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                                   State of Oklahoma                                                                     Tax Year
OTC
                                   Asset Listing (General)
904
Schedule 3      Taxpayers filing in   _____________________________ County must complete this schedule                        2025
                listing like or similar items grouped by description, year of acquisition, original cost and class. This 
Revised 11-2024 schedule is to be filed with completed rendition.

Name of Business:  ____________________________________________________________________________________

Address:  ____________________________________________________________________________________________

Phone Number:   ________________________   Email Address:  _______________________________________________

Personal Property Account Number: _______________________________________________________________________

                REPORT ONLY TANGIBLE ASSETS                                                   Assessor Use Only
                                                         Year Acquired
Item            Description                                               Original Life       % Factor                        RCNLD
Number     (Furniture, Fixtures, Signs, Machinery, Etc.)                   Cost    Years Good
                                                         New     Used

                                                                 Total                                                   Total

Form 904                                                                                            Page 2 of 2
Schedule 3

          REPORT ONLY TANGIBLE ASSETS                                              Assessor Use Only
                                                        Year Acquired
Item      Description                                                Original Life %    Factor RCNLD
Number    (Furniture, Fixtures, Signs, Machinery, Etc.)              Cost     Years Good
                                                        New Used

                                                            Total                       Total