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       EQUIPMENT LIST FOR NEW ADDITIONS TO ERA DEDUCTION                                                       JANUARY 1, _______ 
       PERSONAL PROPERTY IN ECONOMIC REVITALIZATION AREA 
       State Form 52515 (R5 / 1-2 ) 3                                                                                    FORM 103-EL 
       Prescribed by the Department of Local Government Finance 
                                                                                                                  PRIVACY NOTICE 
                                                                                                                         This form contains 
                                                                                                               confidential information 
                                                                                                               pursuant to IC 6-1.1-35-9. 
INSTRUCTIONS: 
1. This schedule must be filed when any new manufacturing, research and development, logistical distribution and/or information technology equipment is
claimed on the schedule of deduction from assessed valuation (Form 103-ERA) that has been installed after the prior year assessment date.
2. A separate list must be completed for EACH APPROVED abatement (Form SB-1 / PP). The equipment list must be attached to the corresponding Form
103-ERA and made part of the Business Personal Property Return (Form 103-Long) filed with the assessor not later than May 15, unless an extension of
up to thirty (30) days is granted in writing.
3. A taxpayer’s internal list may be attached to this form. Any data omitted from that taxpayer format must be added here, using the Reference Number
Column to cross reference to the taxpayer formatted list.
4. The purpose column is to describe the item in sufficient detail to assist the assessing official to determine that the item is eligible for abatement as
equipment (as defined in IC 6-1.1-12.1-1). An entry may be left blank if the item is self-describing.

SECTION 1                                                         TAXPAYER INFORMATION 
Name of Taxpayer                                                  Name of Contact Person 

Address of Taxpayer (number and street, city, state and ZIP code)                                         Telephone Number 
                                                                                                          (    ) 
County                           Township                         DLGF Taxing District Number        Email Address

SECTION 2                                    ECONOMIC REVITALIZATION AREA INFORMATION 
Name of Body Designating the Economic Revitalization Area         Resolution Number                  Length of Abatement (years) 

SECTION 3                                                         ABATED EQUIPMENT LIST 
REFERENCE3          INSTALLATION             ITEM                 PURPOSE 4             COST PER     POOL LINE   ASSESOR USE ONLY 
NUMBER              DATE                                                                50 IAC 4.2   NUMBER 

☐     Check if additional Forms 103-EL are attached for this abatement (Form 103-ERA). This is Equipment List _____ of _____.

☐     Check if taxpayer’s internal list is attached.