Free 52447.FH11 - Indiana

SCHEDULE OF DEDUCTION FROM ASSESSED VALUATION UTILITY DISTRIBUTABLE PROPERTY IN ECONOMIC REVITALIZATION AREA
State Form 52447 (R3 / 4-09) Prescribed by the Department of Local Government Finance

20_ _ PAY 20_ _ FORM UD - ERA

INSTRUCTIONS: 1. In order to receive a deduction, this schedule must be submitted to the township assessor with copies of UD-45 pages 1, 2, 3, 4, 5 & 14. 2. A separate schedule must be completed for EACH APPROVED abatement and for each taxing district (Form SB-1/UD). 3. Attach a copy of the applicable Form CF-1 to this schedule. 4. For any acquisitions since the last assessment date, attach a list of the new equipment that is included on this form. 5. This form is for use 2006 pay 2007 and after. File by May 15th. SECTION 1 Name of taxpayer Address of taxpayer (number and street, city, state and ZIP code) County Township TAXPAYER INFORMATION Name of contact person E-mail address of contact person Taxing District Telephone number ( ) Fax number ( SECTION 2 ECONOMIC REVITALIZATION AREA INFORMATION Name of body designating the Economic Revitalization Area Resolution number Date designtion approved (month, day, year) )

Length of abatement (years)

Date designation will terminate (month, day, year) Does resolution limit dollar amount of deduction? No Yes EQUIPMENT SCHEDULE

SECTION 3

The true tax value of depreciable assets is to be reported as it is reported on form UD-45. This schedule includes only new manufacturing, research and development, logistical distribution, and/or information technology equipment deductible per the resolution and IC 6-1.1-12.1. List each item of equipment for the deduction on page 3 of the return. You may add pages as necessary. NOTE: Report cost of depreciable assets at federal tax basis. SPECIAL TOOLS Round all figures to the nearest $10. Report only TTV of abatable special tools, dies, jigs, etc. (50 IAC 5.1-1-28) True Tax Value TRUE TAX VALUE - Acquisitions since last assessment date TRUE TAX VALUE - Acquisitions prior to last assessment date $ $ SECTION 4 (A) UD-45 Schedule A, line 47 $ 01 From 1-1-09 to 3-1-09 $ 02 3-2-08 to 3-1-09 $ 03 3-2-07 to 3-1-08 $ 04 3-2-06 to 3-1-07 $ 05 3-2-05 to 3-1-06 $ 06 3-2-04 to 3-1-05 $ 07 3-2-03 to 3-1-04 $ 08 3-2-02 to 3-1-03 $ 09 3-2-01 to 3-1-02 $ 10 3-2-00 to 3-1-01 $ 11 3-2-99 to 3-1-00 $ Prior to 3-1-99 $ TOTAL TOTAL WITH SPECIAL TOOLING (B) Percent Distributable in Taxing Unit
(from Schedule H of UD-45)

Assessing Official Use Only Deduction Claimed $ $ Deduction Approved

Abatement Percent 30 % $ 3% $

(C) Column A x Column B = TTV in Taxing Unit $ $ $ $ $ $ $ $ $ $ $ $ $

(D) Percent of Column C TTV Subject to Abatement % % % % % % % % % % % % %

(E) Column C x Column D = TTV Abatable $ $ $ $ $ $ $ $ $ $ $ $ $

(F) Abatement Percent
(from chart on page 2)

(G) Column E x Column F = Deduction Claimed $ $ $ $ $ $ $ $ $ $ $ $ $ $

(for use by county officials)

(H) Deduction Approved

% % % % % % % % % % % % %

% % % % % % % % % % % % %

$ $ $ $ $ $ $ $ $ $ $ $ $ $

RESOLUTION LIMIT

$

Page 1 of 3

ABATEMENT DEDUCTION SCHEDULE

Statement of Benefits (SB-1) approved after 06/30/2000 (Machinery or research and development equipment)
Year 1 One (1) year Two (2) years Three (3) years Four (4) years Five (5) years Six (6) years Seven (7) years Eight (8) years Nine (9) years Ten (10) years 100 % 100 % 100 % 100 % 100 % 100 % 100 % 100 % 100 % 100 % Year 2 0% 50 % 66 % 75 % 80 % 85 % 85 % 88 % 88 % 90 % Year 3 0% 0% 33 % 50 % 60 % 66 % 71 % 75 % 77 % 80 % Year 4 0% 0% 0% 25 % 40 % 50 % 57 % 63 % 66 % 70 % Year 5 0% 0% 0% 0% 20 % 34 % 43 % 50 % 55 % 60 % Year 6 0% 0% 0% 0% 0% 25 % 29 % 38 % 44 % 50 % Year 7 0% 0% 0% 0% 0% 0% 14 % 25 % 33 % 40 % Year 8 0% 0% 0% 0% 0% 0% 0% 13 % 22 % 30 % Year 9 0% 0% 0% 0% 0% 0% 0% 0% 11 % 20 % Year 10 0% 0% 0% 0% 0% 0% 0% 0% 0% 10 % Year 11 0% 0% 0% 0% 0% 0% 0% 0% 0% 0%

ERA Designated and SB-1 approved on or after 05/01/1991 and before 07/01/2000 (Machinery and equipment only)
Year 1 Five (5) years Ten (10) years 100 % 100 % Year 2 95 % 95 % Year 3 80 % 90 % Year 4 65 % 85 % Year 5 50 % 80 % Year 6 0% 70 % Year 7 0% 55 % Year 8 0% 40 % Year 9 0% 30 % Year 10 0% 25 % Year 11 0% 0%

ERA Designated prior to 07/01/2000 and SB-1 filed on or after 07/01/2000 (Machinery and equipment only)
Year 1 Five (5) years Ten (10) years 100 % 100 % Year 2 80 % 90 % Year 3 60 % 80 % Year 4 40 % 70 % Year 5 20 % 60 % Year 6 0% 50 % Year 7 0% 40 % Year 8 0% 30 % Year 9 0% 20 % Year 10 0% 10 % Year 11 0% 0%

ERA Designated prior to 05/01/1991 and SB-1 filed before 05/01/1991 (Machinery and equipment only)
Year 1 Five (5) years 100 % Year 2 95 % Year 3 80 % Year 4 65 % Year 5 50 % Year 6 0% Year 7 0% Year 8 0% Year 9 0% Year 10 0% Year 11 0%

Page 2 of 3

EQUIPMENT LIST Please use the following format for your equipment list. You may attach additional sheets as necessary. Please use the same cost, depreciation, and true tax value as you reported on form UD-45 Annual Report.
Cost at Federal Tax Basis Federal Tax Depreciation True Tax Value (TTV) Describe the property and the use or purpose of the property

Percent of TTV Abated

% TAXPAYER CERTIFICATION

I hereby certify that the representations in this statement are true.
Signature of authorized representative E-mail address Title T elephone number ( Page 3 of 3 ) Date signed (month, day, year) Fax number ( )