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2010-09-17_REPORT - M2005032
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2010-09-17_REPORT - M2005032
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Entry Properties
Last modified
8/20/2019 10:28:40 AM
Creation date
9/22/2010 11:42:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2005032
IBM Index Class Name
REPORT
Doc Date
9/17/2010
Doc Name
Annual Fee/Report/Map
From
Sprague Scraper Service, Inc.
To
DRMS
Permit Index Doc Type
Annual Fee/Report
Email Name
MAC
Media Type
D
Archive
No
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Q LWnWG OF PERSONAL PROPERTY -FOR Alai ACCURATE ASSFSSMEW, Wit MUST HAVE A CONWLLTZ <br />LL4nM OF PERSONAL PROPERTY** <br />NOTE: Indnde ALL Expensed Assets With a life of Creates Tlwo I Year, Fully Depreciated Assets Still in Use, and Stored Assets <br />Wbidr (lave Been Subject to IRS DepfCCbdoh. In accordance with § 39-3-119.5, CR.S., you are not required to complete this section <br />if the total actual value of your personal property per county is $4,000 or less. If you area first-time filer or arc unsure as to wledwrthe <br />tow actual value ofyour personal property per county exceeds $4,000, please contact the county assessor. Whetdier or ent Pero Me • <br />deduradw eelreduk% the *messw say select year b doers-for as audit. <br />? Check here if there are no addi4ons. (1) I.At Personal hoperty ma Bred duriat tie Previous Year : (Atindh semarate aiaRsk frunded.) <br />Item <br />in No. Caapleie Description Iowkdieg Model or yew Creek Os <br />For Edell Item Original installed Cost to <br />You I1 -1 de Yaw First <br />Pbsxd into Serviee <br /> ? New Used <br />N <br />ZOZ3 / - <br />Z) 2- <br /> 0 New ? Used <br /> ? New ? used <br />? Chuck hem if there are no detegia m I.fst Persons{ sold. haded. or permanently- digiond ofas ofJunuary 1. <br />? New ? Used <br />? New ? Used <br />? New ? Used <br />Lbf Unllmosed Mobile SaaWmeoL Do not list mobile with SMM Imam plates rcnW or ZAabs. Yew Is the <br /> ? New ? Used <br /> ? New ? Used <br /> ? New ? Used <br />Lint ALL kw eioW Improvements. Auac h . s if needed. <br />Year <br />Acquired <br />Year IastsNeel Cott <br />4 <br />IL DEPRECIATION SCHEDULE: ifyoa file a form 4562 or 4562-A with the IRS, ph= provide a dopy ofyor completed IRS Form <br />with an itemized listing ofall panosl property including the description and cost ofeach item. Nate doer all person property that is expensed <br />d oM be inducted in your ibunit. to adoitm attach a eouov of the to and de Whmd i>erat , 3dw.hAe- f a, vsww r .-.uc <br />L LEASED, D <br />Id3ANE, OR RENTED PROPERTY (FuMwee, Signs, etc.) Declare Persea d Properly Owned by Others Hem <br />U C he& here if yon possessed any leased, hoane dl or m tcd nad inay, exluipmem, fuunihse, sign& vending madam can bn mey i"_ <br />Do not net mobile segnquaeert with SMM Bemse plates, r+eatai decub, her Z-labs. <br />List beNw, dwaieg owner's snare. address, and mlepiom number; prupeeiy daaiptioaa err. if any ofthe leased ap4mem bap' <br />an your books and E!eEg& please edP a the bas at the hAglauiag of the: lbw wits the Phsme of the )i.erasor. <br />ms's Name <br />A T Number Dea'iptiOn <br />SlodellSerLi Ne. Can of Lease Lease Naaebew Teenn <br />From -.To Annual S Rent <br /> <br /> <br /> <br /> <br />0 <br /> <br />Ave purdwe or maintenance options inetudcd io due total-arnmal seat - a••.- -`, ? Yes ? No If yes, *M ftanidh deans. <br />J. DELI ARATTON <br />TIM RETURN 18 s7Bjwr TO At3Dfi' <br />"I declam; under penalty of perjury in the sex:eatd degree, ittat this sdtedutte, togedues with any ac anying exhibits or <br />stattmWURS, has been examined by me and to the best of ray knowledge, infa>T nkx4 and belief sets forth a lull and complete <br />list of ail taxable personal property owned by me, or in cry pion, or undo In c:otttol, located in thhis exnmty, Colorado, <br />on the assessment date of this year, that suer propaty has been nmsonW* described and its value fairly Masented; and <br />dolt no attempt has been made to mislead the assessor <br /> OF OWNER QQ r' JCX U L _ I ?, . _ "1'r Cr 1? SP1,9 <br />PRIM f NAME OF PERSON SIGNING PHONfs NUMBER E-MAIL ADDRESR. "l?Ue d oh ?mai <br />PAX NUMBER _ <br />J <br /> <br /> <br /> n when;. filing this form. - <br />PLEASE COMPLEI T SIGN, AND RE MVN TO TIRE ASSRSS9OR ON OR BIEOIO E APRIL IS-,2W. <br />M, AKB A COPY FOR YOUR k-KWRm
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