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GREENE COUNTY ASSESSOR
BRENT JOHNSON 940 N Boonville Ave Rm 37 2023 ASSESSMENT LIST
Assessor, Greene County, MOSpringfield, MO 65802-3802Dear Greene County Resident: This form is used by the county assessor to
940 North Boonville Ave., Rm. 37 determine the taxable value of your personal property, e.g. vehicles, recreational
Springfield, MO 65802-3802 equipment, livestock, farm machinery, etc. You are required by law to list all
personal property belonging to you or under your control in Greene County,
Phone: 417-868-4191 • Fax: 417-829-6193 Missouri, on Jan. 1st. Complete form, sign and return by March 1st to avoid penalty.
PersonalProperty@greenecountymo.gov Read instructions below and on back.
AVOID PENALTY Return by March 1st
Name:
BRENT JOHNSON
Address: GREENE COUNTY ASSESSOR
940 NORTH BOONVILLE AVE RM 37
SPRINGFIELD MO 65802-3802
City, State, Zip:
E-File - Scan QR code or Go to:
Email: _____________________________________________________________
Military personnel: Fill out this form only if your home of record is
Greene County, MO.
HAS YOUR ADDRESS CHANGED? NO YES (If Yes, indicate below)
Date Moved ____________________ New Address _______________________________________________________________________________________________________________________________
Street City State Zip
NOTE:
List physical *The Assessor’saddress if DIFFERENTOffice will notfromacceptmailingany assessmentsaddress *_______________________________________________________________________________________that have a P.O. box without a physical address also listed on the form.
IMPORTANT: Last year you reported the property shown below. HOW TO REMOVE AN ITEM:
1. Please draw a line through any items you did NOT own on Jan. 1st
➞ ➞
2. List ANY items NOT SHOWN in this box in the areas below or on back. EXAMPLE
Please add the VIN for any items in this box that do not
list one. Please also add the VIN to any newly purchased
items that you list below. 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
I have read and understand the instructions above and on back. I 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. 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 SIGNATURE DATE AREA CODE DAYTIME PHONE NO.
Do not re-list any items that appear correctly in yellow box above.
ASSESSMENT LIST MUST BE COMPLETED AND SIGNED OR IT WILL BE RETURNED TO TAXPAYER
If your vehicle has a salvage title, please indicate below and attach a copy of the title.
VIN (Vehicle ID Number - Required) **** Please Print Carefully **** YEAR MAKE MODEL SERIES DRIVE SALVAGE CAB DIESEL
(Chevy, Ford) (Impala, F150) (SE, LE) Wheels TYPE
AUTOS 2WD REG
VANS 4WD Y N EXT Y N
AWD CREW
MINIVANS
2WD REG
SUVS 4WD Y N EXT Y N
JEEPS AWD CREW
2WD REG
PICKUP 4WD Y N EXT Y N
TRUCKS AWD CREW
Do Not 2WD REG
List Leased 4WD Y N EXT Y N
Vehicles AWD CREW
VIN (Vehicle ID Number - Required) **** Please Print Carefully **** YEAR MAKE MODEL/ APPORTIONED PLATE? BED AXLES GVW
(Peterbilt, White) TYPE Yes No AUTHORITY: TYPE
HEAVY
TRUCKS
SEMIS
CAB &
CHASSIS
(wBODY)
Vehicles involved in interstate trucking: Attach Missouri Highway Reciprocity mileage;
otherwise, vehicle will be assessed at 1/3 of trade-in value.
CONTINUED ON BACK GREE2 - 114 (Rev 11/22) 039
