REL % Market Value American LegalNet, Inc. www.USCourtForms.com Commercial Personal Property Assessment Form Inventory: Please list below the average prior year value of inventory owned by your business, including floor-planned goods and those consigned from outside Arkansas. Manufacturers Only: Owners Value Assessor’s Assessed Value 1. Last year’s average raw materials: 2. Last year’s average work in process: 3a. Last year’s average finished goods: [ ] 3b. Last year’s average transient goods: [ ] 4. Assessable finished goods. (3a-3b): 5. Last year’s average marketable by-products: 6. Last year’s average supplies, packaging, etc.: 7. TOTAL AVERAGE INVENTORY (1 + 2 + 4 + 5 + 6) Merchants Only: 1. Last year’s average goods held for sale: 2. Last year’s average supplies, packaging, etc.: 3. TOTAL AVERAGE INVENTORY (1 + 2): 4. OPTIONAL --- Last year’s annual gross sales: Miscellaneous: Please list below any other tangible personal property belonging to your business but not already included in your assessment, such as tools, dies, etc., including any item with a book value of zero. Quantity Item Year of Purchase Estimated Useful Life Purchase Price Current Book Value REL % Market Value Leased Personal Property: Please list below any leased item in your possession. This is to insure the property is assessed to the proper owner and NOT TO YOUR BUSINESS. You may wish to attach a separate list or a copy of your lease. Item Year and Model Estimated Useful Life Date of Lease Length of Lease 3 Owner Name and Address American LegalNet, Inc. www.USCourtForms.com Commercial Personal Property Assessment Form **This page for Assessor use only** Business Class: Business Name: Mailing Address: City: State: Manager: Phone: Location: School District: Legal Description: Parcel Number: Building Square Footage: Effective Age-FF&E: Gross Sales: Zip: Square Foot Rate Application Quantity Inventory: FF & E: Quantity Density Density Rate/Sq. Ft. Rate/Sq. Ft. X X Square Foot Square Foot X = REL % Value = Value Total FF & E: Adjustments or Add-Ons: Total Value-Inventory, FF&E, Adjustments: Multiply Assessment Level: (20%) TOTAL ASSESSMENT: x .20 Inventory Turnover Rate Application Previous year gross annual sales amount: Inventory turnover multiplier: Equals inventory value: Multiply assessment level: (20%) Equals assessed value of inventory: Reviewed by: _____________________________ Assessor or Deputy Date: 4 x .20 _________________________ American LegalNet, Inc. www.USCourtForms.com