Enlarge image | BUSINESS TANGIBLE PERSONAL PROPERTY FORM 103 – P5 / ERA JANUARY 1, 2024 For Assessor's Use Only DEPRECIABLE ASSETS IN POOL 5 PRIVACY NOTICE State Form 52498 (R19 / 1-24) This form contains confidential information pursuant to IC 6-1.1-35-9. Prescribed by the Department of Local Government Finance INSTRUCTIONS: 1. In order to receive a deduction, this schedule must be submitted with Form 103 Long.– 2. A separate schedule must be completed for each approved Form SB-1/PP for that abatement. 3. Attach a copy of the applicable Form CF-1 to this schedule. 4. For any acquisitions since the last assessment date, attach a list of the new equipment that is included on Form 103 EL.– SECTION 1 TAXPAYER INFORMATION Name of Taxpayer Federal Identification Number Full Address (number and street, city, state, and ZIP code) Email Address County Township DLGF Taxing District Number Contact Person Title Telephone Number ( ) SECTION 2 ECONOMIC REVITALIZATION AREA INFORMATION Name of Body Designating the Economic Revitalization Area Resolution Number Length of Abatement (Years) Date Designation Approved (month, day, year) Date Designation Terminates (month, day, year) Does Resolution Limit Dollar Amount of Deduction? ☐ Yes – Assessed Value ☐ Yes – and limit is based on equipment☐ Yes – Cost☐ No SECTION 3 SCHEDULE OF POOLED EQUIPMENT UNDER ABATEMENT The total cost of depreciable assets is to be reported on Form 103 – Long. This schedule includes only the new manufacturing, research and development, logistical distribution, and/or information technology equipment that is deductible per the resolution and IC 6-1.1-12.1. Abatement POOL NUMBER 5 TTV % True Tax Value Deduction Claimed Deduction Approved (Pursuant to IC 6-1.1-3-23 or 23.5) [per Form 103 – P5] Year Percent 01 1-2-23 to 1-1-24 40% $ 1 $ $ 02 1-2-22 to 1-1-23 56% $ 2 $ $ 03 1-2-21 to 1-1-22 42% $ 3 $ $ 04 1-2-20 to 1-1-21 32% $ 4 $ $ 05 1-2-19 to 1-1-20 24% $ 5 $ $ 06 1-2-18 to 1-1-19 18% $ 6 $ $ 07 1-2-17 to 1-1-18 15% $ 7 $ $ 08 1-2-16 to 1-1-17 10% $ 8 $ $ 09 3-2-15 to 1-1-16 10% $ 9 $ $ 10 3-2-14 to 3-1-15 10% $ 10 $ $ TOTAL POOL NUMBER 5 $ -- -- $ $ SECTION 4 SPECIAL TOOLING UNDER ABATEMENT Round all figures to the nearest $1. Report only cost True Tax Value Abatement of abated special tools, dies, jigs, etc. (50 IAC 4.2-6-2) [per Form 103 – P5] Deduction Claimed Deduction Approved Year Percent 1-2-23 to 1-1-24 30% $ 1 $ $ 1-2-22 to 1-1-23 3% $ 2 $ $ 1-2-21 to 1-1-22 3% $ 3 $ $ 1-2-20 to 1-1-21 3% $ 4 $ $ True Tax 1-2-19 to 1-1-20 3% $ 5 $ $ Value of Acquisitions 1-2-18 to 1-1-19 3% $ 6 $ $ 1-2-17 to 1-1-18 3% $ 7 $ $ 1-2-16 to 1-1-17 3% $ 8 $ $ 3-2-15 to 1-2-16 3% $ 9 $ $ 3-2-14 to 3-1-15 3% $ 10 $ $ TOTAL SPECIAL TOOLS $ -- -- $ $ TOTAL POOL 5 AND SPECIAL TOOLING $ $ LIMIT ON AMOUNT OF ABATEMENT STATED IN RESOLUTION Cost $ OR AV $ AMOUNT OF DEDUCTION CLAIMED (Lesser of Limit on Abatement and Total of Pools) $ $ ☐ Check if taxpayer has also filed Form 103 – Long and Form 103 – ERA with personal property in Pools 1, 2, 3, or 4. |