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eported. Be sure to include all new acquisitions as well as all expensed and fully depreciated assets on this return.
Failure to include all assets physically present on January 1st may result in penalties. Failure to file a return will result in an estimated value and a Tax Bill (Reference: FS 193.073(2)) Any asset that has not been
physically removed from the premises should not be deleted from the list. Social security numbers obtained for tax administration purposes are confidential under sections119.071 and 192.0105, Florida
Statutes, and not subject to disclosure as public records.
PROPERTY PROPERTY
OWNER'S OWNER'S
ESTIMATE ESTIMATE OF
# OF UNITS
NO CHANGE
OF FAIR CONDITION
REMOVED
CHANGED
ORIGINAL YEAR MARKET (G)GOOD
ASSET INSTALLED PURCHASED- VALUE PER EXPLANATION OF THE CHANGE, SALE, OR (A)AVERAGE
SOLD
ID DESCRIPTION OF ITEM COST PER UNIT INSTALLED UNIT REMOVAL (P)POOR