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1 987 -- . ORANGE COUNTY <br /> IMPORTANT:THIS FORM IS NOT FOR LISTING O RBUOSINE BUSINESS PERSONAL PROPERTY OF JANUARY 1,1987 1 ,� <br /> A— SEX M AGE MARRIED SEC. DO NOT WRITE IN SHADED AREAS <br /> ►j r ❑SINGLE.DIVORCED SOC.SEC• <br /> 3 TOWNSHIP TC <br /> SEPARATED.OTHER NO. <br /> 8— NAME OF EMPLOYER OR HOW SELF EMPLOYED <br /> PREVIOUS YEAR■ <br /> TOWNSHIP LISTED <br /> TO AVOID 10%LATE CHARGE,THIS FORM MUST BE COMPLETED,SIGNED AND MAILED OR RETURNED ND LATER THAN JANUARY 31, 1987 <br /> TO:TAX SUPERVISOR—208 SOUTH CAMERON STREET— HILLSBOROUGH. NC 27278 <br /> ACCOUNT HOME <br /> NUMBER - PHONE WORK <br /> C` NAME <br /> PLEASE LASTy�."......--.-- FIRST MIDDLE PHONE <br /> CORRECT _ �� -- _. <br /> MAILING <br /> ' &DORESS - . <br /> INCORRECT ADDRESS - --- <br /> _ F D — DOGS <br /> _ --TOTAL NUMBER <br /> CITY STATE <br /> UN-NEUTERED <br /> ZIP CODE _ -` MALES&FEMALES <br /> —TOTAL NUMBER <br /> NEUTERED <br /> E� - --MALES&FEMALES <br /> '' PARCEL(DENT.N0�' IIIIMMEME _.... __ - <br /> REAL PROPERTY DESCRIPTION ACRES/LOT ASSESSED VALUE <br /> F— VEHICLES,CAMPER&TRAILERS(UTIL/BOAT TRAILER TOTAL PER.PROPERTY <br /> MM1AYNEEDTo ' MV TITLE NO. TAX OFFICE USE <br /> BE CORRECTED VEHICLE I.D.NO. - - <br /> TO <br /> SHOW r TOTAL BUSINESS <br /> 7TDR VEHICLES <br /> NNED BY YOU ON r <br /> JAN.1.1887. <br /> OA OUT EAROAS r HOMESTEAD EXEMP, <br /> OA App MOTOR - __ <br /> VEHICLES THAT r <br /> pACQUIRED. "" - <br /> rGNANp TbiAL_ <br /> r r <br /> TITLE IN THE NAME OF: <br /> G-- MOBILE HOMES,BOATS&MOTORS,AIRPLANES <br /> �VEHICLES H— IS THIS RENTAL PROPERTY WHERE YOU OWN ANY HOUSEHOL <br /> /EgUIP. YE R casT TAX OFFICE USE _ <br /> � PU�� FURNISHINGS,i.e.STOVE,REFRIGERATOR OR FURNITURE? YE5❑ NO <br /> r�� IF YES,GIVE VALUE OF PERSONAL PROPERTY AT THIS LOCATION. . <br /> - rr. T $ <br /> �� . _ _ — I—IF YOU DO NOT LIVE ON YOUR LAND,GIVE NAME AND ADDRESS OF LANDOWNER OR NAME <br /> OF MOBILE PARK OR APT.AS OF JANUARY 1,1987 FOR LOCATION OF PERSONAL PROPERTY. <br /> � r�� LANDOWNER'S <br /> NAME <br /> ��� LANDOWNERS <br /> �� ATYISTA <br /> r CITY/STATElZIP <br /> r r�� K—NOTES IF NEEDED <br /> J` FOR LANDOWNERS ONLY <br /> ARE THERE MOBILE HOMES LOCATED ON THIS <br /> LAND? YES ❑ NO 0 NUMBER <br /> IF"YES',LIST OWNERS'NAMES&ADDRESSES BELOW <br /> NAME&ADDRESS <br /> NAME&ADDRESS <br /> NAME&ADDRESS <br /> NAME&ADDRESS <br /> NAME&ADDRESS <br /> L—NEW CONSTRUCTION OR IMPROVEMENTS FROM JAN. 1, <br /> UNDER PENALTIES PRESCRIBED BY LAW,I HEREBY AFFIRM THAT TO 1986 THROUGH DEC. 31, 1986(DESCRIBE IMPROVEMENTS) <br /> THE REST OF MY KNOWLEDGEAND BELIEF THIS LISTING,INCLUDING <br /> ANY ACCOMPANYING STATEMENTS,INVENTORIES,SCHEDULES,AND <br /> OTHER INFORMATION IS TRUE AND COMPLETE. <br /> *SEE REVERSE SIDE <br /> SIGNATURE DATE / ESTIMATED CONSTRUCTION COST WHEN COMPLETED PERCENT <br /> 1987 S COMPLETE ON <br /> M <br /> _ 0. DAY JAN.1,1987 <br /> SHADED AREAS FOR TAX OFFICE USE <br />