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4 1 S' <br /> ; . . r- • : <br /> 4 ,' <br /> i:_„, , <br /> 1 980 i . <br /> STATE OF NORTH CAROLINA 1 98 0 <br /> ORANGE COUNTY <br /> BUSINESS PERSONAL PROPERTY LISTING <br /> COMPLETE ALL SECTIONS OR INDICATE NEGATIVE OR THIS FORM WILL BE REJECTED <br /> MAIL TO TAX SUPERVISOR, 106 E. MARGARET LN.., HILLSBOROUGH. N.C. 27278 BY JAN. 31, 1980 <br /> . .. .... <br /> 7 _ i .4Li i <br /> Name as it appears on NC. / ? <br /> '..//:',5,5 Date Business , <br /> Li MA Income Tax Return a_ ( . , Organized / ./ <br /> A 0 i i ,- , :2 25. 6."") 1'-' ( <br /> I D _.-il—L:rp-A>I r ir,,,:::..1 „..'.-. i.-,-2. e . Owner of Real Estate <br /> L R DEA riere Property is <br /> I E il Located <br /> N S Street 1/ 7 c- :144%,'-/:,....,..- c!. .•:-.• /2 <br /> G S . - Township <br /> City&State . i. " --i- ;i <br /> ' ' - ' . • <br /> ,I.4 ii <br /> Are You Inside The City Or Town Limits? Yes 0 No 0 If Yes Which City Or Town i <br /> , . <br /> D ( )Corporation-State of incorporation Sole Proprietorship Social Security / / <br /> ( ) Partnership. Name of Partners <br /> Principal Business Activity Date Fiscal Year Ends <br /> Location of Property(Street or Road Address) <br /> VALUATION SUMMARY,-For Tax Office I4e Only <br /> tok, ,. 1, i L.: <br /> Assessed Values <br /> Inventories / 'j 3,71 lir; ,-,./r) - !fr.ilo 6-7 <br /> Depreciable Personal Property ,50 a .5 L/Ol'o <br /> ---,-__-- <br /> Vehicular Equipment 1715 <br /> Total 7 ? <br /> INVENTORIES:On Ending Date Of Your Latest Completed Fiscal Year At Trade Level Where It Rests <br /> LIFO NOT ACCEPTABLE <br /> Merchandise In Hands Of Distributor. Distribution Point,Wholesaler, Retailer 100%Cost$ <br /> Merchandise In Hands Of Public Warehouse For Distribution 100%Cost$ <br /> Consigned Merchandise Carried As Part Of Your Assets At Your Cost 100%Cost$ <br /> Raw Materials 100%Cost$ <br /> Goods In Process (Materials Including Labor And Manufacturing Overhead) 100%Cost$ <br /> Finished Products(Market Value) 100%Cost$ <br /> Supplies And Packaging Materials 100%Cost$ <br /> TOTAL $ <br /> GOODS NOT IN INVENTORY ABOVE,CONSIGNED,FLOORING PLAN OR OTHERWISE. <br /> N.C.Law requires all persons and Firms to report consigned goods in their possession to theTax Supervisor.USE SPACE BELOW TO <br /> REPORT ALL GOODS THAT ARE NOT REPORTED IN YOUR INVENTORY FAILURE TO DO SO WILL MAKE YOUR FIRM LIABLE FOR <br /> TAXES IF MORE THAN ONE COMPANY ATTACH A LIST <br /> Name of Owner Value if Known$ <br /> Address <br /> Type&Quantity of Merchandise <br /> AFFIRMATION <br /> D Under penalties prescribed by law I hereby affirm that to the best of my knowledge and belief this report,including any accompany- " <br /> ing statements,inventories, schedules and other information is true and complet (If this affirmation is signed by an individual <br /> other than the taxpaper,he affirms that he is familiarwith the extent and true value of all the taxpayer's property subject to taxation in <br /> this cotinty and that this affirmation is based on all information of which he has any knowledge. , <br /> Signature <br /> '"1",' <br /> kil <br /> Title Date <br /> NOTICE- USE REVERSE SIDE TO:LIST IN DETAIL MACHINERY. EQUIPMENT&OFFICE FURNITURE.ALL EQUIPMENT UNDER <br /> LEASE, LEASE PURCHASE OR OTHERWISE NOT CARRIED AS AN ASSET ON YOUR BOOKS LIST ALL MOTOR VEHICLES & <br /> AIRPLANES, USED,OWNED OR LEASED, <br /> Complete All Sections on Reverse Side <br />