GREENE COUNTY ASSESSOR BRENT JOHNSON 940 N Boonville Ave Rm 37 2023 BUSINESS ASSESSMENT LIST Assessor, Greene County, MO Springfield, MO 65802-3802Dear Business Owner / Manager: You are required by law to provide a list, indicating type, 940 North Boonville Ave., Rm. 37 year purchased and original cost, for all tangible personal property, e.g. Vehicles, Computers & Office Equipment, Furniture, Fixtures, Manufacturing Equip. & Tooling, etc., belonging to you or under the Springfield, MO 65802-3802 control of your company in Greene County, Missouri, on Jan. 1st. Complete this form, sign and return it Phone: 417-868-4892 BusinessProperty@greenecountymo.gov before March 1st to avoid penalty. Fax: 417-829-6193 greenecountymo.gov/assessor Follow instructions below and on back. AVOID PENALTY Return by March 1st Name: Address: BRENT JOHNSON GREENE COUNTY ASSESSOR 940 NORTH BOONVILLE AVE RM 37 SPRINGFIELD MO 65802-3802 City, State, Zip: E-File - Scan QR code or Go to: If you report under any other name, write that name above. DBA:__________________________________________________ If business was closed or sold, give date _____________________. Using a PO Box? If so, please list physical location below. HAS YOUR ADDRESS CHANGED? 9 NO 9 YES New Address ___________________________________________________________________ * Date Moved ________________ Street City State Zip *REQUIRED – LIST LOCATION OF BUSINESS ADDRESS IF DIFFERENT FROM MAILING ADDRESS IMPORTANT: Last year you reported the property shown below. HOW TO REMOVE AN ITEM: 1. Please draw a line through items youdid NOT own on Jan. 1st, 2023 . ➞ 2. List ANY items NOT SHOWN in this box in the areas below or attach additional sheets. EXAMPLE ➞ Please add VIN if missing from items shown in this box. Add VIN to any newly purchased items you list below or on back. This 17-digit number can be found on your insurance card. Please place an in one of these boxes after completing front and back of form. Sign before returning. X CHANGES HAVE BEEN MADE X NO CHANGES MADE Items were added, deleted, or address was changed No new items owned on Jan. 1st Sign & Return this ORIGINAL form along with asset listings to the Assessor’s Office. To save time, you may submit a copy of your amortization schedule along with your signed form. Attention! Under each category below enter the total cost (rounded to the nearest dollar) of all assets of like kind that were acquired in the year indicated at left. The amount you enter in each box should be the combined total original cost for all property of the same kind acquired that year. Refer to the CLASS LIFE SCHEDULE below for examples of how to classify assets based on their expected life. If you need another account set up, or help filing, please call (417) 868-4892. If additional space is needed, please list on a separate sheet. 3 Year Recovery Period (See below for Class Life Schedule) 7 Year Recovery Period (See below for Class Life Schedule) Purchase Year 100% of Acquisition Cost % Good Purchase Year 100% of Acquisition Cost % Good 2022 75.00% x 33.33% 2022 89.29% x 33.33% 2021 37.50% x 33.33% 2021 70.16% x 33.33% 2020 12.50% x 33.33% 2020 55.13% x 33.33% 2019 & prior 5.00% x 33.33% 2019 42.88% x 33.33% 2018 30.63% x 33.33% 5 Year Recovery Period (See below for Class Life Schedule) 2017 18.38% x 33.33% Purchase Year 100% of Acquisition Cost % Good 2016 & prior 10.00% x 33.33% 2022 85.00% x 33.33% 2021 59.50% x 33.33% 2020 41.65% x 33.33% 2019 24.99% x 33.33% 2017 & prior 10.00% x 33.33% Class Life Schedule: Purchases apply to the following IRS Cost Recovery Tables as specified in RSMO 137.122. Refer to the following class life schedule. Depreciable Assets - illustrative sample not intended to be a complete list. IF YOU ARE UNSURE WHAT RECOVERY PERIOD APPLIES TO YOUR PROPERTY, PLEASE CONSULT YOUR TAX PROFESSIONAL OR THE IRS/MACRS TABLES FOUND AT http://www.irs.gov. CLASS: Special tools and devices used in manufacturing of rubber, plastic, glass, motor vehicles, foundry, and primary steel or fabricated metal products such as dies, jigs, molds, patterns, 3 Years fixtures, or gauges. 5 Years Information systems, computers, adding machines, calculators, copiers, telephone central office switching equip., computer-based construction equipment, timber-cutting equipment, manufacture equipment used in production of knitted goods, carpets, textile yarn, apparel, chemicals, electronics, nonferrous metals, and boats. 7 Years Office furniture, fixtures, files, communication equipment, printing or publishing equip., transmitters, receivers, antenna structures, cooling systems, control equipment, satellite equipment, equipment used in the production of beverages, furniture, pulp & paper, rubber, plastic, primary steel, metal, mechanical, aerospace products, jewelry and other goods. 10 Years Telephone central office equipment switching & related equipment, manufacturing equipment used in the production of grain, feeds, flours, cereals, sugar, vegetable oil and etc. 15 Years Manufacturing equipment used in the production of concrete, bulldozers, unloaders, bobcats, ditchwitch, cell towers, etc. CONTINUED ON BACK GREEI2-102 (Rev 11/22} 039B |
Any new improvements to Real Estate in the past year? (Check appropriate box) 9 New Building 9 Remodeling 9 Additions Other9 (DO NOT LIST YEAR MAKE(Chev, Ford) MODEL(Impala, Focus) SERIES(SL, SE) # DOORS# DRV WHEELS(Circle) TONS CAB TYPE(Circle) VIN (Vehicle ID Number) LEASED VEHICLES) 2WD 4WD AWD REG EXT CREW AUTOS, VANS SUVs, JEEPS 2WD 4WD AWD REG EXT CREW PICKUPS HISTORIC VEHICLES 2WD 4WD AWD REG EXT CREW Submit a copy of the Missouri mileage form for reciprocity to be applied. YEAR MAKE MODEL / TYPE GVW MO MILES TOTAL MILES VIN (Vehicle ID Number) SEMI TRACTORS YEAR MAKE / MODEL TYPE (Reefer, Flat, Van, Tanker, Etc.) AXLES LENGTH MO MILES TOTAL MILES VIN (Vehicle ID Number) SEMI TRAILER COMMERCIAL YEAR MAKE (Chevy, Ford) MODEL / TYPE BED TYPE AXLES GVW ADDITIONAL EQUIP. COST VIN (Vehicle ID Number) (excluding Cab & Chassis) TRUCKS (List Semi-Tractors Above) MOTOR HOMES, YEAR MAKE MODEL & SERIES TYPE (Circle One) LENGTH VIN (Vehicle ID Number) CAMPERS & RVs 5TH WHEEL UPRIGHT FOLD DOWN (Including PERMANENT TAGS 5TH WHEEL UPRIGHT FOLD DOWN TRAILERS YEAR MAKE TYPE (Stock, Flat, Boat, Horse, HITCH (Circle One) AXLES WGT/TON LENGTH VIN (Vehicle ID Number) Cargo, Enclosed, Utility) (including GOOSENECK BUMPER BOAT TRAILERS & PERMANENT TAGS) GOOSENECK BUMPER YEAR MAKE / CHASSIS MODEL / SERIES LENGTH # PASSENGERS VIN (Vehicle ID Number) BUSES MOTORCYCLES, YEAR MAKE MODEL # OF WHEELS TYPE (Circle One) CC VIN (Vehicle ID Number) ATVs & UTVs MC ATV UTV (Mules, Gators, Rangers) MC ATV UTV YEAR MAKE MODEL TYPE (Riverboat, Bass, Jon) MATERIAL (Circle) LENGTH VIN / SERIAL NUMBER BOATS & Fiber Alum. Wood BARGES Fiber Alum. Wood AIRPLANES YEAR MAKE MODEL & SERIES MAX. CERTIFIED GROSS (Circle One) HOURS FLOWN PURCHASE PRICE VIN / SERIAL NUMBER TAKEOFF WEIGHT LAST YEAR (Including Historic COMMERCIAL and Kit) NON-COMMERCIAL $ GRAIN/HAY Bushels on Hand, For Resale Stored or Sealed: Corn __________ Soy Beans __________ Wheat __________ Milo __________ Oats __________ Other: _____________________________ Calves (300-600 lbs.) No. Sows/Boars (400 lbs.) No. Slaughter Lambs (120 lbs.)No. Horses/Colts No. LIVESTOCK Yearlings (600 lbs. & over) No. Barrows/Gilts (250 lbs.) No. Replacement Ewes (150 lbs.)No. Chicken/Poultry No. Cows/Bulls No. Pigs (90 lbs.) No. Feeder Lambs (80 lbs.) No. PORTABLE YEAR WIDTH x LENGTH PURCHASE PRICE LANDOWNER HOW LONG AT THIS LOCATION? STORAGE $ BLDGS/SHED YEAR MAKE WIDTH x LENGTH LOCATION: MOBILE HOMES Do you own If not, please real estate that list land owner: home sits on? YES NO * List Construction Machinery / Heavy Equipment / Farm Machinery purchased during the last year. MACHINERY DESCRIPTION YEAR MAKE MODEL 4X4 HP ENGINE (circle) YR. PURCHASED PURCHASE PRICE * & YES NO Gas Diesel $ OTHER YES NO Gas Diesel $ EQUIPMENT YES NO Gas Diesel $ YR. ACQUIRED ACQUISITION COST ASSESSOR USE LEASED BUSINESS PERSONAL PROPERTY SUMMARY LEASED 2022 Please list below any leased or rented equipment in your possession. The terms of your lease EQUIPMENT 2021 or rental contract may determine tax liability. This section is designed to ensure that the property 2020 is assessed to the proper owner. You may wish to attach a separate list or a copy of your lease. 2019 Item: 2018 Date of Lease: 2017 Lessor’s Name, PRIOR YEARS Addr. & Phone #: Enterprise Zone: If your facility is located in an Enterprise Zone, please provide a list showing acquisition date by year and cost for tools and equipment used for pollution control, and for tools and equipment used in retooling to introduce new product line or to make improvements to an existing product line. List your Standard Industrial Classification (SIC) code: ___________________________________________ APARTMENTS Apartment/Motel Owners Only: Address of Apartment/Motel: ________________________________________________________________________________ MOTELS Please List Total Number of Furnished Rooms: ______________________ __________ SHORT TERM Address of Short Term Rental: __________________________________________________________________________________________________________ RENTALS # of Bedrooms:______________________ # of Bathrooms: ______________________ Reciprocity: Companies involved in interstate trucking must submit list of road equipment and a copy of the Missouri Mileage Registration Form If they want reciprocity to be applied. Please specify length on trailers for proper assessment. Unsigned or incomplete forms: An unsigned or incomplete assessment list cannot be accepted and will be returned for completion. Extensions: With a written request received by March 1st, you may receive an extension until May 1st. AGENT OR PREPARER’S NAME (Please Print) ADDRESS (NOT a P.O. Box) CITY, STATE, ZIP TELEPHONE EMAIL ADDRESS (Please I, ___________________________________________________________________, Print) 9 President 9 Treasurer 9 Owner 9 Manager 9 Other ___________________________ of __________________________________________________________________, do hereby certify that the foregoing list contains a true and correct statement of all the tangible personal property made taxable by the laws of the state of Missouri, which I owned or which I had under my charge or management on the first day of January, 2023. I further certify that I have not sent or taken or caused to be sent or taken any property out of this state to avoid taxation. Any person who refuses to make the certification to the list, when required so to do by the assessor or the assessor’s deputy, shall upon conviction be deemed guilty of a misdemeanor and no property shall be exempt from executions issued on judgments in prosecutions pursuant to this section. SIGN HERE DATE: Federal Tax ID: GREE2 - 102 (Rev 11/22) 039B |