Form ADV: U5-15 "Water Company Annual Report" - Alabama

What Is Form ADV: U5-15?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2005;
  • The latest edition provided by the Alabama Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ADV: U5-15 by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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ADV: U5-15
LABAMA
EPARTMENT OF
EVENUE
12/05
P
T
D
ROPERTY
AX
IVISION
P
U
S
UBLIC
TILITY
ECTION
P.O. Box 327210 • Montgomery, AL 36132-7210 • (334) 242-1525
www.revenue.alabama.gov
Water Company Annual Report
Made To The Alabama Department of Revenue
For the tax assessment year beginning, October 1, 20______
OF
_____________________________________________________________________________________________________
NAME OF FIRM OR CORPORATION
_____________________________________________________________________________________________________
ADDRESS OF PRINCIPAL PLACE OF BUSINESS
Nature of Firm or Corporation: _____________________________________________________________________________
Date of Organization: ____________________________________________________________________________________
The State Under Whose Laws The Company Was Organized: ____________________________________________________
Managers Name: _______________________________________________________________________________________
Address: ______________________________________________________________________________________________
_________________________________, Alabama
Telephone Number: (_______)_______________________
DIRECTORS
NAME
POST OFFICE ADDRESS
DATE TERM EXPIRES
1. ___________________________________
_______________________________________________
_____________
2. ___________________________________
_______________________________________________
_____________
3. ___________________________________
_______________________________________________
_____________
4. ___________________________________
_______________________________________________
_____________
5. ___________________________________
_______________________________________________
_____________
PRINCIPAL OFFICERS
TITLE
NAME
POST OFFICE ADDRESS
President:_______________________________________
____________________________________________________
Vice-President: ___________________________________
____________________________________________________
Secretary: _______________________________________
____________________________________________________
Treasurer: _______________________________________
____________________________________________________
Manager: _______________________________________
____________________________________________________
The Place Where All Books, Papers, and Accounts Are Kept: ____________________________________________________
Date Present Ownership Acquired: ______________________________
Purchase Price: $__________________________
A
D
R
ADV: U5-15
LABAMA
EPARTMENT OF
EVENUE
12/05
P
T
D
ROPERTY
AX
IVISION
P
U
S
UBLIC
TILITY
ECTION
P.O. Box 327210 • Montgomery, AL 36132-7210 • (334) 242-1525
www.revenue.alabama.gov
Water Company Annual Report
Made To The Alabama Department of Revenue
For the tax assessment year beginning, October 1, 20______
OF
_____________________________________________________________________________________________________
NAME OF FIRM OR CORPORATION
_____________________________________________________________________________________________________
ADDRESS OF PRINCIPAL PLACE OF BUSINESS
Nature of Firm or Corporation: _____________________________________________________________________________
Date of Organization: ____________________________________________________________________________________
The State Under Whose Laws The Company Was Organized: ____________________________________________________
Managers Name: _______________________________________________________________________________________
Address: ______________________________________________________________________________________________
_________________________________, Alabama
Telephone Number: (_______)_______________________
DIRECTORS
NAME
POST OFFICE ADDRESS
DATE TERM EXPIRES
1. ___________________________________
_______________________________________________
_____________
2. ___________________________________
_______________________________________________
_____________
3. ___________________________________
_______________________________________________
_____________
4. ___________________________________
_______________________________________________
_____________
5. ___________________________________
_______________________________________________
_____________
PRINCIPAL OFFICERS
TITLE
NAME
POST OFFICE ADDRESS
President:_______________________________________
____________________________________________________
Vice-President: ___________________________________
____________________________________________________
Secretary: _______________________________________
____________________________________________________
Treasurer: _______________________________________
____________________________________________________
Manager: _______________________________________
____________________________________________________
The Place Where All Books, Papers, and Accounts Are Kept: ____________________________________________________
Date Present Ownership Acquired: ______________________________
Purchase Price: $__________________________
DATE OF ACQUISITION
ORIGINAL
DEPRECIATED
DESCRIPTION OF PROPERTY
CAPACITY
NUMBER
DEPRECIATION
OR CONSTRUCTION
COST
COST
$
$
$
1. Reservoirs . . . . . . . . . . . . . . . . . . . . . . . . . . .
2a. Storage Tanks . . . . . . . . . . . . . . . . . . . . . . . .
b. _________ Ft. _________ In. Pipe . . . . . . .
c. _________ Ft. _________ In. Pipe . . . . . . .
d. _________ Ft. _________ In. Pipe . . . . . . .
3a. Land (attach detailed description . . . . . . . . .
b. ___________________________________
c. ___________________________________
d. ___________________________________
e. ___________________________________
4a. Buildings (attach description) . . . . . . . . . . . .
b. ___________________________________
c. ___________________________________
d. ___________________________________
e. ___________________________________
5. Pumping Equipment . . . . . . . . . . . . . . . . . . .
6. Meters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Tools and Equipment . . . . . . . . . . . . . . . . . .
8. Material and Supplies . . . . . . . . . . . . . . . . . .
9. Other Personal Property . . . . . . . . . . . . . . . .
$
$
$
10. TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
EXECUTION AND VERIFICATION
STATE OF ALABAMA
COUNTY OF _________________________________
I, ________________________________________, hereby affirm that I am _____________________________________
(Officer of Firm or Corporation)
(Title)
of the ______________________________________________________________________________, which has its principal
(Name of Firm or Corporation)
place of business in _____________________________________, in the County of _________________________________,
in the State of __________________________________; and that the statements on pages 1 through 4 inclusive are a com-
plete, true, and correct statement of all matters and things as required by law for ad valorem tax assessment purposes against
said _____________________________________________________ for the tax assessment year beginning Oct. 1, 20_____.
________________________________________________
________________________________________________
Sworn to and subscribed before me by __________________________________________________________ on this the
________ day of ________________________, 20______.
________________________________________________
________________________________________________
*PLEASE ATTACH A CERTIFIED BALANCE SHEET AND A CERTIFIED PROFIT AND LOSS STATEMENT.
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