HomeMy WebLinkAboutBusiness Tangible Personal Property - BrookshireJul 21 2006 1:02PM HP LRSERJET FAX
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MARCH 1, 2006
,.f-
da BUSINESS TA_ TANGIBLE PERSONAL FORM
For Assessa`sUse Only
• ri
PROPEP' -�-. 1690010000005200 921 103L 103 - LONG
Slate Fam P SAYBROOK GOLF CAPITAL
../ OLD
Prescribed I BROOKSHIRE GOLF CLUB
PRIVACY NOTICE: The retards it
this aeries ere confidential according
tot. 0.8-1.1.35.9.
INSTRUCTIONS: This form 163 FERRY ROAD
then May 15 unless an exter OLD SAYBROOK, CE 064 7 5
ype or print. RIMY 104roue
forms
file complete return an
Name taxpayer
ragksh
(rn
s
7=7/4:1-t-
l for C
Federal Identifcetion
to- obco
Number
BA
DIGF Taxing district number
Name '
which Wain s;IswnduWad
/l
`jcaq¢
, alb
%here
h Mrsnt
Addiese wnhereryproperty h tad n��°ern�e •"•"a,_,free�l�- Y,fIJ{,�a�la'reV,
/47200 �oLsJwa[. L R>
a�nd21P / ^,ed "rn�11I �.,y� T� /% r�
i J.ad11 e 1 ^2� 7 &03
OLGF Taxing district name
Nature mega
AI ��A.
0P2 NAI
Township
Coumy
Nam and address tto'whii`ch Assessmmd and Tax Notice
p lie to be malted (l1 diffeent then above)
te `-
Retai Merchants Centric on Numbe
YQ "4
-1
• ARA J ; . i) y +) ' a ( e.•
3��I
1. Federal Income Tax Year ends .' - e fi • • urxler
ar
...yy�
�ocaticn . r11si'e 3 !/
, WSW 07/1,1641L• -
toprletorship ❑ Corporation ❑ Estate
or Trust
2. of accounting records
3, Form of business ❑ Partnership or Joint Venture ❑ Sole
Other, describe.
,��
4. Do you have otter locations in Indiana? ❑ Yes lB No O( Yes, Ills Form 105) y
5. Are Inventory records maintained on a perpetual basis? ❑ Yes ❑ No Method of valuation for inventory I
6, Was any con&gned or other not owned Inventory held, possessed or controlled on March 1?
•
Yes ❑ No (See 50 IAC 4.2 -5.2)
7. Inventory Elections: Calendar year average ■ Yes ❑ No (See 50 (AC 4,2 -5.9)
Alternative inventory: Manufacturers or Processors ❑ Yes ❑ No Elections binding In following years. (See 5D tAC 4-2 -5 -7)
8. if nature of business is cordrecting, Is Job site inventory Included In Schedule IS"? ❑ Yes • Nc
9. Did you own, possess or 'control any personal property In a public warehouse or other storage place in Indiana as of March 1? 0 Yes Er No
10. Did you own, held, possess or control any leased, rented or other depreciable personal property on March 1? Q- Yes ❑ No (See 50 (AC 4.2 -6)
11. Did you own, hold, possess er control any Special Tools on March 1? • J Yes CErNo (See 50 (AC 4.2 -6 -2)
t�T�
12. Did you own, hold, possess or control any returnable containers on March 1? ❑ Yes Yr No (See 50 IAC 4.2 -6.4)
13. Total sales for this location during the prior fiscal or calendar year, $
If
In
Information
iexpeyer answsre "yes to questions
4.2.8).
Duplicate Return Requirement. Every
must die *tech return in duplicate including
completing a personal property return
personal property owned, held, possessed
of the heading and related information,
Is not provided, the taxpayer
e SAIL -North American I Classification
7, 10, 11, or 13, the owner must fie Form 103-0 and the possessor must the Form 103-N. (See 69 IAC 4.2 -2 end 90 LAC
taxpayer whose total combined assessed value of business personal properly in a single taxing district Is $150,000 or more
the confidential returns and schedules attached thereto, (fC 6- 1.1 -3 -7 (c))
for a year. a taxpayer must make a Complete disclosure of ea information relating to the value. nature or location of
or Controlled on the assessment date. 00 6- 1.1.3 -9 (e)). This information would include, but not be limited to, completion
anewara to ail question* on the face of the return, and entries on all of tho appropriate lines of Schedules A and S If such
will be contacted and directed to provide the: information, In addition, a penalty of $25 may he imposed. pC 6.1.1.37 -
Systane fist of codas may be found at www.censiartov. The Indiana Code 1!C) and Indiana Administrative
(IAC y found en-line
stir Rgoby!,ro,,,,rfli itilntb<Y, tc
_complete
the DLGn $,ww
11C3h1t t. n do/hist
imago/dial. For further questions
RE PDXTEn HY'(AXPAYE(t
contact the Township Assessor (available
CHANC ^GJ TOWNSHIP ;HIP ASSESSOR
$
or the OLGF we beite).
CWNGE EYING. PTASO
SCHED.A-PER AL PROPERTY OTHER THAN INVENTORY •
$
$
SCHEDULE 8- INVENTORY (Greatarof Lire 29 or 32 from Page 4)+
$
$
$
TOTAL TRUE TAX VALUE- BEFORE DEDUCTIONS .
$
$
$
DEDUCTION PER ❑ FORM 103- ERA(Ewnomlc Pa1regxeyon)
(check) ❑ FORM PPIO -1 (Investment Deduction) -
a
$
5
FINAL ASSESSED VALUE e
„
Under Pense)as of Pesrrfuuttyy,1 trereby aarltY thetlhls ratan fin
We, corneal, and om{a ; reports Altangibtt peraevwI poperay, aut(acl
on the emesamem date, as required by law and h prepared In
$
IGNAT t,RE A Hr) VFRIFIt;'
wine schedules, deduction
to !anion, owned, held, possessed
roe with IC 6.1, et eaq., se
$
1Ti
Velma and tenements), to the best of my
or controlled by the named taxpayer,
amended, and regulelione promulgated with
$
knowledge and belies is
in the stated taxing diebic :,
aspect thereto.
Signature of euetofbed person
Telephone number
( )
Date (month, day, year
Nerve and tee of uproemd person (please ryas roping inl)
Enmaa contact
(slgrabJTw M Return timed
anoatedge r7
as NI information or which he has any
Narno ajnd000ntaot t-nfo*maton,o /r preparer (Owes° typo of print)
0 _ _ . bri_
r
L" ll*ohx dam_- 954 t P ai9/4
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Jul 21 2006 1:02PM HP LASERJET FAX
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FSONAt ' 6OPGM Y OTIICr. 3'H
ONFIDL'.11AL
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• * The total cat of spedS tools, dbs figs, fixtures, etc„ permanently retired equipment commercial aircraft, and commercial hue line Cleat, not subbect
to excise tax is to be deducted in (uIfln Column 0 below. The true tax value M such property Is to be computed on the proper Form(s) (103 -T, 106
AND 103 -1, respectively) and recorded on Line(s) 80, 6t and 62.
OF
1AUISIT1Opi
LULU
;ULUN.N C
COLD N 0
13
14
15
16
17
POOL NUMBER 1:
(1 TO 4 YEAR LIFE)
From To 3-1-08-
3 -2 -05 To 3.1 -06
3-2-04 To 31 -05
3.2-03 To 3.1-04
Prior To 3 -1 -03
TOTAL POOL NUMBER
TOTAL COST OR ADJUSTMENTS
BASE YEAR VALUE " (See Note Above)
5
0
Eh
s
ADJUSTED COST
T.T.V.% TRUE TAX VALUE
85
65 o?a9$po
50 1 Q(Xa
35 567- 00
20 $ (A,.5.0t.
fo
OOL'N JMDEi
10
20
21
22
—23
24
25
26
From To3-1 -06
3-2 -05 To 3.1-00
3-2-04 To 3-1-05
3 -2.03 To 3-1-04
3.2 -u2 to .3 -1-u,
3-2-01 To3 -1 -02
3.2 -00 To 3-1-01
Prior To 3.1-00
9V0
1..: 2:YEAR LIFE
From To -06
3.2 -D5 To3.1.O6
-2 -04 To3-t -05
3 -2 -03 To31.04
3-2 -02 To31-0
3-2.01 To3-1 -02
2 -00 To 31.01
2.89 To 31-00
3-2 -98 To 3-1 -99
3-2.97 To 3-1 -98
3-2 -96 To 3-1-97
Prior To 3-1463
TOTAL POOL NUMBER
UL1fEC 4 1'3SSr AP ANn a. b?vt i 1; LIFCI.
41
42
43
44
45
46
47
48
49
50
51
52
53
From To3 -1 -06•
2 -05 To 3.1.06
3-2-04 Tb 31 -05
2 -03 To 3 -1 -04
3-2 -02 To 3.1 -03
3-2 -01 To 3 -1 -02
32 -00 To 3 -1 -01
3-2-99 To 3 -1.00
-98 To 3 -1.99
2-97 To 3.1.98
3.2.96 To3 -1 -97
3-2.95 To 3
32.94 To 3 -1 -95
Prior To 31414
56
TOTAL POOL NUMBER
'm g7tO
Election to report poet of Depreciable Assets by Federal tax yew ❑ Yes
Election evadable only when federal tax year ends December 31 or Janrary 31. See 50 IAC 42-4- (c).
• If tnpayer elects to report cat above onfedera tax year basis, assets eoqubed from the prior federal tax yearend to Mardi 1 am
b be reported on the fiat line of the appropriate pool.
NOTE: Al Cotunn B adjustments above must be supported on Form 106, Fawn 103 - T, or Farm 103 I
❑ No
/4 784.°1'
Pas
Jul 21 2006 1:02PM HP LASERJET FAX
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EFERSONACPRfFFF TY ()Tt1(SR 1
CON' IDrNTI..L
,SC I "i. I.-:r.,.
toARt H :nr,t.
A Id.niS on numbr
Line
Report all personal property assessable to this taxpayer below. (Round all figures below to nearest dolled
1
Total cost of tangible depreciable personal property. (50 IAC 4.2. 4-2)
2
Adjustment to federal tex basis per Form 105. (50 PAC 4.24-4)
3
Total cast and base year value of tangible depreciable personal propetty. (DIM 1 plus 2)
$
Deduct Exempt Property (See 50 )AC 4.2 -11)
tacos
$
4
Stationary industrial air purification systems (Attach Form 103 -P.)
5
Industrial waste control facilities (Attach Form 03-P.)
6
Vehicles subject to excise tax
Number of Urits
7
Airplanes subject to excise tax
Number of Units
$
Total cost of exempt property (Deduct from Line 3 and enter an 1 ne 8)
6
Subtotal -
$
Additions: See 50 IAC 4.244 (h) and 50 'AC 4.2.43 (Wend 4
$
g
Cost of all depreciable personal property still in use but written off. (50 IAC 42- 4 -3(b))
10
Cost of installation and foundations applicable to depreciable personal property. (50 IAC 4.2- 4 -2(d))
11
Cost of Interest Incurred during
(50 ;AC 4.2- 4.3(h))
construction and installation applicable to depreciable personal property.
12
3 CIA
Pmni oN e
56
Total cost and base year
(add Lines 8, 9, 10 and 11.
NG SUMMARY
ul.,: A-1 or [Atm (Ii 15) ,
Total All Pools
value of assessable depreciable
Ltne 12 must agree with
TOTAL. CO
�COLIJ>,NtA
$ W77 Olt
personal property.
Line 58 Collets; A)
` ADJUSTLII N1_i
CCLtI"AN h
$
AIJR 3ti- riCOSr
COI 0
$
$
i.rC • TAx VAI
t::ri �)r1 v%1,
$ 14184.00
r
57
30% of Adjusted Cost (Line .56, Column C) (enter zero (0) if filing 103 -P5
and entity is a quadded steel mid or oil Winery per IC 6. 1.1-3.23)
$ $
58
Greater of Lines 56D or 57 $
- Adjustments to True Tax Value _ . .....:
59
Equipment not placed In service at coat
cod
$
X 18°f.
S
60
Tools, dies, Jigs, fixtures, etc., per Farm 103 -T. (50 IAC 4.2 -6-2)
Coat
$
61
Permanently retired equipment per Form 106. (50 JAC 4.2.4.3 (c) and (d))
Cwt
$
$
62
Commercial aircraft and commercial bus Eine fleet,
form 103.1. (50 JAC 4.2 -10)
subject to exdae tax per
Cost
$
$
not
63
Total addition to True Tax Value. (Lines 50, 80, 81 and 62)
64
Total True Tax Value before adjustments for 'Abnormal Obsolescence.' (Lure 58 plus Lire 63)
$
65
Abnormal Obsolescence Adjustment per Form 106. (50 /AC 4.2.4.8)
$
68
Total True Tax Value of personal property other than Inventory. (To page'', Pont 103 Summery)
$
Page 2
Jul 21 2006 1102PM HP LASERJET FAX
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LINE
inventory last recorded on books and records on, or before. Marsh 1: (Sae 50 IAC 4.2 -5-3)
rimers msnonwem nurser
1
Raw materiels
S
2
Work in process (II contractor "Job Sites Inventory Included, sea instructions below)
3
Finished goods
4
Stock in trade
5
Supplies
6
Inventory
of record 20 (Tote/Lines
1 film 5)
$
7
Adjust balance on Line 6 to March 1: (See 50 IAC 4.2 -5.6)
A
Add purchases from last Inventory to March 1 •
5
8
Deduct cost of sales from last Inventory to March 1
Net Sales 5 x Cost of Sales
C
Net ddterenoe between purchases and cost of sales (Lines 7A and 6)
6
Unrecorded inventory per
pore 108 (See 50 IAC 424-8)
9
Consigned goods (Attach Form 103-0) (See 50 IAC 4.2.5.2 (c))
10
Total inventory on hand Meech 1 (Tote) line 6 plus or minus 7 plus 8, plus!)
S
11
Average inventory adjustment, If elected on page 1, (50 IAC 4.2 -5 -9) (Compute on Fonn fOOJ
Additions: (See 50 JAC 4.25 -4) (Explain Calculations on Form 106)
12 '..
Aifjhlat
/Add "LIFO" Reserve, Etc.)
5
tb "First In r r9fOur
13
Manufacturing overhead not Included in inventory cost above
14
Wholesalers and retailers allocable
asp, sea
16
Freight In not Included in inventory cost above
16
Royalties, editorial, license or copyright fees
17
Taxes (other than income taxes) not included in cost above
18
Total additions lines 12, 13, 14,16, 16 and 17
$
Deductions: (Explain all calculations on Form 106)
19
Exempt Inventory (50 IAC 4.2 -124 and 6) (Attach Form 103 -W)
$
20
Inventory recorded but not received
21
Cash, trade and purchases discounts (50 !AC 4.2- 5.4(d))
22
Adjustment from standard to actual cost (50 IAC 4.2- 5 -4(e))
23
Total deductions (Lines 18, 20, 21 and 22)
24
Total inventory before special adjustments (Line 10 plus or minus Lines 11. 18 and 23)
iq 111. at
Special adjustments: (See 501AC 4.24-13 and 14)
26
Valuation adjustment l 35% of Line 24 above
$
t °
(9Q
26
Abnormal obsolescence /Must be supported on Form 106) _
27
Total special adjustments (Deduct from Line 24)
$
28
Total True Tex Value of inventory line 24 minus 27
5 JA 2,4 *1. alp
• 29
inventory Deductions filed with County
$
Auditor fEZ -1, IR -1, M0D•1 etc.)
30
Sub -Total Assessable Inventory (Litre 28 minus Line 29)
31
100 %bi ittnrdry'QSduCtfotl pale 6-1.1 -12.12 . .... ... . - - - _.__.......
32
True Tax Value of Assessable Inventory (Line 30 minus Line 31)
$
LINE
2. All contractor's material on Job site is to be reported as Inventory if not physicaty Incorporated Into land or buildings.
5. .Show date of inventory as reflected on the books and records on lines (1) thru (5) above.
7. t inventory of record as abeam on line (8) is not March 1 it must be adjusted to March 1 In accordance with the provisions of 50 IAC 4.2-
10. Total Inventory on hand March 1 must Include ell tangible Inventory of any nature owned by the person. taxable or non - taxable.
14. 11 Inventory of record as adjusted to Match 1, reported on fine (SO), doss not include Atiocabla Expenses as defined In 50 IAC 4.2-5-5 (c),
must be made to Include dose costs,
22. If adjustment to actual cost is an addition to line (10) show as a negative figure on kne (22).
26. Note: 56% valuation adjustment may not be notified to work M process and enlshad goods 11 taxpayer Sects to urea the alternative Method
compumton using asamative method rnusl be shown an Form 105 et attached schedule.
26. The Abnormal Ob.Mascsnce Adjustment must be reported at True Tax Value.
5- Sand explained on Form 106.
an adjustment
per 501AC 4.2- 6-7. Inventory
TIl7:, fChl' TAit.Uhdf 10 II ,_O':lf 1 t7[ rzr1 JI'r11 t)CftF
Fspure to files return on or before the due date, as required by law, will result In the impoettlon of Iwsntyfive dollars( penalty. M
re
addition, If return Is net tiled within thirty (30) days artier such return 1* due, a penalty equal to twenty pesrd (2O1) of the taxes fleetly
determined to be dus with respect to the property which should have bean reported will be kttpOsed. A personal property astern le not due
until the expiration of arty extension prod granted by the townehlp seasaaor under IC 8-1.14d (b1. N the total hoed wide SW • person
reports on a personal p return la /ass San the total assessed value that the parson Is required by law to report end If Se amount of
the undervaluation exceeds Me percent (6 %) of the value that should haw bean repo $ad an the return, than the county a uNtor shall add
a penalty of twenty percent (201x) of the addltiontl texas Bnsily determined to be due ea • result of die undsrvsluetlon.
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