Tax Year 2025
                              State of Oklahoma 
OTC
                        Asset Listing (Grouped)
904-ATaxpayers   _____________________________                County            complete this schedule               filingmustin
Schedulelisting like or similar items grouped by description, year of acquisition, original cost and class. This     3-A 
Revised 11-2024 schedule is to be filed with completed OTC Form 901 rendition.                           Page 1 of 2

Name of Business:  ________________________________________________   Email Address: ______________________________
Address:  _____________________________________________________________________________________________________
Personal Property Account Number:   __________________________________   Phone Number: ______________________________
                REPORTAssessors Use Only                                                                             ONLY TANGIBLE ASSETS 
ItemDescriptionYearOriginalLife%                                                                                     Acquired 
                                                                                              FactorRCNLD
NumberLeaseholdNew                       Used                 CostYearsImprovementsGood

                                         TOTALTOTAL
ItemYearOriginalLife%                                                                                                Acquired 
                FurnitureFactorRCNLD                                                                                 and Fixtures 
NumberNew                                Used                 CostYears Good

                                         TOTALTOTAL
ItemYearOriginalLife%                                                                                                Acquired 
                ElectronicFactorRCNLD                                                                                Equipment 
NumberNew                                Used                 CostYears Good

                                         TOTALTOTAL
ItemYearOriginalLife%                                                                                                Acquired 
                ComputerFactorRCNLD                                                                                  Equipment 
NumberNew                                Used                 CostYears Good

                                         TOTALTOTAL
ItemYearOriginalLife%                                                                                                Acquired 
                MachineryFactorRCNLD                                                                                 and Equipment 
NumberNew                                Used                 CostYears Good

                                         TOTALTOTAL

Form 904-A
SchedulePage 2 of 2                3-A 
           REPORTAssessors Use OnlyONLY TANGIBLE ASSETS 
ItemDescriptionYearOriginalLife%   Acquired 
                    FactorRCNLD
NumberForkNew  Used CostYearsLiftsGood  and Construction Equipment 

               TOTALTOTAL
ItemYearOriginalLife%              Acquired 
                    FactorRCNLD
NumberTooling,CostYearsDiesGood         and Molds 
           New Used

               TOTALTOTAL
ItemYearOriginalLife%              Acquired 
                    FactorRCNLD
NumberTradeCostYearsToolsGood           and Equipment 
           New Used

               TOTALTOTAL
ItemYearOriginalLife%              Acquired 
                    FactorRCNLD
NumberLeasedCostYearsFromGood           Others 
           New Used

               TOTALTOTAL
ItemYearOriginalLife%              Acquired 
                    FactorRCNLD
NumberLeasedCostYearsToGood             Others 
           New Used

               TOTALTOTAL