State Form 54182 Form 103-it - Claim for Exemption of Enterprise Information Technology Equipment - Indiana

Form State54182 is a Indiana Department of Local Government Finance form also known as the "Form 103-it - Claim For Exemption Of Enterprise Information Technology Equipment". The latest edition of the form was released in November 1, 2016 and is available for digital filing.

Download an up-to-date Form State54182 in PDF-format down below or look it up on the Indiana Department of Local Government Finance Forms website.

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CLAIM FOR EXEMPTION OF
FORM 103-IT
JANUARY 1, 20 ______
ENTERPRISE INFORMATION
For Assessor’s use only
PRIVACY NOTICE
TECHNOLOGY EQUIPMENT
This form contains information
confidential pursuant to IC 6-1.1-35-9.
State Form 54182 (R2 / 11-16)
Prescribed by Department of Local Government Finance
INSTRUCTIONS:
1. In order to qualify for this exemption, entities must meet the requirements of IC 6-1.1-10-44.
2. Qualifying equipment is defined in IC 6-1.1-10-44(c) and does not include computer hardware designed for single user, workstation, or department level use.
3. Entities should attach this form to the Form 103-Long and file it with the proper assessing official by May 15 or the extended due date.
SECTION 1
TAXPAYER INFORMATION
Name of taxpayer
Address of taxpayer (number and street, city, state, and ZIP code)
Name of contact person
Telephone number
(
)
SECTION 2
LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body
Resolution number
Location of property (number and street, city, state, and ZIP code)
County
DLGF taxing district number
Date of Acquisition
Tax Life
General Description of Qualifying Equipment
Cost
(month, day, year)
TOTAL COST AS SHOWN ON LINE 6, SCHEDULE A, FORM 103
$
Under the penalties of perjury, I hereby certify that this return to the best of my knowledge and belief, is true, correct and complete; and reports the
total cost of all personal property claimed by the taxpayer to be exempt from assessment and taxation pursuant to IC 6-1.1-10-44.
Signature of authorized person
Title
Date (month, day, year)
Signature of person preparing return based on all information of which he/she has any knowledge
Reset Form
CLAIM FOR EXEMPTION OF
FORM 103-IT
JANUARY 1, 20 ______
ENTERPRISE INFORMATION
For Assessor’s use only
PRIVACY NOTICE
TECHNOLOGY EQUIPMENT
This form contains information
confidential pursuant to IC 6-1.1-35-9.
State Form 54182 (R2 / 11-16)
Prescribed by Department of Local Government Finance
INSTRUCTIONS:
1. In order to qualify for this exemption, entities must meet the requirements of IC 6-1.1-10-44.
2. Qualifying equipment is defined in IC 6-1.1-10-44(c) and does not include computer hardware designed for single user, workstation, or department level use.
3. Entities should attach this form to the Form 103-Long and file it with the proper assessing official by May 15 or the extended due date.
SECTION 1
TAXPAYER INFORMATION
Name of taxpayer
Address of taxpayer (number and street, city, state, and ZIP code)
Name of contact person
Telephone number
(
)
SECTION 2
LOCATION AND DESCRIPTION OF PROPERTY
Name of designating body
Resolution number
Location of property (number and street, city, state, and ZIP code)
County
DLGF taxing district number
Date of Acquisition
Tax Life
General Description of Qualifying Equipment
Cost
(month, day, year)
TOTAL COST AS SHOWN ON LINE 6, SCHEDULE A, FORM 103
$
Under the penalties of perjury, I hereby certify that this return to the best of my knowledge and belief, is true, correct and complete; and reports the
total cost of all personal property claimed by the taxpayer to be exempt from assessment and taxation pursuant to IC 6-1.1-10-44.
Signature of authorized person
Title
Date (month, day, year)
Signature of person preparing return based on all information of which he/she has any knowledge

Download State Form 54182 Form 103-it - Claim for Exemption of Enterprise Information Technology Equipment - Indiana

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