2022 BUSINESS & PROFESSIONAL REPORTING 
                                            FOR TANGIBLE PERSONAL PROPERTY                                           TELEPHONE NUMBERS 
                                                                                                                      (434) 432-7940 
                 Robin Coles-Goard                                                                                    (434) 656-6211 
                 Commissioner of the Revenue    DUE DATE FEBRUARY 15TH                                               FAX (434) 432-7957 
                 Pittsylvania County 
                 PO Box 272 
                 Chatham, VA  24531                                                                                  TE MAY 1, 20042004 
                                      Failure to file by deadline will result in                                                      
                                                                                   Account Number                    : __________  
                                     penalty 10% or $10.00 whichever is greater. 
                                                                                   (SSN or Fed ID):  _____________ 
 
LEGAL BUSINESS NAME: (If different from above) _______________________________________________________________________(SSN or Fed ID) 
                                                                                  
LOCATION ADDRESS: (If different from mailing address) ___________________________________________________________ 
 
HEAVY CONSTRUCTION MACHINERY   
SEE NOTICE ON REVERSE SIDE REGARDING FARM TRACTORS.  (List all property with purchase date, description & cost.  If any of this 
property has been sold, show the date sold and disposal amount; then attach sheet giving the new owners name & address.) If you use any 
heavy construction equipment which is located in another city or county, please indicate which on an attached sheet. Note:  Farm Tractors 
used in other businesses are no longer required to be reported as business tangible property. 
  
   Date                                                                          DISPOSAL                 ASSESSED VALUE (OFFICE 
          MODEL & DESCRIPTION               ORIGINAL COST  DISPOSAL DATE 
 Acquired                                                                        AMOUNT                              USE ONLY) 
                                                                                                           
BUSINESS FURNITURE          OFFICE EQUIPMENT              TOOLS 
SEE NOTICE ON REVERSE SIDE REGARDING FARM TRACTORS  (Show total cost below of all furniture, office equipment and tools 
purchased in each year; then attach a detailed listing [such as a depreciation schedule] of all such property along with the date and cost of 
purchase.)  If any of this property has been disposed of, show the original cost of such equipment in the disposal column beside the purchase 
year; then attach sheet explaining the disposal and give the new owners name & address if it was sold.)  
 
   Purchase Year             Cost                   Percentage         DISPOSALS                           ASSESSED VALUE 
                     (before any disposals)                            (list in year of purchase)          (Office Use Only) 
    2021                                              27.5%                                                                                    
    2020                                              25.0%                                                                                    
    2019                                              23.5%                                                                                    
    2018                                              20.0%                                                                                    
    2017                                              17.5%                                                                                    
    2016                                              15.0%                                                                                    
    2015                                              13.5%                                                                                    
    2014                                              10.0%                                                                                    
    2013                                              7.5%                                                                                     
   2012 & Prior                                       5.0%                                                                                     
 
MERCHANTS CAPITAL (To be reported if the taxpayer is a merchant) 
Merchants should enter the cost figure of their “Inventory of Stock on Hand” for January 1st of this year. Generally, this should equal the ending 
inventory shown in the “Cost of Goods Sold” section of their prior year’s Federal income tax return. The Commissioner shall compute the 
assessment amount on the back of this form. 
 
INVENTORY OF STOCK ON HAND ________________ 
 
ALL OTHER BUSINESS PROPERTY (Leased Property and any other property not defined on this side – SEE REVERSE SIDE)  
 
   FAILURE TO FILE THIS RETURN WILL RESULT IN A STATUTORY ASSESSMENT & PENALTY 

ALL OTHER BUSINESS PROPERTY (Report below all other property not included on the front side)  
 
(If you are reporting as the lessor of property, attach a schedule identifying the lessee, type of property, original cost and date acquired.) 
 
(If you are reporting as the lessee of property, attach a schedule identifying the lessor, type of property, original cost and date acquired.) 
 
  DATE    DESCRIPTION OF             ORIGINAL COST  DISPOSAL DATE   DISPOSAL                     ASSESSED VALUE 
ACQUIRED  PROPERTY                                                  AMOUNT                       (OFFICE USE ONLY) 
                                                                                                                                                
 DECLARATION:                         
 I declare that the statements and   Signature____________________________________________ 
 figures submitted above are true,    
 full, and correct to the best of my Printed 
 knowledge and belief.               Name_______________________________________________ 
                                      
                                     Title 
                                     __________________________________Date______________ 
                                      
                                     Telephone number _________________________________ 
 
NOTICE REGARDING FARM TRACTORS: 
 
Pursuant to Pittsylvania County Code SEC. 6-3.1 LOCAL COUNTY TAX EXEMPTION, The Pittsylvania County 
Board of Supervisors discontinued this taxation effective January 1, 2020.  If you have reported tractors in 
the past and can establish the cost of the tractor as a reported asset, you may show it as a disposal item in 
the disposal column beside the year it was previously reported. 
 
ASSESSMENT COMPUTATION OF MERCHANT’S CAPITAL - FOR OFFICE USE ONLY: 
 
  INVENTORY OF STOCK ON HAND FROM    $                          Percentage                       ASSESSED VALUE 
          FRONT PAGE                                                                             (Office Use Only) 
         $1 - $1,000,000             $                            30%                          $ 
       $1,000,001 - $5,000,000       $                            10%                          $ 
       $5,000,001 - Unlimited        $                            5%                           $ 
                                                                     TOTAL                     $ 
 
   FAILURE TO FILE THIS RETURN WILL RESULT IN A STATUTORY ASSESSMENT & PENALTY