Free 01882.FH11 - Indiana

TAX RETURN FIXED PERSONAL PROPERTY OF PUBLIC UTILITIES
State Form 1882 (R14 / 12-08) / DLGF Form 1

March 1, 20 _________
FOR ASSESSORS' USE ONLY

DEPARTMENT OF LOCAL GOVERNMENT FINANCE

INSTRUCTIONS: Public utility companies shall file this form (Form 1) with the assessor of each township in which the public utility company's locally assessed personal property is subject to assessment. If property is located in two (2) or more taxing districts within the same township, a separate return must be filed reporting the property in each taxing district. This return (Form 1) must be filed with the township assessor on or before April 1st of the assessment year, unless a filing extension has been granted pursuant to 50 IAC 5.1-3-6. Contact information for county and township officials may be obtained from our website: www.in.gov/dlfg/.
Name of taxpayer Address where property is located (number and street, city, state, and ZIP code) Nature of business Name to which tax notices to be mailed, if different Address to which tax notice is to be mailed, if different (number and street, city, state, and ZIP code) Name of person to which requests for additional information may be directed Address of person to which requests for additional information may be directed (number and street, city, state, ZIP code) Questions: 1. Federal tax year ends 3. Location of accounting records Principal business activity code County Township Taxing district

PRIVACY NOTICE The records in this return are confidential according to IC 6-1.1-35-9.

Taxing district number Federal identification number Title of person Telephone number E-mail address

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2. Name filed under

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4. Do you own, hold, possess or control any leased or other not-owned locally assessed personal property? [If the answer to question 4 is Yes, the taxpayer must file Form1-N (see 50 IAC 5.1-10)] Yes No

SUMMARY OF ASSESSMENT ASSESSED VALUE PER TAXPAYER 1 2 3 Schedule A - Locally Assessed Personal Property Other Than Inventory Less Investment Deduction from State Form 52511 (if applicable) Total True Tax Value (rounded to nearest $10) $ $ $ SIGNATURE AND VERIFICATION Under the penalties of perjury, I hereby certify that this return (including any accompanying sheets or statements) to the best of my knowledge and belief, is true, correct and complete, and reports all fixed personal property owned, held, possessed or controlled by the named taxpayer within the stated township and county on the assessment date of this return.
Signature of authorized person Printed name Telephone number Title Date signed (month, day, year)

ASSESSED VALUE PER ASSESSOR

ASSESSED VALUE PER PTABOA

Signature of person preparing return based on all information of which he / she has any knowledge: E-mail address Fax number

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(See reverse side for Schedule A and Schedule A-1)

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SCHEDULE A - LOCALLY ASSESSED PERSONAL PROPERTY OTHER THAN INVENTORY
A. TAX BASIS COST B. DEPRECIATION C. TRUE TAX VALUE

1 Office Furniture and Fixtures 2 Machinery and Equipment 3 Motor Vehicles (include trucks, trailers, automobiles, etc.) 4 Leased and Other Not-Owned Depreciable Personal Property 5 All Other Personal Property In Service Not Classified Above 6 Subtotal (Sum of lines 1 through 5) Deduction for Gross Additions (Carry amount from Line 16; see, 50 IAC 5.1-6-8) 8 Tentative Value (Line 6 minus Line 7) 7 9 Minimum Value [Thirty percent (30%) of Line 6, Column A] 10 True Tax Value (Greater of Lines 8 or 9) 11 Additions: Construction in Progress (for construction in process column C = column A x 10%) 12 Other: ______________________________________
Cost

1 2 3 4 5 6 7 8 9 10 11 12 13 14

13 Abnormal Obsolescence (See 50 IAC 5.1-11) Total True Tax Value (Sum of Lines 10, 11 and 12 minus Line 13; 14 Carry to Summary Schedule A on reverse side) SCHEDULE A-1 COMPUTATION OF DEDUCTION FOR GROSS ADDITIONS
A. TAX BASIS COST B. DEPRECIATION C. TRUE TAX VALUE

Locally-assessed Depreciable Personal Property Placed in Service in 15 Previous Twelve Months 16 Deduction for Gross Additions [Sixty percent (60%) of Line 15, Column C] NOTES: True Tax Value of locally-assessed personal property is its IRS cost basis less federal tax depreciation unless otherwise provided in 50 IAC 5.1. All fully depreciated fixed personal property, written-off books but still in use, must be reported on this return (see 50 IAC 5.1-6-4). Leased and other not-owned personal property must be disclosed on Form 1-N. Form UD-ID must be filed with this return if you are claiming an investment deduction under IC 6-1.1-12-4.

15 16

State the number of vehicles reported above: _______________________ (Do not report vehicles as personal property if you have paid excise tax on them.)