Laserfiche WebLink
State of Colorado <br /> 16 DPT-AS EARTH OR STONE PRODUCTS REAL AND PERSONAL <br /> FORM DS-648 79-16 PROPERTY DECLARATION SCHEDULE <br /> (CONFIDENTIAL DATA) Assessment Date Due Date <br /> January 1, April 15, <br /> O U RAY County RETURN TO COUNTY ASSESSOR 2016 2016 <br /> B.A.CODE T.A.CODE SCHEDULE NUMBER DO NOT USE—FOR ASSESSOR ONLY <br /> Code Description Acres Tons Actual % Assessed <br /> Value Value <br /> A. NAME AND ADDRESS Earth or Stone <br /> (INDICATE ANY CHANGES/CORRECTIONS) 5120 Products $ 29% $ <br /> TODD HAYNES <br /> 12696 6450 ROAD 5220 Improvements $ 29% $ <br /> MONTROSE CO 81401 <br /> Equip.,Fum.& <br /> PHYSICAL LOCATION/LEGAL DESCRIPTION OF THE 5420 Machine $ 29% $ <br /> PROPERTY AS <br /> OF JANUARY 11 2016: <br /> 1 /,2& � �L�✓l�E) S,1 Dr. TOTALS IS <br /> $ <br /> RECEIVED APPROVED <br /> 3l h h�Ic�SI h. COMPLETED ABSTRACT CHGS. <br /> LATE FILING PENALTY ❑ YES ❑ NO <br /> APPLIED <br /> B. OPERATION: Start-up Date If you are not the current business owner please list the name <br /> and address of the new owner below. <br /> Date Sold <br /> Type of Product <br /> Sft'11e bG'ld e <br /> BUSINESS (Check the Appropriate Box) Vj NEW ❑ NEW <br /> STATUS: BUSINESS OWNER(S) <br /> Check this box if this is your first return. <br /> If this is your first return,You MUST furnish a complete itemized listing. <br /> C. PRODUCTION <br /> List the description,volume,royalty rate,and retail sale price of any earth or stone extracted during the preceding calendar year. <br /> TYPE OF PRODUCT EXTRACTED TONS ROYALTY CUBIC YARDS ROYALTY WEIGHTED AVERAGE <br /> EXTRACTED PER TON EXTRACTED PER CU.YD. RETAIL SALE PRICE/UNIT <br /> A. S fm r , ,,_ d F �' S $ 6160 16--5 $ 0, 66 f 5:eX) fry <br /> B. $ $ <br /> C. $ $ <br /> D. $ $ <br /> D. LEASE AND PERMIT INFORMATION Attach a copy of the lease)_ <br /> N / DATE OF LEASE <br /> NAME OF LESSOR <br /> LENGTH OF LEASE <br /> LEASE OPTIONS DRMS PERMIT NUMBER <br /> E. LAND INFORMATION <br /> PERMITTED ACRES AFFECTED ACRES ESTIMATED LIFE OF DEPOSIT � <br /> C ff 1 "i c i-e �� YEARs <br /> F.LISTING OF REAL PROPERTY IMPROVEMENTS attach separate sheets ,if necessary) <br /> List buildings and other improvements constructed or installed the previous year. Include the property description and installation <br /> date,your original installed cost,and any additions since original installation. <br /> Buildings and Other Improvements Description and Location Date of Your Original Additions Since Original <br /> Installation Installed Cost Installation <br /> C <br /> SEE OTHER SIDE <br />