Tax Year 2024
                                        State of Oklahoma 
OTC
                                       Asset Listing (Grouped)
904-A           Taxpayers filing in   _____________________________ County must complete this schedule 
Schedule 3-A    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 OTC Form 901 rendition.                                           Page 1 of 2

Name of Business:  ________________________________________________   Email Address: ______________________________
Address:  _____________________________________________________________________________________________________
Personal Property Account Number:   __________________________________   Phone Number: ______________________________
                REPORT ONLY TANGIBLE ASSETS                                          Assessors Use Only
Item            Description             Year Acquired               Original    Life %
                                                                                              Factor                     RCNLD
Number          Leasehold Improvements      New Used                Cost       Years Good

                                                TOTAL                                         TOTAL
Item                                    Year Acquired               Original    Life %
                Furniture and Fixtures                                                        Factor                     RCNLD
Number                                      New Used                Cost       Years Good

                                                TOTAL                                         TOTAL
Item                                    Year Acquired               Original    Life %
                Electronic Equipment                                                          Factor                     RCNLD
Number                                      New Used                Cost       Years Good

                                                TOTAL                                         TOTAL
Item                                    Year Acquired               Original    Life %
                Computer Equipment                                                            Factor                     RCNLD
Number                                      New Used                Cost       Years Good

                                                TOTAL                                         TOTAL
Item                                    Year Acquired               Original    Life %
                Machinery and Equipment                                                       Factor                     RCNLD
Number                                      New Used                Cost       Years Good

                                                TOTAL                                         TOTAL

Form 904-A
Schedule 3-A Page 2 of 2
                        REPORT ONLY TANGIBLE ASSETS                    Assessors Use Only
Item         Description                        Year Acquired Original Life %
                                                                                 Factor  RCNLD
Number    Fork Lifts and Construction Equipment     New Used  Cost     Years Good

                                                        TOTAL                    TOTAL
Item                                            Year Acquired Original Life %
                                                                                 Factor  RCNLD
Number       Tooling, Dies and Molds                          Cost     Years Good
                                                    New Used

                                                        TOTAL                    TOTAL
Item                                            Year Acquired Original Life %
                                                                                 Factor  RCNLD
Number       Trade Tools and Equipment                        Cost     Years Good
                                                    New Used

                                                        TOTAL                    TOTAL
Item                                            Year Acquired Original Life %
                                                                                 Factor  RCNLD
Number       Leased From Others                               Cost     Years Good
                                                    New Used

                                                        TOTAL                    TOTAL
Item                                            Year Acquired Original Life %
                                                                                 Factor  RCNLD
Number       Leased To Others                                 Cost     Years Good
                                                    New Used

                                                        TOTAL                    TOTAL