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           EQUIPMENT LIST FOR NEW ADDITIONS TO                                                                JANUARY 1, 20 _____
           CTP DEDUCTION PERSONAL PROPERTY IN 
           CERTIFIED TECHNOLOGY PARK                                                                          FORM  103-CTP/EL
           State Form 54484 (R2 / 11-16)                                                                      PRIVACY NOTICE
           Prescribed by the Department of Local Government Finance                                           This form contains information 
                                                                                                              confidential pursuant to IC 6-1.1-35-9.
INSTRUCTIONS:  
1.  This schedule must be filed when any new qualified personal property is claimed on the schedule of deduction from assessed valuation (Form 103-CTP) 
 since the prior assessment date.
2.  Qualified personal property does not include personal property that is used primarily for routine administrative purposes such as office communications, 
 accounting, record keeping, and human resources.
3.  A taxpayer’s internal listing 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 the deduction as 
 qualified personal property as defined in IC 6-1.1-12.7-3 and IC 36-7-32-7.  An entry may be left blank if the item name 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

 SECTION  2                                            CERTIFIED TECHNOLOGY PARK INFORMATION
Name of body designating the Certified Technology Park              Ordinance number                          Ordinance adoption date (month, day, year)

 SECTION   3                             EQUIPMENT LIST OF QUALIFIED PERSONAL PROPERTY
 REFERENCE INSTALLATION DATE                                        4                     COST PER            POOL LINE 
  NUMBER 3          (month, day, year)                 ITEM         PURPOSE               50 IAC 4.2          NUMBER    ASSESSOR USE ONLY

 Check if additional Forms 103-CTP/EL are attached for this deduction.  This is Equipment List _____ of _____.
 Check if taxpayer’s internal list is attached.