Commissioner of the Revenue                                        TAX YEAR 2024
                                                                        RETURN OF TANGIBLE PERSONAL PROPERTY, BUSINESS 
     PO Box 1077                                                        PROPERTY, MACHINERY AND TOOLS
     Collinsville, VA 24078-1077
     (276) 634-4690                                                     Customer Number             Town, District, Ward 

                                                                        WERE YOU A RESIDENT OF HENRY COUNTY ON   
                                                                        JANUARY 1  OF THIS YEAR?           YES           NO ST

                                                                        SOCIAL SECURITY NUMBER OF 
                                                                        FIN (LAST 4 DIGITS)         XXX-XX- 
                                                                        CO-OWNER S SOCIAL SECURITY ’
                                                                        NUMBER (LAST 4 DIGITS)      XXX-XX- 

Report on this return Personal Property owned by the taxpayer on January 1st of this year. To avoid 
improper assessment, indicate the date of sale of items sold during the previous year. List Personal 
Property purchased during last year, this includes: Mobile homes, auto, trucks, vans, motorcycles, campers, 
motor homes, boats, trailers, and aircraft. Failure to furnish complete information may require assessment 
to be made from best available source.

                                                                                                    QUALIFY 
PURCHASE                  SOLD MODEL                                    VEHICLE IDENTIFICATION      FOR 
                                              MAKE MODEL 
DATE                      DATE YEAR                                     NUMBER                      PPTRA 
                                                                                                    YES/NO 

Schedule of Business Personal Property listed below must be attached and include purchase date and 
original capitalized cost.
                                                                                            ONLY MACHINERY AND 
COMPUTER                       BUSINESS FURNITURE, FARMING MACHINERY,   HEAVY CONSTRUCTION     TOOLS USED IN 
EQUIPMENT                 FIXTURES, SIGNS, OFFICE  EQUIPMENT, TOOLS,    EQUIPMENT           MANUFACTURING AND 
                               MACHINES, ETC.      LIVESTOCK, ETC.                             MINING BUSINESS 

DECLARATION: I certify that the statement and figures herein given are true, full, and correct to the 
best of my knowledge and belief. 
Owner _________________________________________________________________ Date_____________________________________
Co-Owner ______________________________________________________________ Phone Number ___________________________

NOTE: It is a misdemeanor for any person to willfully subscribe a return which he does not believe to be true and correct as to every material matter & Code of VA Sec. 
58-27. All Autos, travel homes, motorcycles, and trailers will be checked against DMV list. All boats and motors will be checked against list furnished by commission of 
Game and Inland Fisheries.