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                            State of Oklahoma                                                                            Tax Year
OTC
                            Asset Listing (General)
904
Schedule 3      Taxpayers   _____________________________        County  complete this schedule                               2024       filing inmust
                listing like or similar items grouped by description, year of acquisition, original cost and class. This 
Revised 11-2023 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