OIL, GAS, AND GEOTHERMAL
PERSONAL PROPERTY STATEMENT
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
CAREFULLY READ AND FOLLOW THE ACCOMPANYING INSTRUCTIONS
OFFICIAL REQUIREMENT
A report submitted on this form is required of you by Section 441(a) of the Revenue
and Taxation Code. The statement must be completed according to the instructions and
filed with the Assessor on or before April 1 2008. Failure to file it on time will compel
the Assessor’s office to estimate the value of your property from other information in
its possession and add a penalty of 10% as required by Code Section 463.
This statement is not a public document. The information contained herein will
be held secret by the Assessor (Code Section 451); it can be disclosed only to
the district attorney, grand jury, and other agencies specified in Code Section
408. Attached schedules are considered to be part of the statement.
ASSESSOR’S USE ONLY
FULL VALUE
PERSONAL PROPERTY
5. Supplies (fuel) Type: Gravity: Barrels:
Items
Acquis. Original
Year Cost
Year Year Description Cost to Annual
of of and Lease or Purchase Rent
Acq. Mfr. Identification New
Number
DECLARATION BY ASSESSEE
u
u
Report conditional sales contracts in lines 6-9 as applicable
1. Leased Equipment 4. Vending Equipment
2. Lease-Purchase Option Equipment 5. Other businesses
3. Capitalized Leased Equipment 6. Government-Owned Property
Tax Obligation: A. Lessor B. Lessee
Lessor’s Name
Mailing Address
Proprietorship
Partnership
Corporation
Other
(
3)
I declare under penalty of perjury under the laws of the State of California that I have examined this property statement, including
accompanying schedules, statements or other attachments, and to the best of my knowledge and belief it is true, correct, and com-
plete and includes all property required to be reported which is owned, claimed, possessed, controlled, or managed by the person
named as the assessee in this statement at 12:01am January 1, 2008
6. Office furniture
7. Warehouse stock (parts, tools, equipment, etc.)
8. Yard stock (rods, tubing, casing, etc.)
9. Other (chemicals, unlicensed vehicles, etc.)
10. DECLARATION OF PROPERTY BELONGING TO OTHERS (if none write “none”)
(SPECIFY TYPE BY CODE NUMBER)
2. LOCATION OF THE PROPERTY:
(a separate report must be fi led for each property)
FIELD NAME
LEASE NAME AND POOL
3. PARCEL NUMBER
TAX RATE AREA
4. PHONE NUMBER
E-Mail address (optional)
*Agent: See back for Declaration By Assessee instructions
OWNERSHIP
TYPE
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed)
FEDERAL EMPLOYER ID NO.
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT*
TITLE
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
DATE
PREPARER’S NAME AND ADDRESS (typed or printed)
( )
TELEPHONE NUMBER
TITLE
#
Land
Imps.
Fix (TFI)
Per. Prop.
Ex.
Ex.
Ex.
Pen.
A1
B2
C3
D4
H1
J3
K4
A
ASSESSOR’S USE ONLY
Roll Changes
( )
Appr.
ASSESSOR’S USE ONLY
THIS STATEMENT SUBJECT TO AUDIT
Lessor’s Name
Mailing Address
NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address.)
BOE-566-J (FRONT) REV. 6 (8-06)
ROBERT C. WERNER
Fresno County Assessor
P. O. Box 1146 Fresno, CA 93715
566-J
FORM
2008
ASSESSOR’S PARCEL NUMBER
SUB NUMBER
SLUC
BUSINESS ACCOUNT NUMBER
ASSESSOR’S USE ONLY
BOE-571-F (S1F) REV. 11 (8-07)
ROBERT C. WERNER
Fresno County Assessor
P. O. Box 1146 Fresno, CA 93715
AGRICULTURAL PROPERTY STATEMENT
DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION
AS OF 12:01 A.M., JANUARY 1, 2008
DECLARATION BY ASSESSEE
PART I: GENERAL INFORMATION [Complete (a) through (i)]
a. Enter type of farm or business:
b. Enter local telephone number ( )
FAX no. ( )
E-mail address (optional)
c. Do you own the land at this location? Yes No
If yes, is the name on your deed recorded as
shown on this statement?
Yes No
d. When did you start business at this location? DATE:
e. Enter location of general ledger and all related accounting records (include zip code):
f. Enter name and telephone number of authorized person to contact at location of ac-
counting records:
g. During the period of January 1, 2007 through December 31, 2007
(1) Has all or part of this real property been subject to a
change in ownership?
Yes No
(2) Are any related entities conducting business in the county?
Yes No
If yes, provide name, mailing address, and locations:
(3) If you leased this real property, has it been the subject of a lease agreement
for a period of 35 years or more (including options)?
Yes No
(4) Did you acquire “control” through acquisition of stock or otherwise of a legal
entity which owns real property in this county?
Yes No
(5) Did another person or entity acquire “control” through acquisition of stock or
otherwise of this corporation or entity? (See instructions.) Yes No
h. Do you have:
(1) Registered or show horses? Yes No
(2) Racehorses?
Yes No
(If yes is checked, see instructions.)
i. Are there manufactured homes/mobilehomes located on the property?
Yes No
If yes, indicate: Number currently licensed
Number not currently licensed
PART II: DECLARATION OF PROPERTY BELONGING TO YOU
(attach schedule for any adjustment to cost)
COST (omit cents)
(see instructions)
ASSESSOR’S USE ONLY
MONTH & YEAR
PARCEL DESCRIPTION
*Additional space provided on (S2B) REMARKS
$
$
$
$
$
$
1. Supplies (From Schedule A)
2. Animals (From Schedule B)
3. Fixed machinery and equipment (From Schedule C)
4. Movable farm equipment (From Schedule D)
5. Offi ce furniture and equipment (From Schedule E)
6. Equipment out on lease, rent, or conditional sale to others Attach Schedule.
7. Other
$
$
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
Computed
Appraised
Reviewed
Assessors Use Only
I declare under penalty of perjury under the laws of the State of California that I have examined this property statement,
including accompanying schedules, statements or other attachments, and to the best of my knowledge and belief it is true,
correct, and complete and includes all property required to be reported which is owned, claimed, possessed, controlled, or
managed by the person named as the assessee in this statement at 12:01 a.m. on January 1, 2008.
Land
Imps.
Fix. (TFI)
Per. Prop.
Ex.
Ex.
Ex.
Pen.
A1
B2
C3
D4
H1
J3
K4
A
ASSESSOR’S USE ONLY
Roll Changes
571-F
FORM
2008
RETURN THIS ORIGINAL FORM. COPIES WILL NOT BE ACCEPTED.
FILE RETURN BY APRIL 1, 2008
IF YOU NEED ASSISTANCE, CALL (559) 488-3545.
(File a separate statement for each location.)
LOCATION OF THE PROPERTY
ADDED
REMOVED
COST (omit cents)
(see instructions)
PART III: REAL PROPERTY ALTERATIONS (see Instructions on (S3B), Part III)
Have you made any changes to the real property this past year? Yes No If Yes, please complete Part III — “Real Property Alterations” on page (S2B). See Instructions on page (S3B), Part III.
THIS STATEMENT SUBJECT TO AUDIT
Proprietorship
Partnership
Corporation
Other
(
3)
OWNERSHIP
TYPE
CSD FORM 081
*Agent: See page S4B for Declaration By Assessee instructions.
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed)
FEDERAL EMPLOYER ID NO.
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT*
TITLE
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
DATE
PREPARER’S NAME AND ADDRESS (typed or printed)
( )
TELEPHONE NUMBER
TITLE
#
1. Improvements added or removed (structures, pumps, pipe lines, etc.)*
NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address.)
ASSESSOR’S PARCEL NUMBER
SUB NUMBER
SLUC
BUSINESS ACCOUNT NUMBER
ASSESSOR’S USE ONLY
NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address.)
PART I: GENERAL INFORMATION
COMPLETE (a) THROUGH (g)
a. Enter type of business:
b. Enter local telephone no. ( ) FAX number ( )
E-mail address (optional):
c. Do you own the land at this business location? Yes No
If yes, is the name on your deed recorded
as shown on this statement?
Yes No
d. When did you start business at this location? DATE:
If your business name or location has changed from last year, enter the former name
and/or location:
e. Enter location of general ledger and all related accounting records (include zip code):
f. Enter name and telephone no. of authorized person to contact at location of accounting
records:
g. During the period of January 1, 2007 through December 31, 2007:
(1) Has all or part of this real property been subject to a change
in ownership?
Yes No
(2) Are any related entities conducting business in the county?
Yes No
If yes, attach a list of names, mailing addresses, and locations.
(3) If you leased this real property, has it been the subject of a lease agreement
for a period of 35 years or more (including options)?
Yes No
(4) Did you acquire “control” through acquisition of stock or otherwise of a legal
entity which owns real property in this county?
Yes No
(5) Did another person or entity acquire “control” through acquisition of stock or other-
wise of this corporation or entity?
Yes No
COST
(omit cents)
(see instructions)
ASSESSOR’S USE ONLY
Annual
Rent
Description
and Lease or
Identifi cation
Number
Year
of
Mfr.
Year
of
Acq.
Cost to
Purchase
New
1. Supplies
2. Equipment (From line 35)
3. Equipment out on lease, rent or conditional sale to others (Attach Schedule)
4. Bldgs., Bldg. Impr., and/or Leasehold Impr., Land Impr., Land (From line 71)
5. Construction In Progress (Attach Schedule)
6. Alternate Schedule A (See instructions)
7.
8.
PART III: DECLARATION OF PROPERTY BELONGING TO OTHERS – IF NONE WRITE “NONE”
PART II: DECLARATION OF PROPERTY BELONGING TO YOU
(attach schedule for any adjustment to cost)
(SPECIFY TYPE BY CODE NUMBER)
Report conditional sales contracts that are not leases on Schedule A
Tax Obligation: A. Lessor B. Lessee
9. Lessor’s name
Mailing address
10. Lessor’s name
Mailing address
DECLARATION BY ASSESSEE
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
*Agent: See S3B for Declaration By Assessee instructions
u
u
1. Leased equipment
2. Lease-purchase option equipment
3. Capitalized leased equipment
4. Vending equipment
5. Other businesses
6. Government-owned property
I declare under penalty of perjury under the laws of the State of California that I have examined this
property statement, including accompanying schedules, statements or other attachments, and to the
best of my knowledge and belief it is true, correct, and complete and includes all property required to
be reported which is owned, claimed, possessed, controlled, or managed by the person named as the
assessee in this statement at 12:01 a.m. on January 1, 2008.
RETURN THIS ORIGINAL FORM. COPIES WILL NOT BE ACCEPTED.
Land
Imps.
Fix. (TFI)
Per. Prop.
Ex.
Ex.
Ex.
Pen.
A1
B2
C3
D4
H1
J3
K4
A
ASSESSOR’S USE ONLY
Roll Changes
THIS STATEMENT SUBJECT TO AUDIT
INFORMATION PROVIDED ON A PROPERTY STATEMENT MAY BE SHARED WITH THE STATE BOARD OF EQUALIZATION
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed)
FEDERAL EMPLOYER ID NO.
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT*
TITLE
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
DATE
PREPARER’S NAME AND ADDRESS (typed or printed)
( )
TELEPHONE NUMBER
TITLE
#
Proprietorship
Partnership
Corporation
Other
BOE-571-L (S1F) REV. 13 (9-07)
BUSINESS
DESCRIPTION
Retail
Wholesale
Manufacturer
Service/Professional
(
3
)
OWNERSHIP
TYPE
Appr.
ASSESSOR’S USE ONLY
(
3
)
ASSESSOR’S PARCEL NUMBER
SUB NUMBER
SLUC
BUSINESS ACCOUNT NUMBER
ASSESSOR’S USE ONLY
BUSINESS PROPERTY STATEMENT
DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION
AS OF 12:01 A.M., JANUARY 1, 2008
ROBERT C. WERNER
Fresno County Assessor
P. O. Box 1146 Fresno, CA 93715
571-L
FORM
2008
FILE RETURN BY APRIL 1, 2008
IF YOU NEED ASSISTANCE, CALL (559) 488-3545.
(File a separate statement for each location.)
LOCATION OF THE PROPERTY
BOE-571-R (S1F) REV. 10 (8-07)
NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address.)
ROBERT C. WERNER
Fresno County Assessor
P. O. Box 1146 Fresno, CA 93715
Land
Imps.
Fix. (TFI)
Per. Prop.
Ex.
Ex.
Ex.
Pen.
A1
B2
C3
D4
H1
J3
K4
A
ASSESSOR’S USE ONLY
Roll Changes
CSD FORM 080
1. If you no longer own this property as of January 1 of this year, show the name and
mailing address of the new owner:
Name
Mailing Address
City and state Zip code
4. Do any other individuals, partnerships or corporations do business or own personal property (other than household furniture and
personal effects of your tenants) located on your premises? Yes No If yes, list below.
5. Do you hold furniture or equipment belonging to others on a loan, rental, or lease basis?
Yes No If yes, list below.
NAME AND ADDRESS OF OWNER OF SUCH PROPERTY
NATURE OF THE BUSINESS OR PROPERTY
NAME AND ADDRESS OF OWNER OF SUCH PROPERTY
QUANTITY AND DESCRIPTION
ASSESSOR’S
USE ONLY
SLP. ROOM STUDIO 1 BEDRM. 2 BEDRM. 3 BEDRM. LARGER
FULLY FURNISHED
PARTLY FURNISHED
UNFURNISHED
TOTALS
2. Enter the total number of units for the location listed.
CAREFULLY READ AND FOLLOW THE ACCOMPANYING INSTRUCTIONS.
Local telephone number ( ) FAX no. ( )
E-mail address (optional)
( )
Enter name and telephone number of authorized person to contact at location of
accounting records:
6. ENTER BELOW the number of fully furnished, partly furnished (e.g., stoves and refrigerators, not built-in), and unfurnished units.
Also complete Schedule A on the back. Do not include, either here or in Schedule A, any unit in which you live.
7. Supplies Cost $
8. Furniture and appliances Enter From Schedule A $
9. Other furniture and equipment Enter From Schedule B $
10.
STREET
CITY STATE ZIP
Enter location of general ledger and all related accounting records (include zip code):
Do you live in one of the units?
Yes No
If yes, enter the unit number
3. During the period of January 1, 2007 through December 31, 2007:
(a) Did you own this real property? Yes No
(b) Has all or part of this real property been subject to a change in ownership?
Yes No
(c) If you leased this real property, has it been the subject of a lease agreement for a period
of 35 years or more (including options)?
Yes No
(d) Did you acquire “control” of a legal entity which owns real property in this county?
Yes No
(e) Did another person or entity acquire “control” of this corporation or entity?
(see instructions)
Yes No
571-R
2008
FORM
RETURN THIS ORIGINAL FORM. COPIES WILL NOT BE ACCEPTED.
THIS STATEMENT SUBJECT TO AUDIT
Appr.
ASSESSOR’S USE
ONLY
ASSESSOR’S PARCEL NUMBER
SUB NUMBER
SLUC
BUSINESS ACCOUNT NUMBER
ASSESSOR’S USE ONLY
APARTMENT HOUSE PROPERTY STATEMENT
DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION
AS OF 12:01 A.M., JANUARY 1, 2008
FILE RETURN BY APRIL 1, 2008
IF YOU NEED ASSISTANCE, CALL (559) 488-3545.
(File a separate statement for each location.)
LOCATION OF THE PROPERTY
THIS STATEMENT SUBJECT TO AUDIT
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
IF YOU NEED ASSISTANCE, CALL (559) 488-3545
(See reverse side for instructions and exemption information.)
*1. DAYTIME PHONE NUMBER: ( )
E-MAIL ADDRESS (optional) :
*2. VESSEL REGISTRATION NUMBER (CF):
*3. VESSEL NAME AND HULL NUMBER:
*4. NORMAL LOCATION OF VESSEL:
*Slip number
*5. BUILDER: Year built:
MODEL/CLASS-NAME & HIN:
LENGTH: BEAM: DRAFT:
WEIGHT/Displacement:
GROSS TONS: NET TONS: (Coast Guard Documented)
6. POWER BOAT TYPE:
Bass Boat Bow Rider Center Console
Cuddy Sedan Cruiser F/B Convertible F/B Sportfi sher
Houseboat Infl atable or Hard Bottom Jet Ski Motor Yacht
Runabout Ski Boat Trawler
Other:
7. HULL TYPE:
Cathedral Deep Vee Displacement
Flat Bottom Round Bottom Semi Vee Tunnel Hull
Other:
8. SAILBOAT TYPE/RIG:
Catamaran Catboat Cutter
Ketch Schooner Sloop Trimaran Yawl
9. HULL MATERIAL:
Aluminum Cement Fiberglass
Fiberglass Composite Fiberglass/Wood Plywood Planked Wood
Steel Other:
*10. ENGINE TYPE and DRIVE: Number HP each
MANUFACTURER: Year
Diesel Gas Inboard Inboard/Outdrive
Outboard Vee drive Jet Other:
Auxiliary Generator:
Yes No Manufacturer KW
11. PURCHASE INFORMATION (see instructions on back - also, please complete
information requested on Lines 18 & 19):
Purchase price: Purchase date:
With motor Without motor Motor cost:
With trailer Without trailer Trailer cost:
12. CONDITION WHEN PURCHASED:
New/Bristol Above average
Average Good Fair Poor (explain, see instructions on back)
*13. CURRENT CONDITION:
New/Bristol Above average
Average Good Fair Poor (explain, see instructions on back)
14. DATE VESSEL FIRST MOVED TO COUNTY:
15. LAST COUNTY ASSESSED AND TAXES PAID:
16. INTENDED USE:
Pleasure Commercial fi shing Research
Commercial passenger fi shing (see back)
Principal place of residence (see instructions on back - Exemptions)
17. OTHER USAGE: (see instructions on back)
18. SALE, PURCHASE, LOSS or REMOVAL (see instructions on back):
Sold to:
Purchased from:
Address:
City: State: County:
Total selling price: Sale date:
Nature of loss:
Date of loss:
If vessel permanently removed from the county: Removal date:
Address moved to:
City: State: County:
*19. VESSEL EQUIPMENT LEASED, ADDED or RETIRED
(attach schedule, see instructions on back)
Computed
Appraised
Reviewed
Assessor’s Offi ce records show that you currently own, claim,
possess or control the Vessel identifi ed above.
DECLARATION BY ASSESSEE
I declare under penalty of perjury under the laws of the State of California that I have examined this property statement, including accompanying schedules,
statements or other attachments, and to the best of my knowledge and belief it is true, correct, and complete and includes all property required to be reported
which is owned, claimed, possessed, controlled, or managed by the person named as the assessee in this statement at 12:01 a.m. on January 1, 2008.
ATTACHMENTS
Supplemental Scheds.
Computer Printouts
Other
Proprietorship
Partnership
Corporation
Other
OWNERSHIP
TYPE
(
3)
(
3)
**Agent: See back for Declaration By Assessee Instructions.
NAME OF ASSESSEE OR AUTHORIZED AGENT** (typed or printed)
FEDERAL EMPLOYER ID NO.
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT**
TITLE
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
DATE
PREPARER’S NAME AND ADDRESS (typed or printed)
( )
TELEPHONE NUMBER
TITLE
#
RETURN THIS ORIGINAL FORM. COPIES WILL NOT BE ACCEPTED.
Per. Prop.
Ex.
Ex.
Pen.
D4
J3
K4
ASSESSOR’S USE ONLY
Roll Changes
Check if annual fi ler. Annual fi lers must complete the asterisked (*) items and sign and complete the Declaration by Assessee below.
NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address.)
BOE-576-D (FRONT) REV. 11 (8-07)
ROBERT C. WERNER
Fresno County Assessor
P. O. Box 1146 Fresno, CA 93715
576-D
FORM
2008
SUB NUMBER
SLUC
BUSINESS ACCOUNT NUMBER
ASSESSOR’S USE ONLY
VESSEL PROPERTY STATEMENT FOR 2008
DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION
AS OF 12:01 A.M., JANUARY 1, 2008
FILE RETURN BY APRIL 1, 2008
*2. Daytime Phone No.: _______________________________________________
*3. Location of Aircraft - Airport, Hangar / Tie-Down No.: ______________________
FBO Name: ______________________________________________________
4. Make and Model: __________________________ Year: __________________
Serial No.: _______________________________________________________
5. Purchase Date: _____________ Purchase Price: $ _______________________
6. Date Moved To This County: _________________________________________
7. Have you had this aircraft registered or assessed in another California County?
Yes
No If yes, Where? _____________When? ___________________
*8 Condition When Purchased New
Average Poor
Current Condition New Average Poor
Condition of Interior New Average Poor
Condition of Exterior New Average Poor
*9 Total Time On Airframe As Of January 1:
*10 Engines:
A. Maintenance Service Program Yes
No
11. Last Major Airframe Overhaul
Date_________________________ Cost $ _____________________________
12. Damage History:
(see instructions on back)
13. Equipment Leased, Exchanged, Added Or Retired
(see instructions on back)
New Avg Poor
RVSM
TAWS
EFIS
TCAS
NAVCOM #1
NAVCOM #2
TRANSPONDER
A _____ C _____
GLIDESLOPE
LOCALIZER
COMPASS SYS/HSI
AUTOPILOT
No. of AXIS _____
FLIGHT DIRECTOR
GPS IFR
New Avg Poor
RADAR ALT
ENCODER
RMI
VLF
PHONE
RADAR
LORAN
ADF
DME
RNAV
AIR COND
BOOTS
HIGH FREQ. TRANSCEIVERS
Non-factory avionics added in the last calendar
year
_______________________ Cost $ _________
*15. Avionics
14. FOR HELICOPTERS - HOURS SINCE MAJOR OVERHAUL
Engine Tail Rotor Gearbox
Main rotor blades Tail Rotor Hub Assembly
Main rotor head assembly Tail Rotor Blades
Mast Servos
Main transmission Misc. (fl ight controls, bearings, shafts, etc.)
Tail rotor driveshaft
AIRCRAFT PROPERTY STATEMENT
DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION
AS OF 12:01 A.M., JANUARY 1, 2008
FORM
BOE-577 (FRONT) (6-07)
ROBERT C. WERNER
Fresno County Assessor
P. O. Box 1146 Fresno, CA 93715
577
FORM
2008
ASSESSOR’S PARCEL NUMBER
SUB NUMBER
SLUC
BUSINESS ACCOUNT NUMBER
ASSESSOR’S USE ONLY
RETURN THIS ORIGINAL FORM. COPIES WILL NOT BE ACCEPTED. ITEMS MARKED WITH ( * ) MUST BE COMPLETED ANNUALLY.
PLEASE NOTE: Regardless of status of the Historical Aircraft Exemption Claim, this form must be fi led timely with the Assessor’s Offi ce or penalties will apply.
NAME AND MAILING ADDRESS (Make necessary corrections to the printed name and mailing address.)
B. ENGINE(S) SINGLE LEFT RIGHT
Make
Model
Year of Manufacture
Horsepower
Hours Since New
Hours Since Major Overhaul
Time Before Overhaul (TBO)
16. Type of Usage
Pleasure Flight Training Rental Charter/Taxi Business
Name and Address of Owner if Different From FAA Registered Owner
Name ___________________________________________________________
Address _________________________________________________________
City ___________________ State _________ ZIP ________ County _________
17. If Sold / Donated: Date of Sale ______________ Sale $ __________________
New Owner ______________________________________________________
Address _________________________________________________________
City ___________________ State _________ ZIP ________ County _________
18. If: Moved Junked Parted Destroyed Abandoned
Date ____________ New Location (if Moved) ____________________________
Explanation ______________________________________________________
19. Aircraft Not Habitually Based in This County
Airport / FBO:_____________________________________________________
City ___________________ State _________ ZIP ________ County _________
Hangar / Tie-down No.: _____________________________________________
Check Reason Plane is/was in This County:
Repairs For Sale In Transit to: ______________________________
20. First Flight Date: _________________________
(see instructions on back)
21. Attach statement regarding any additional information you feel would assist us in
valuing your aircraft.
Computed
Appraised
Reviewed
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
I declare under penalty of perjury under the laws of the State of California that I have examined this property statement, including accompanying schedules, statements or other
attachments, and to the best of my knowledge and belief it is true, correct, and complete and includes all property required to be reported which is owned, claimed, possessed,
controlled, or managed by the person named as the assessee in this statement at 12:01 a.m. on January 1, 2008.
DECLARATION BY ASSESSEE
**Agent: See instructions for Declaration by Assessee.
NAME OF ASSESSEE OR AUTHORIZED AGENT** (typed or printed)
FEDERAL EMPLOYER ID NO.
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT**
TITLE
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
DATE
PREPARER’S NAME AND ADDRESS (typed or printed)
( )
TELEPHONE NUMBER
TITLE
#
Per. Prop.
Aircraft
Ex.
Ex.
Pen.
D4
F6
J3
K4
ASSESSOR’S USE ONLY
Roll Changes
THIS STATEMENT SUBJECT TO AUDIT
IF YOU NEED ASSISTANCE, CALL (559) 488-3545.
SEE REVERSE SIDE FOR INSTRUCTIONS AND
EXEMPTION INFORMATION
FILE RETURN BY APRIL 1, 2008
OWNERSHIP
TYPE
Proprietorship
Partnership
Corporation
Other
(
3
)
RETURN THIS COPY BY APRIL 1, 2008
CSD FORM 039
Computed
Appraised
Reviewed
DECLARATION BY ASSESSEE
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
I declare under penalty of perjury under the laws of the State of California that I have examined this prop-
erty statement, including accompanying schedules, statements or other attachments, and to the best of
my knowledge and belief it is true, correct, and complete and includes all property required to be reported
which is owned, claimed, possessed, controlled, or managed by the person named as the assessee in
this statement at 12:01 a.m. on January 1, 2008.
Do you own any personal property or equipment at this location? Yes No
If YES is checked, a property statement must be fi led with this offi ce.
Do you own any fi xtures (see examples) at this location? Yes No
If YES is checked, include in Schedule B, Column 2.
Please list all individuals, partnerships, or corporations doing business on your property.
See instructions enclosed. If you do not fi le this affi davit properly, you may be assessed
for tenant equipment and fi xtures.
LOCAL PHONE NUMBER:
IF YOU NEED ASSISTANCE, TELEPHONE (559) 488-3545.
RETURN THIS ORIGINAL AFFIDAVIT. COPIES ARE NOT ACCEPTABLE.
IF ADDITIONAL SPACE IS REQUIRED, PLEASE ATTACH ADDITIONAL SHEET(S) AS NECESSARY.
LIST ADDRESSES AND
SUITE NUMBERS OF
EACH RENTAL UNIT ON
THIS PROPERTY
NAME and MAILING ADDRESS (include suite numbers
and ZIP code) OF TENANT ON JANUARY 1, 2008.
IF A RENTAL UNIT IS VACANT, SO STATE.
LOCAL PHONE
NUMBER OF
TENANT
NAME OF BUSINESS AND
TYPE OF BUSINESS
AT THIS LOCATION
CHECK
BOX IF
NEW
TENANT
IF THIS MAILING ADDRESS IS INCORRECT, PLEASE
ENTER THE CORRECT ADDRESS HERE:
(Please check either “Yes” or “No”.
If these boxes are left blank, this af-
fi davit must be returned
to you as incomplete.)
3
3
*Agent: See Signature instructions for defi nition of Legal Agent
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed)
FEDERAL EMPLOYER ID NO.
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT*
TITLE
NAME OF LEGAL ENTITY (other than DBA) (typed or printed)
DATE
PREPARER’S NAME AND ADDRESS (typed or printed)
( )
TELEPHONE NUMBER
Land
Imps.
Fix. (TFI)
Per. Prop.
Ex.
Ex.
Ex.
Pen.
A1
B2
C3
D4
H1
J3
K4
A
ASSESSOR’S USE ONLY
Roll Changes
TITLE
NAME AND MAILING ADDRESS
(Make necessary corrections to the printed name and mailing address.)
ASSESSOR’S PARCEL NUMBER
SUB NUMBER
SLUC
BUSINESS ACCOUNT NUMBER
ASSESSOR’S USE ONLY
LANDLORD REPORT OF TENANTS
AS OF 12:01 A.M., JANUARY 1, 2008
FCA 3012 (REV 10-04)
ROBERT C. WERNER
Fresno County Assessor
P. O. Box 1146 Fresno, CA 93715
3012
FORM
2008
