TAX YEAR 2016 FRANKLIN COUNTY BUSINESS PERSONAL PROPERTY LISTING

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FRANKLIN COUNTY TAX ASSESSOR POST OFFICE BOX 504 LOUISBURG, NC 27549 (919) 496-1397 TAX 2016 FRANKLIN COUNTY BUSINESS PERSONAL PROPERTY LISTING RETURN LISTING BY: JANUARY 31, 2016 EXTENSION TO MARCH 24, WILL BE APPROVED ONLY BY WRITTEN REQUEST RECEIVED TO 1/31/2016 IMPORTANT - Please make sure we have your correct name and mailing address above PARCEL ID ACCOUNT NUMBER JURISDICTION SEQUENCE # NAME IN WHICH BUSINESS WAS LISTED LAST : PRINCIPAL BUSINESS ACTIVITY IN THIS COUNTY FED. ID# CHECK ONE> CORPORATION SOLE PROPRIETORSHIP PARTNERSHIP LLC OTHER (SPECIFY) OTHER N.C. COUNTIES WHERE PERSONAL PROPERTY IS LOCATED: LOCATION OF ACCOUNTING RECORDS DATE BUSINESS BEGAN IN THIS COUNTY / / DATE BUSINESS (FISCAL) ENDS / / CONTACT PERSON FOR AUDIT: ADDRESS & PHONE 8020PBPL 11/20/15 2587, K PHYSICAL ADDRESS PHONE #( ) FAX #( ) REAL ESTATE OWNED BY SCHEDULE A PERSONAL PROPERTY GROUP (1) MACHINERY / EQUIPMENT YR COST ADDITIONS DELETIONS CURR YR COST GROUP (2) OFFICE EQUIPMENT, FURNITURE & FIXTURES YR COST ADDITIONS DELETIONS CURR YR COST GROUP (3) COMPUTER EQUIPMENT YR COST ADDITIONS DELETIONS CURR YR COST GROUP (6) CONSTRUCTION IN PROGRESS LIST IN DETAIL ALL EXPENDITURES IN CIP ACCOUNT ON JANUARY 1, BUT NOT INCLUDED ABOVE CIP: IF OUT OF BUSINESS COMPLETE BELOW: BUSINESS CLOSED SOLD BANKRUPT DATE: IF SOLD TO WHOM? NAME ADDRESS GROUP (4) LEASEHOLD IMPROVEMENTS YR COST ADDITIONS DELETIONS CURR YR COST GROUP (5) OTHER YR COST ADDITIONS DELETIONS CURR YR COST DETAILED INSTRUCTION AVAILABLE AT HTTP://WWW.FRANKLINCOUNTYNC.US/SERVICES/TAX

SCHEDULE B WORKSPACE: LIST ALL ACQUISITIONS IN (A) AND DISPOSALS IN (B) REPORTED IN CURRENT COSTS COLUMN FOR GROUPS (1-5). ATTACH ADDITIONAL LIST IF NECESSARY. (A) ACQUISITION ITEM GROUP COST ACQ. (B) DISPOSED OF ITEMS GROUP COST ACQ. SCHEDULE C GROUP (7) SUPPLIES NOT HELD FOR RESALE SUPPLIES AS OF JANUARY 1 DO NOT USE ARBITRARY FIGURE. EXPENSE RECORDS AND OTHER DOCUMENTATION MAY BE REQUIRED TO SUBSTANTIATE ALL ENTRIES. FUELS (HELD FOR CONSUMPTION) MAINTENANCE AND JANITORIAL SUPPLIES OFFICE SUPPLIES MEDICAL, DENTAL, BEAUTY & BARBER REPLACEMENT PARTS, SPARE PARTS, HAND TOOLS RESTAURANT, HOTEL AND MOTEL ITEMS SUCH AS LINES, CHINA, SILVERWARE ALL OTHER MISCELLANEOUS SUPPLIES NOT CODED ABOVE OTHER SCHEDULE D UNLICENSED VEHICLES (list only those owned by the business) DO NOT LIST VEHICLES WHICH ARE CURRENTLY LICENSED (TAGGED) IN NORTH CAROLINA. EXCEPTIONS THAT REQUIRE ANNUAL LISTING IN THIS SECTION: (1) OWNERS OF LONG TERM RENTAL VEHICLES (2) TRAILERS WITH A MULT- TAG (3) IRP REGISTRATIONS VEHICLE TYPE MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER DATE OF PURCHASE ORIGINAL COST SCHEDULE E AIRCRAFT MANUF. HM BOAT/MTR. FOR SCHEDULE D & E; ATTACH ADDITONAL LIST IF NECESSARY AIRCRAFT, BOATS, MOTORS, MANUFACTURED HOMES OWNED AS OF JANUARY 1 (list only those owned by the business) ORIGINAL ENGINE TYPE YR. MAKE/MODEL SIZE/H.P. LENGTH VIN NO. HRS LOCATION OF ITEM COST TYPE SCHEDULE F LEASED EQUIPMENT: PROPERTY IN YOUR POSSESSION BUT OWNED BY OTHERS LEASED EQUIPMENT ITEM AND MODEL NUMBER TRANSFERRED ITEM AND MODEL NUMBER LESSOR NAME & ADDRESS DATE OF LEASE COST SUBMIT ITEMIZED LIST, IF NECESSARY SCHEDULE G LIST ANY EXPENSED ITEMS CAPITALIZATION THRESHOLD REMARKS AFFIRMATION OF PROPERTY OWNER Under penalties prescribed by law, I as principal officer or officially empowered fulltime employee of taxpayer do hereby affirm that to the best of my knowledge and belief this listing, including any accompanying statements, schedules, and other information, is true and complete. MAY NOT BE SIGNED BY TAX REPRESENTATIVE PREPARED BY: PHONE NO.: DATE SIGNED: SIGNATURE: E-MAIL ADDRESS: TITLE: PARCEL ID: NAME:

FRANKLIN COUNTY TAX ASSESSOR POST OFFICE BOX 504 LOUISBURG, NC 27549 (919) 496-1397 TAX 2016 FRANKLIN COUNTY BUSINESS PERSONAL PROPERTY LISTING RETURN LISTING BY: JANUARY 31, 2016 EXTENSION TO MARCH 24, WILL BE APPROVED ONLY BY WRITTEN REQUEST RECEIVED TO 1/31/2016 SUPPLEMENTAL PAGE PARCEL ID ACCOUNT NUMBER JURISDICTION SEQUENCE # GROUP (5b) OTHER YR COST ADDITIONS DELETIONS CURR YR COST FARM EQUIPMENT YR COST ADDITIONS DELETIONS CURR YR COST 8616PBPL-2 11/20/15 2587, K LISTED VEHICLES Year Make/Model Length/Width Year Purchased Cost

FRANKLIN COUNTY TAX OFFICE 2016 INSTRUCTIONS FOR PREPARING YOUR BUSINESS LISTING (ALL LISTINGS WILL BE SUBJECT TO COMPLIANCE REVIEW) Commonly Asked Questions: Who must file a listing, and what do I list? Any individual(s) or business(s) owning or possessing personal property used or connected with a business or other income producing purpose on January 1. Temporary absence of personal property from the place at which it is normally taxable shall not affect this requirement. For example, a lawn tractor used for personal use, to mow the lawn at your home is not listed. However, a lawn tractor used as part of a landscaping business in this county must be listed if the lawn tractor is normally in this county, even if it happens to be in another state or county on January 1. NCGS 105-308 reads that... any person whose duty it is to list any property who willfully fails or refuses to list the same within the time prescribed by law shall be guilty of a Class 2 misdemeanor. The failure to list shall be prima facie evidence that the failure was willful. Pursuant to NCGS 14-3, a Class 2 misdemeanor is punishable by imprisonment up to six months (3) Other NC Counties where personal property is located: If your business has property normally located in other counties, list those counties here. (4) Contact person for audit: In case the county tax office needs information, or to verify information listed, list the person to be contacted here. (5) If out of business: If the business we have sent this form to has closed, please complete this section and attach any additional information regarding the sale of the property. (6) Please list your Federal ID number if your business is a Corporation or LLC (7) Make any necessary address changes. SCHEDULE A DEPRECIABLE PERSONAL PROPERTY Schedule A is divided into six groups. Each is addressed below. Some records may have the column Prior Year s Cost pre-printed. This column should contain the cost information from last year s listing. If it does not, please complete this column, referring to your last year s listing. 8616IBPL 11/20/15 PMS 2587, K When and where to list? Listings are due on or before January 31. They must be fi led with the Franklin County Tax Offi ce at: Franklin County Tax Department Post Offi ce Box 504 Louisburg, NC 27549 As required by state law, late listings will receive a penalty. An extension of time to list may be obtained by good cause to Franklin County Tax by January 31. The maximum extension granted is until March 24th. How do I list? Two important rules: (1) Read these instructions for each schedule or group. (2) If a Schedule or Group does not apply to you, indicate so on the listing form. DO NOT LEAVE A SECTION BLANK, DO NOT WRITE SAME AS LAST. A listing form may be rejected for these reasons and could result in late listing penalties. INFORMATION SECTION: Instructions: **Complete all sections at the top of the form, whether or not they are specifi cally addressed in these instructions. Make any changes/corrections to the information section as required. Attach additional sheets if necessary. (1) Physical address: Please note here the location of the property. The actual physical location may be different from the mailing address. Post Offi ce Boxes are not acceptable. (2) Principal Business Activity: What does the listed business do? For example: Tobacco Farmer, Manufacturer of electrical appliances, Laundromat, Restaurant. Additions made during the previous twelve months are to be reported in the middle column titled Additions as a line item for the current year just ended. Equipment transferred in from other locations should be reported at its historic cost, the year of original acquisition, not the year of transfer. Deletions are to be reported in the column titled Deletions and matched to the original year of acquisition of the asset removed, not the year of disposal. COST Note that the cost information you provide must include all costs associated with the acquisition as well as the costs associated with bringing that property into operation. These costs may include, but are not limited to invoice cost, trade-in allowances, freight, installation costs, sales tax, and construction period interest. The cost figures reported should be historical costs, that is the original cost of an item when first purchased, even if someone first purchased it other than the current owner. For example, you, the current owner, may have purchased equipment in for 100, but the individual you purchased the equipment from acquired the equipment in for 1000. Property should be reported at its market cost at the retail level of trade. For example, a manufacturer of computers can make a certain model for 1,000 total cost. It is typically available to any retail customer for 2,000. If the manufacturer uses the model for business purposes, he should report the computer at its market cost at the retail level of trade, which is 2,000, not the 1,000 it actually cost the manufacturer. Manufacturer/lessor businesses that lease the equipment that they manufacture must list their equipment at the retail level of trade rather than their manufacturing cost. CONTINUED ON NEXT PAGE

Group (1) MACHINERY & EQUIPMENT This is the group used for reporting the cost of all machinery and equipment. This includes all warehouse and packaging equipment, as well as farm equipment, manufacturing equipment, production lines, hi-tech or low-tech. List the total cost by year of acquisition, including fully depreciated assets that are still connected with the business. For example, a manufacturer of textiles purchased a knitting machine in October for 10,000. Sales tax was 200, shipping charges were 200, and installation costs were 200. The total cost that the manufacturer should report is 10,600, if there were no other costs incurred. The 10,600 should be added in group (1) to the current year s cost column. If you have no machinery & equipment, write none. Group (2) OFFICE FURNITURE & FIXTURES This group is for reporting the costs of all furniture and fi xtures & small offi ce machines used in the business operation. This includes, but is not limited to, fi le cabinets, desks, chairs, adding machines, curtains, blinds, decorative accessories, ceiling fans, window air conditioners, telephones, intercom systems, and burglar alarm systems. If you have no offi ce furniture or fi xtures, write none. Group (3) COMPUTER EQUIPMENT This group is for reporting the costs of non-production computers and peripherals. This includes, but is not limited to, personal computers, midrange or mainframes, as well as the monitors, printers, scanners, magnetic storage devices, cables, and other peripherals associated with those computers. This category also includes software that is capitalized and was purchased from an unrelated business entity. This does not include high-tech equipment such as computerized point of sale equipment or hightech medical equipment, or computer controlled equipment, or the high-tech computer components that control the equipment. This type of equipment would be included in Group (1). If you have no computer equipment, write none. Group (4) LEASEHOLD IMPROVEMENTS This group includes real estate improvements to leased property contracted for, installed, and paid for by the lessee which may remain with the real estate, thereby becoming an integral part of the leased fee real estate upon expiration or termination of the current lease, but which are the property of the current lessee who installed it. (Examples are lavatories installed by lessee in a barbershop, special lighting, or dropped ceilings.) If you have no leasehold improvements, write none. Group (5) OTHER This group will be used for all other types of equipment not included in the groups referenced above. For example, please reference professional libraries, bank vaults, signs and copiers in this section. Identify items listed. Group (6) CONSTRUCTION IN PROGRESS (CIP) CIP is business personal property that is under construction on January 1. The accountant will typically not capitalize the assets under construction until all of the costs associated with the asset are known. In the interim period, the accountant will typically maintain the costs of the assets in a CIP account. The total of this account represents investment in tangible personal property, and is to be listed with the other capital assets of the business during the listing period. List in detail. If you have no CIP, write none. SCHEDULE B WORKSPACE This schedule is to be used to identify, in detail, the acquisition and/ or disposal activity reported in Schedule A. Attach an additional list, if necessary. SCHEDULE C SUPPLIES All businesses have supplies. These include normal business operating supplies. Schedule C lists some of the various types of supplies but is not limited to these mentioned. Remember, the temporary absence of property on January 1 does not mean it should not be listed if that property is normally present. Supplies that are immediately consumed in the manufacturing process or that become a part of the property being sold, such as packaging materials, or raw materials, for a manufacturer, do not have to be listed. Even though inventory is exempt, supplies are not. Even if a business carries supplies in an inventory account, they remain taxable. SCHEDULE D VEHICULAR EQUIPMENT Long-term rental vehicles, xxx tag vehicles, trailers with a multi-year tag. Attach additional sheets if necessary. List only those titled in the business name. **This category is for these type motor vehicles only. DO NOT list motor vehicles with a current North Carolina Registration. If the vehicle is located in North Carolina, but has another state s tag, list them here. If vehicles are held for short-term rental purposes, fi le them in accordance with N.C. Statute G.S. 153A-156, tax on gross receipts. Any long-term leased vehicles should be listed here. Also, list any motor vehicles which are not registered at all, or semi-trailers or trailers registered on a multiyear basis with a multi-year tag. SCHEDULE E List only those AIRCRAFT, BOATS, MOTORS, and MANUFACTURED HOMES titled in the business name. List as appropriate. SCHEDULE F PROPERTY IN YOUR POSSESSION BUT OWNED BY OTHERS If on January 1, you have in your possession any business machines, machinery, furniture, vending equipment, game machines, postage meters or any other equipment which is loaned, leased or otherwise held and not owned by you, a complete description and ownership of the property should be reported in this section. This information is for offi ce use only. Assessments will be made to the owner/lessor. If you have none, write none in this section. If property is held by a lessee under a capital lease where there is a conditional sales contract, or if title to the property will transfer at the end of the lease due to a nominal purchase upon termination fee, then the lessee is responsible for listing under the appropriate group. SCHEDULE G EXPENSED ITEMS This group is for reporting any assets that would typically be capitalized, but due to the business capitalization threshold, they have been expensed. This also includes, but is not limited to, repairs made to equipment. MAILING Tax forms should be completed and returned to: Franklin County Tax Department Post Offi ce Box 504 Louisburg, NC 27549 APPEAL OF PERSONAL PROPERTY A taxpayer who owns personal property taxable in the county may appeal the value, situs, or taxability of the property within 30 days after the date of the initial notice of value. The tax bill serves as notice of value of the personal property. A TAX REPRESENTATIVE IS NOT AN AUTHORIZED SIGNATORY. **Listings submitted by mail shall be deemed to be fi led as of the date shown on the postmark affixed by the U.S. Postal Service. Any other indication of the date mailed (such as your own postage meter) is not considered and the listing shall be deemed fi led when received in the offi ce of the assessor. IMPORTANT REMINDERS: *SIGN THE LISTING FORM *LIST SUPPLIES *RETURN DUE BY JANUARY 31, 2016, EXTENSIONS MAY BE GRANTED TO MARCH 24, 2016, IF REQUESTED BY JANUARY 31, 2016. *DO NOT LIST PROPERTY AS SAME AS LAST *ANY OMISSIONS WILL RESULT IN A REJECTION AND LATE LIST PENALTY