HomeMy WebLinkAbout20091930.tiffCLERK TO THE BOARD
ett
COLORADO
September 3, 2009
PHONE (970) 336-7215, Ext. 4226
FAX: (970) 352-0242
P. O. BOX 758
GREELEY, COLORADO 80632
LIBERTY VP FIRESTONE LLC
2200 LUCIEN WAY No. 410
MAITLAND, FL 32751
RE: THE BOARD OF EQUALIZATION, 2009, WELD COUNTY, COLORADO - STIPULATE
PETITIONER'S APPEAL AND AFFIRM ASSESSOR'S VALUE
DESCRIPTION OF PROPERTY: ACCOUNT #: R4697107 PARCEL #: 131302309002 - FIR
3DCBP L6 B1 DEL CAMINO JUNCTION BUSINESS PARK 3RD MINOR SITUS: FIRESTONE
Dear Petitioner:
On July 28, July 30, and August 5, 2009, the Board of County Commissioners of Weld
County, Colorado, convened, and acting as the Board of Equalization, pursuant to Section 39-8-101,
C.R.S., et.seq., considered the Stipulation on your petition of appeal of the County Assessor's
valuation of your property described above, for the year 2009.
The Stipulation was entered into between the Assessor and said petitioner(s), and accepted
by the Board of Equalization, agreeing that the assessment and valuation of the Weld County
Assessor be Stipulated as follows:
ACTUAL VALUE AS
DETERMINED BY
ASSESSOR
ACTUAL VALUE AS
STIPULATED
$3,357,305 $3,357,305
2009-1930
AS0073
%0 ! 4}S c4, p£-7,CL crrta) Orr /07,7.07
LIBERTY VP FIRESTONE LLC - R4697107
Page 2
If you have questions or need additional information, please do not hesitate to contact me at
(970) 336-7215, Extension 4226.
Very truly yours,
�04
Esther E. Gesick
Deputy Clerk to the Board
cc: Christopher Woodruff, Assessor
STRASSBURG & COMPANY
1223 NORTH ROCK ROAD No. J100
WICHITA, KS 67206-1269
2009-1930
AS0073
07/1,cul. 13. 2009 • 9:21AMu'1U4'Strass bur g & Co'r'''u°uurynAsarssux
No. 7064 °. 2uziuua
2009
COUNTY BOARD OF EQUALIZATION
WELD COUNTY
ASSESSOR'S ACCOUNT NUMBER R4697107
STIPULATION (As To Tax Year 2009 Actual Value and Classification):
REPETITION OF :
NAME: LIBERTY VP FIRESTONE LLC
ADDRESS: 2200 LUCIEN y0. 410
MAITLAND FL 32751
w
w
w
Petitioner(s), LIBERTY VP FIRESTONE LW andi the Weld County Assessor,
hereby enter into this Stipulation regarding the tax year 2Q09 valuation of the subject
property, and jointly move that the Board of Equalization t enter its order based' on this
Stipulation.
Petitioner(s) and the Assessor agree and stipulate is follows:
1. The property subject to this Stipulation is described as:
(Legal description) FIR 3DCBP L6 B1 DEL CAMINO JUNCTION BUSINESS
PARK 3RD. MINOR
2. The subject property is classified as Extended Stay Motel
property. •
3. The County of classification to the sssessor ubject propinally erty for ned the
xcyear 209 actual value and percent
Land $ 510.319
Improvements $ 3
Total $
Percent Residential 19%
Percent Commercial 81%
Assessor
4. Afteragree to the following actrther review and ual value and the percent pf classcat on for tand Weld he subject
property.
Land $ 519.319
Improvements $
Total $ trig
Percent Residential 55%
Percent Commercial 45%
2009-1930
_.._,°7ii!.u1. 13. 2009 9:21ANP3°4rstrassburg & CoVELDCOUA'TYASSESSOR
No. 7064 P. 393/9°3
5. The valuations, as established above, shall be binding only with respect to tax
year 2921.
6. Brief narrative as to ofincome el the reduction
on the owne Colorado Retail Taa R rn the her�rg ti
I ax etums to have been exempted from sates tax.
7. Both parties agree that the hearing scheduled before the Weld County Board of
Equalization on N/iat NMad; be d; or, a. hearing has not yet been
scheduled before the Board of Equalization x (check if appropriate).
DATED this day 9 July 2009.
Petitioner(s) or Attorney
Address:
Telephone:
'Petitioner(s) or Attorney
Address:
Address:
1400 N.17th Avenue
Greeley, CO BOB31
(970) 353-3845 ext. 3656
•07 l<Ul. 13. 2009 1 9;2 AM1309EStYdSSbUYg & C0VELDCOUNTYASSESSOR
.11
No. 7064 P. iaiioo3
1400 It 178 Ave
Greeley, CO 80631
970-353-3845 ext 3672
9703044433
wmeree®ce.weld.co. ue
To:
Nal Sanders
Weld Comity'
ttS4.4'ssor Oflcc"
� O
Pnvn: Wade Mellen
Floc 316-634-1776
Phone; 318-634-1750
Pa0•el 3
Dater 9 -Jul -09
Re: Stipulation
eat
O Urgent O Pr Review Orlon. Comment X Please Reply CI Plase Recycle
• Colnetienb:
Sign and return
Thank you.
Wade
REAL AND PERSONAL PROPERTY
NOTICE OF DETERMINATION
Christopher M. Woodruff
WELD Assessor
1400 N 17th Ave
GREELEY, CO 80631
Date of Notice: 6/24/2009
Telephone: (970) 353-3845
Fax: (970) 304-6433
Office Hours: 8:00 AM - 5:00 PM
SCHEDULE/ACCOUNT NO.
R4697107
TAX YEAR
2009
TAX AREA
2556
LIBERTY VP FIRESTONE LLC
2200 LUCIEN WAY No. 410
MAITLAND, FL 32751
LEGAL DESCRIPTION!
PHYSICAL LOCATION
FIR 3DCBP L6 B1 DEL CAMINO JUNCTION
BUSINESS PARK 3RD MINOR SITUS:
FIRESTONE 000000000
11334 BUSINESS PARK CIR
FIRESTONE, CO 000000000
3,357,304
2,719,416
COMMERCIAL
RESIDENTIAL
ASSESSOR'S VALUATION
0
VALUE AFTER
637,889
TOTAL.
$3,357,304
$3,357,305
The Assessor has carefully studied all available information, giving particular attention to the
specifics included on your protest. The Assessor's determination of value after review is
based on the following:
CM03 - After review of your property, we have made adjustments. This was done because of
additional information obtained, or provided thru the appeal process.
If you disagree with the Assessor's decision, you have the right to appeal to the
County Board of Equalization for further consideration, § 39-8-106(1)(a), C.R.S.
The deadline for filing real property appeals is July 15.
The deadline for filing personal property appeals is July 20.
The Assessor establishes property values. The local taxing authorities (county, school
district, city, fire protection, and other special districts) set mill levies. The mill levy
requested by each taxing authority is based on a projected budget and the property tax
revenue required to adequately fund the services it provides to its taxpayers. The local
taxing authorities hold budget hearings in the fall. If you are concerned about mill levies, we
recommend that you attend these budget hearings. Please refer to last year's tax bill or ask
your Assessor for a listing of the local taxing authorities.
Please refer to the reverse side of this notice for additional information.
STRASSBURG & COMPANY
1223 NORTH ROCK ROAD No. J100
WICHITA KS 67206-1269
> 15-oPT:w0.:
,fix207 8-4
SOD# 5-(
Cn
County Board of Equalization Hearings will be held from
July 1 through August 5 at
91510'" Street, Greeley, CO
To appeal the Assessor's decision, complete the Petition to the County Board of Equalization shown
below, and mail or deliver a copy of both sides of this form to:
WELD COUNTY BOARD OF EQUALIZATION
915 10TH Street, P.O. Box 758
Greeley, Colorado 80632
Telephone (970) 3564000 Ext, 4225
To preserve your appeal rights, your Petition to the County Board of Equalization must be
postmarked or delivered on or before July 15 for real property and on or before July 20 for
personal property — after such date, your right to appeal is lost. You may be required to prove that
you filed a timely appeal; therefore, we recommend that all correspondence be mailed with proof of
mailing.
You will be notified of the date and time scheduled for your hearing. The County Board of
Equalization must mail a written decision to you within five business days following the date of the
decision. The County Board of Equalization must conclude hearings and render decisions by August
5, § 39-8-107(2), C.R.S. If you do not receive a decision from the County Board of Equalization and
you wish to continue your appeal, you must file an appeal with the Board of Assessment Appeals by
September 11.
If you are dissatisfied with the County Board of Equalization's decision and you wish to continue your
appeal, you must appeal within 30 days of the date of the County Board's written decision to ONE of
the following:
Board of Assessment Appeals District Court
1313 Sherman Street, Room 315 9 Wand 9th Street, P.O. Box C
Denver, CO 80203 Greeley, Colorado 80632
(303) 866-5880 Telephone (970) 356-4000 Ext. 4520
www.dola.coloradacov/baa
Binding Arbitration
For a list of arbitrators, contact the County Commissioners at the address listed for the County Board
of Equalization.
If the date for filing any report, schedule, claim, tax return, statement, remittance, or other document
falls upon a Saturday, Sunday, or legal holiday, it shall be deemed to have been timely fled if filed on
the next business day, § 39-1-120(3), C.R.S.
PETITION TO COUNTY BOARD O EQUALIZATION
What is your estimate of the property's value as of June 30, 2008? (Your opinion of value in
terms of a specific dollar amount is required for real property pursuant to § 39-8-106(1.5), C.R.S.)
$ Classification Appeal
What is the basis for your estimate of value or your reason for requesting a review? (Please
attach additional sheets as necessary and any supporting documentation, i.e., comparable sales, rent
roll, original installed cost, appraisal, etc.)
Classification should be adjusted to reflect the long—term stay (residential)
percentage of 55%. See attached.
ATTESTATION
the un signed owner or agent' of the property identified above, affirm that the statements
con he pyrd on any attachments hereto are true and complete.
v 316/634-1750 7/7/09
Signature Telephone Number Date
Neal C. Sanders
Attach letter of authorization signed by property owner.
15 -OPT -AR
PR 207-08108
NOD #: 3025
Strassburg&Company
Property Tax Consultants to the Real Estate Industry
July 7, 2009
Via Certified Mail
Article No. 7008 1140 0002 5249 2450
Weld County Board of Equalization
P. O. Box 758
915 10th Street
Greeley, CO 80632
Re: Value Place
11334 Business Park Circle
Firestone, CO
Schedule No. R4697107
To Whom It May Concern:
rr
As authorized agent to the owner, Strassburg & Company desires to protest the decision of the
Weld County Assessor's office regarding the 2009 actual real estate valuation for the subject
property.
Enclosed is a completed Petition To County Board of Equalization for the subject schedule
number.
Please notify this office as to the date and time for the hearing.
NCS:Ie
Enclosure
Regards,
Neal C. Sanders
Vice President
1223 North Rock Road, #J100 • Wichita, Kansas 67206-1269
(316) 634-1750 •Fax (316)634-1776
n7 --V
CD
LETTER OF AUTHORIZATION FOR REPRESENTATION AND
RELEASE OF FINANCIAL INFORMATION
TO: Weld County Assessor
-1400 North 17th Avenue
Greeley, CO 8C631
This letter will serve as authorization for the agent named below to represent the owner as agent in cbnnection
with all ad valorem tax matters. This includes, but is net limited to, filing property tax appeals, examining all
property tax records including financial data (corporate or personal). Alt tax statements and value notices
should continue to be sent to the existing address unless authorized by a separate letter. All communications
regarding any matter in which the agent is heareby authorized to act should be addressed to the agent as
follows:
AGENCY: Strassburg & Company
(AGENCY)
Neal C. Sanders
(AGENTS NAME)
1223 Noah Rock Road, #J 100
(AGENTS ADDRESS)
Wichita
(CITY)
316/634-1750
(PHONE)
KS 67206
(STATE) (ZIP)
OWNER: Liberty VP Firestone LLC
(OWNER)
2200 Lucien Way, Ste. 410
(STREE1)
Maitland
FL 32751
(STATE) (ZIP)
(CITY)
407/774-8818
(PHONE)
PROPERTY ID: R4697107
Value Piece
(PROPERTY NAME)
11334 Business Park Circle
(STREET)
Firestone
(CITY) (STATE)
(see attached listing, if necessary)
CO
SIGNATURE: �c/sA•'`/��G',4G�L
PRINT NAME/ W. Michael Mikkelson
TITLE: President & CEO
DATE SIGNED: 5/11/09
VALUE PLACE
11334 BUSINESS PARK DRIVE, FIRESTONE, CO
SCHEDULE NO. R4697107
GROSS SALES CALCULATION OF SHORT AND LONG TERM STAYS
BASED UPON SUBMITTED SALES TAX RETURNS
MARCH - DECEMBER, 2008
Gross
Sales &
Service
Mar -08 10,632
Apr -08 25,769
May -08 62,164
Jun -08 65,590
Jul -08 78,026
Aug -08 95,357
Sep -08 90,079
Oct -08 78,324
Nov -08 48,917
Dec -08 41,400
Less
Deduction
'Long -Term)
0
0
0
58,386
41,997
58,926
74,839
42,972
28,712
22,288
Net
Sales
JShort-Term}
10,632
25,769
62,164
7,204
36,029
36,431
15,240
35,352
20,205
19,112
Totals: 596,258 328,120 268,138
Percentage:
55%
45%
! (. !00 SIGNED UNDER PENALTY OF `` j e 1
V11/05) PEI RJURY IN THE 2ND DEGREE. !Dale 4/ ) �I p Phone f ) fir -1 —I C) Signature
urns J!T E- 4�_ 4C f 1. Gross Sates and Servlces(include bad debts, previously dedL
2. Deductions: A. Sales to other licensed dealers, for resale
ue Date 412
.cct —7451
rt GEC gs:: •6nLL6 TO
tTUrvEMOF OllouX, CC,M"m..RETURN THIS COPY
period
NET SALES (lino 1 minus line 2C) DO
A. Sales out of lasing area
B. Exemptions (listed above)
C. Overpayment from previous return
Net taxable sales (line 3 minus A, B & C) ..•. (4-1)
TAX RATE
Amount of sales lax
Excess tax collected„..„..............................S.
Total (add lines 5 & 8) _._..._....._. _._.........-.
A. Service fee rale .._.......... ...
B. Service fee allowed vendor •
00
03C01t-3
C, 20-100 B. Other deductions (from line 10 above)
ES fOrt
1U 33�
00
00
00
•
41-4) f bl a
(2.4)
C. TOTAL (add lines 2A and 20)
00
00
00
00j
00
7
1oca3a
In io
0
00
00
00
00
00
1,1
(6-1)
00 4-2)
0 ta, (p,f
00 (6-2)
00
00
I (r�;
00
00 -\4.3)
00
P 00
00 '6-3) 00
00 00
00 00
00 !00
00 14.4) _, _ } OD
.o 1oS
(6-4)
00
00
00
Sales Tax Due (line 7 minus line 8B) •-------
Tax on $ O.
Total Tax Due (add lines 9 d 10) .•-•.-()M
Penalty: 0.10 limes line 11 (200)
Monthly prime interest rate limes line 11(3001... (13-1)
(10-1)
(11-1)
(12.1)
00 8-2)
00
00 :10.2)
00 (11-2) P-
00 (12-2)
00 (13-2)
Total each tax (add bnes 11.12E 13) r 00
Total amount remitted (Add all columns on line 14) Soo reverse side for return check policy.
f .., ( Li
00 8-F) 00 (8-4)
00 00 3Cg
00 ;10-3) _
00 X114)
00
00
00
12-3)
13-3)
— C
00 110-4)
00
(11.4)
00 (12-4)
00
00
(13.4)
00
00
00
00
0D
00
t), g 0
PAID BY EFT ❑ (355) $
Cad *00
9. Saks lax due (i ee 7 mk;:s ire 681.
S. Net taxabiesaleailx3n:ncsai�E4..•� ..�-..—.._.. ._ __:'. i _ ._. _.....__ UU 0001 ._..___ _..i 00
(4-1) iii 1(4-2.}— — —
TAX RATE _..00 —
.0200 CITY ��
s. Amounlctsasrax... ......_ ..... APPLICABLE ";
6. Excess tar corected..._..._..._ _6 (6-i) — -- '
7. Total Tads !a Ori 1(6.2) ._ s '16100
6. a. Se :.-e tee tale ............ - •; —.—....__..._ P.' -••f
HO FEE ----- _____!..00
`1-7 b. s=�s_lraaraRed:6 aot ; 0333
(8-4)
10.TaxonS_. •
11. Total Mx due tact 5nEs 54 10! •• C01 1 } 1
) NA � 1• ..... �I:,••3�S fl0(1f•s} NA rt IGO
-f -
;Daler.,—/Z O /c. - 11-1':-"-e _321'441- � _ ....._-. _; _ ..- _. ... __ _-,
;r;ama VALUE PLACE 1Cis _ _ •..:..,..L..:.-.:. :�*
i.o_.5 $slay and P:t ..2i
05/20/08 x—_..._...---703.6043 ...c r:ct. �:r.:cr.....:1 �i1 7 I 0
0 3 _ �.:. A.-.67.-',•':%,.:1•:i.1:� x_0-.'_0
12-74577 I•.:... �. 1 ; ft. c .. •tf2.4;__ ...__. t 00
04/0A ,_. F._;�-f�� �.:•.•..j:•:��.. ........... -17
00
3. fretsemOre 1(Wren to* 2Cr...
a. Sates out of tax•ng loan __.. — -- i_ ...—. J 5 r1{�'r% OG I _ — r 00 '•
no
b. Ersmptoos of oo t uk) ..... _._—.-._.. _ ._... ".�i ( .... _._.._.......—� I— . .——_..—_...- On I oG
c. C ; ..M. atr fee;; �s!d'c n • _ :
APPLICABLE +00
0.3i. �
((8.1)......__ _..._..... Gtr' 1(8-2.).._.._..._/...-�_y_.(1G.(8.3) 1:0 I
(i1.j _:, f ) 70' 0 —1-00
frs' _
12. Penalty: 0.10 wee t•ne I I . 200 _ _ '
11Monthly.eatevta { ) (12_t}�_ __ 00 f1z [) 00 (12-3)
tioesr+•31: ............012 ..(7fu1) (13.1) O111O3.2) •--•--.._.- ...__..._..._-
l4. Toral each tax ied;:4.ss 11. 12.3 13: . NA ......_.. ...... ......_.. _ . 00 ! O3-3) 00
15. TOTAL AMOUNT.eeiii REMITTED _ _ _.....-_ . { (,-.—.--- �5�QP1--.—NA 00
{ddt1 a:, . -. :'an> n.,i I.1. 1 ••- r:,•..
C't'0'1 •.::r;i.:;r•Un5..: Paid by EFT �� (955)
0000040810000204
127457700004
�J..�I•_ i 9G
-.0290 STATE
oG
Lr00
2.3 i 00
(10.. _ _ 00
(11.4) _ 00
(12-4) i 00
(13-4--- —{ 00
1�� 1
Dire 0—pg Phone (321)L1A11—'In
VALUE PLACE
Oue
Oat*
Acct.
Na.
06/20/08 f
12-T4577
1 030043
P° 05/08
Sg:sd scoer pena4' Npeljur . m Me second aegeee. lSignaaxe
1. Cross Sates and Services(krc!vdebad debts,previously deducted) ._...•j(1-4) 6121sc 00
I �' s
3. Net sales: pine 1 minus line 2CJ .........
a. Sales out of taxing area ........_.........
b. Exemptions (IN' on back)
c. Overpayment from previous return
4. Net taxable sales(6re 3 rress a b,& c)
TAX RATE
5. Amount of sales lax
& Excess lax ccflected_._._........_......._..
7. Total (add ines 5 5 6)
S. a. Service fee rate ._._.._
b. Service fee allowed vendor
Io�Ye pee onenema**dee)
9. Sales lax due (rate 7 minus line &B)
10. Tax on
•
•
11. Total tax due (add sines 9 & 10) ... (100)
12. Penalty: O.IOtimes fne I1 _____ (200)
13. Monthly newest rale
limesine 11 Q114.... (300)
14. Total each tax (add rates 11, 12, & 13) _
15. TOTAL AMOUNT REMITTED (add all columns on line 14) See elect on c collections, on reverse .. Pa)d by EFT 0'(355)` 5 �� rti ;
0000050810000203
127457700004
2. Deductions. a, Sales to olher t.censed dealers. for resate........ .. •
20-100 b.O0rerdecxgicns
Fl
c. Total
(2-4)
00
00
17
0
00
62, 1G
00
---- -..._00
00
to j I b 7 .:-.)z5
I OO
UU
, '
0
00
0
00
004
AR
00
00
00
00
►d
00
00
00
00
' (4-1)
00
(4-2)
00
(4.3)
00
(4-4) _
000
NOT
.0200 CITY
NOT
.0290 STATE
fl
APPLICABLE
00
00
APPLICABLE
00
1 SoQ
' 00
(6-1)
00
(6-2) iifzi 3 ,27
oo
(6.3)
00
.7,
(6-4)1
00
-
0
00
00
00
1 $09,74i
,`i
00
El
NO FEE
.03313
(8-1)
00
(8-2)
00
(8-3)
00
(8-4) GO, G3
00
00
1I �y 3. 9,1
00
00
1 ''j y2
0041
Arf
(10 1)
00
00
(10.2)
0
00
{10-3)
00
J
(10'4) /
00
K11-1)
(11-1} NA
(ii -2}_
1 4I3 27
00
(11-3) NA
00
(11-4)
O0
3
00
(12-2)
00
(12-3)
00
(f2-4)
00
(13-1)
00
(13-2)
00
(13-3)
00
(13-4)
0
00
NA
00
24
1,3.('7
00
NA
`i9., i1
.w
Data
nuta
Q (Phone (32-J ) N^(J-11,0
Ve ! lac! FiV e.3}or1 /
C.A.,n r,Ckc
'7145-7x7 Mt 100 20-100
a Net sales: (ins 1 mixrs ire 2C) ........
a. Sales aid Wing area
.._.............
b. Exert ons (from scnedvle) .._._
C. Overpayment trtxn previous retrn
4. Nei tmrabte sales (brie 3rrin.a a.b4 cjt
TAX RATE
6. Amount olydes tax .
(4-1) IV i f} ..
(6.1)
7. Total ;aid Ines 5b6)...._.__ .....
__...
8. a S Weeleera4a __.__.__....._...
Senile fee atowed vendor
t4Srt;.4 mu Warta'J� Ed P)_ �`8-1)
9. Saks lax due (ins 7 thrum ire 88) ._.
10. Taxon$
r
11. Total tax due (add Eros 9 b 10) _. (100,
12. Penalty: 0.10Imes Ire 1..-....... (200,
13. Monttily 'xoaresi tale
fines Ina 11 P00
14Total each tax (add inns 11.12 d 13) .
(10.1)
(11-1)
(12-1)
(13-1)
L
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
Sfi a ruderpa* cf perjury indresecond degree ISigna!ure
1. Gross Sales and Services fndude bad deb,, PrIMOus.Y decl 7 ....
2. Deductions: a Sales to oth& Foamed dealers, let resako
a
b. Other ded ons (Aeriaed above) .....
frrt5-fonG
65 go r 1L
ssr3s���
(4-2) 71203,-7,3
ra;�co C/I y
(6.2)
YALD
(8.2)
C`)' -1t07
(10.2)
(11-2) )44/1.07
(12-2)
(13-2)
)L/'4,07
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
(2-4)
41-4) J SqO, f
00
c. Total (add roes 2a 8 2b)
(4-3) I/1
(6-3) ', f
(8-3)
(10-3)
(11-3)
(12-3)
(13-3)
15. TOTAL AMOUNT REMITTED (add all columns on line 14) (See return check pokey above) ..
am ent e.d n- 11 e
r.
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
... Paid by EFT O (353)
00
5;, -go. 10
00
17
00
00
00
00
00
(4-4) 7 203.70
,0290 5Ic-i
2U$. 9 r x00
(6.4) -- 00
00
9.o t. 91 I oo
113333
(8-4) (D,76
2O1. 95"
(10-4)
(11-4) 22Q/,45
(12-4) -.
(13-4) -
CLL95
00
00
00
00
00
00.
00
$ 3'y�a,o .? , 00
91
a
0
0
0
C
Da. Y- /R-ocs Inc.. {3zJ ) f -11O3
"a"lfnf e. 7f0c e Flee � rt
eDe. U
Date
ha- a-rIg67,7
SSned under penaly of perjury i7 the ; sortd degree. jSlgnarure
t. Gross Sales and Services Cada*bad debts. previa.Sydeiutted}.....[(1.4) 72.023;
2
. Deductions: a. Saks io oder Foamed d6a&s, for resale .. .
Crt Ll20Od
0SC 20-100 b.erdeaaC,�one( mzedabove)..........._._...
a Net bales: (inn 1 mo s foe 2G')
a. Saesoutoftaxing area
b. Exrrrptas )from sCh6dul9) ...._
C. Ooerpefnrend tom prevtus ream
4. Net !arable sales (ire 3 rtdits a bd O
TAX RATE`
6. Amoral o4 sales tax
7. Total (add toss 56 fy ....
& a. fien/ce lee tee ....... ..__..........
b. Sante fee aCoaed veodor •
lv:rr $:1 m !evia'. dte)
9. Saks tax due ;4n?7tramine8B)
10. Tex on$ __.._...*
11. Total lax due (add fres 9 d 10) ... (120,
12 Penalty: 0.10 limes ine 11 ....._. (no
13. Morally inktesl rue
Iron Ine 11 ._........._.............._ (300 _
14. Total each lax (tithes 11.12.6 13)
r
00
00
1,025, �S
00
00
(2.4)
X
15-00
00
00
17
e. Total (add En es 2a d 21_......._.
00
00
0- -, IS
7`5 025.15-
00
00
00
00
00
00
00.
00
00
00
99i, Lis -
00
00
(4-1)
[& ,
(6-1)
00
00
00
04)3_6 02$ .1O
, 0;200 c.'4 v
(6-2)
..
00
00
00
(44) r.:..
(8-3) t r „
00
00
00
(4--4) 3 ' �. 00
d2 SlJQ q -f
cO141..
(8.4)
00
00
00
11O LAili
00
00
(8-1) .. ! 00
.r
(10.1)
(11-1)
(12-1)
(13.1)
00
00
(8.2).
(10-2)
(11-2) 71O.sb
(12-2) ..
(13-2)
00
00
00
(8.3)
(10-3)
(114) },..rr..
(124)-
(13-3)
00
00
00
.C)1 33
(4) 3 q.,70/
(10.4)')QIQ,bQ
(11.4) 1 x010,01
(12-4)
(13-4) -
Li 010.02
$ I,'i 3O, -? . 00
00
00
00
00
00
00
00
00
00
00
00
00
00
00 72.0. C4
00
00
00
00
15. TOTAL AMOUNT REMITTED (add a'l columns on line 14) (See relumcheck pobcy above) Paid by EFT C] (355)
:aril ctide, d s y .. _9-00
6
0
0
0
5
I
0
K
00
Dale
!Phone (31 i y y/ . f O 9p i S:,T^ad . re;sr per;iy ai pefiurj r iho serae dsgree. S nnakae *
Eve
pate
Act.
to.
09/22/08 I
jk-745770$p
3. Nat 64125: (tine 1 minus 6ne 2C)
a. Saes out of tax'vg Brea
b. Exemptions (lit on backj
c. Orerpayman: from prevtus return
4. Net taxable sales(Erte 3 msus ab.3 c) •
TAX RATE
5. Amount of safes lax .
6. Excess tax co"ected .................
7. Total (add Ems 5 6 6) _..,
8. a. 5eMce fee rate
b, Servico fee alined vendor •
(only ifrid on a Dew, ex duet .... ____ .,_
9. Sales las due (fine 7 minus'no 8B)
lo.TaxonS •
1I. Total tax due (add Enes 9 310) ... (100)
12. Penalty: 0.10times line 11 (200)
13. Monthly interest rate
tunes kw 11 A1.34.... (300)
14. Total each tax (addrnes 11, 12. a 13) ..
15. TOTAL AMOUNT REMITTED (add alt columns or line 14) See electronic collections, on reverse .. Paid by EFT O (355) S
Penes
030043
08/08
I. Gross Sales and Services (include tad ?etts. pre uxusy deducted) ..,... • 1(1.4) f 9 00
2. Deductions: a. Sales to other CCen$0d dealers. for resale ._....... a (2-4) 00
20-100 b. Otnerdedacrro:s._...._..... -...........,....... -....... ,. 00 i 7
FIRESTONE
c. Total (add r nes 2a 8201 ....
_......
00
00 9sss7e 19 00
00
0o 579,25,9y oo
00 00
00 (4-2) 31,91 /..1sVo (4-3)
00
00 4.535 2 i9 oo
00 00
00 3.34-2S 91/
00
(4-1)
NOT
00
00
.0200 CITY
00 (4-4) Sb t/51,1S'OO
NOT .0290 STATE
APPLICABLE 100 71$163
(6-1)
00 (6-2)
a OD° Wk.&
NO FEE
(8-1)
(10-1)
(11-1) NA
(12-1)
(13-1)
00 (8-2)
00 ?n63
00 (10-2)
00 (11-2) Lea 00 (11.3) NA
00 (12-2)
00 (13-2)
00
00
00
APPLICABLE
(6.3)
00
00 (6.4)
00
00
4404, 054_57 r o0
.1174:1
00 (8-3) <St 2) 3s t
00 100 /0 AI. 3a.
00
(10-3)
00 (12-3)
00
00
00 (10-4) 00
00 (11.4) Jeodi. 00
00 (12.4)
00
00
(13-3) 00 (13-4) 00
NA 00
lay 63
00
NA
00 /O e?/. 00
0000080810000200
127457700004
/7y9.r
it/5bo 7'frdo 3 •
Yo oc,t, /0.5-4.5.1
gam, <3.i>
Oat �YDhcne (-1111 s7I'/Fe 3 S ederdFrpr ilyOfDel'u;infilessconddegree.lS:gnature0 kLLj__ V
Nem* E PLACE 1. Gross Sales and Services (include bad debts. previously deducted) *1(1-4) To O 7 9.35' 00
Due
pare
10/20/08
tfPt. 74577 Penatl
3. Net sales: (One I minus fns 2C)
a. Sales out of taxing area :
b. Exemptions fist on back)
c. Drrpa;ment horn previous return
4. Net taxable sates(re3minus ab.&c) .1 (4-1)
TAX RATE
6. Amount of sates tax ......_ .................
6. Excess tax collected • (6.
030043
09/08 .,
2. Deductions. a. Saes to a tef 5cenied dealers, for resale .......... ♦1(2-4) fl0 17
00
20-100 b C:nerdeduci5ns
: FIIRESTONE:' . r c.Trdl(e rnes2a520)
00
• 9 0 0 I: -.3Y1 oa
00 00
00 7 ei $39. 2100
00
00 (4-2) /$.2yo a 13
00
00 (4-3)
°tbo)9.SS- 00
_0(___90 D79,5.5
00
00
00
00
00
00
7. Total (add foes 5 & 6) ..
C. a. Service fee fete ........_...............
NOT
.0200 CITY
00 (4-4)15.2YO.13
NOT .0290 STATE
APPLICABLE�00 30 (j/. go 00 APPLICABLE 00 VW. Q 00
1) 00 (s-2)OO (6-3) (Ivan a. 0000 16-4:O33A/34j j.,‘
.�US6O (00 has
NO FEE
00
0. Service fee allowed ver.dcr a f8.1)
(aydp3e ona:"aeO� alto _. .___.
9. Sates lax due (line 7 minus me a8) .....
10. Tax on 5 e ('10-1)
51. Total tax due (add lines 9& 10)._ (100) (11-1) NA
12. Penally: 0.10 times One 11 (200)
13. Monthly interest rate times Ors 11 ,1124.... G0) (13-1)
(12-1)
00 (8-2)
1 00
00
(10-2)
(11-2) oy.. j
(12-2)
(13-2)
Say 5-0
00
00
00 (8-3) {'` o0 00 (8.4)
00 00 11,21_16" 00
00 (10-3) 00 (10.4) 00
00 (11-3) NA
00
(12-3)
(13-3)
00 (11-4)
00
(12-4)
(13.4)
ya1,2a
00
00
00
00
00
14. Total each lax (add Ones 11.12. & 13). NA 00 3Q5/, 80 00 NA
15. TOTAL AMOUNT REMITTED (add all columns on line 14) See electronic collections, Grp reverse .. Paid by EFT U
0000090810000209 127457700004
00
00 7.01.-S-00
355j
s 73.2.o.rf. 0E
Date
Name
1-1s.0g
Phone
VALUE PLACE
11/21/08
(321
yyl 1853"
Cu.
Cale
Acct.
No.
12-14577
3. Net sates: (line 1 minus Eno 2C)
a. Sales out of taring area
I 030043
Pen0O 10/08
Sgnedunrkrpenalty ofperjury inthe second derive. Signature
1. Gross Safes and Services (include bad debts, previously deducted) e
2. Deductions: a. Sales to other licensed dealers, Ior resale e
20-100 b. Other deductions .................................................
1-4) v ;3,23.74,
(2-4)
00
00-
0-
80
17
FIRESTONE a Total (add l'rues2a&2b).......
.._..
7Y,3,1376
00
00 `14 323 7 IO
00
00 44.2 ,17.1.1I 100
00 I00
00 (4-2) 35;35(, s5- Q@ (4-3)
b. Exemptions (list on back)
c. Overpayment born previous return ..
4. Net losable sales(tre 3 minus a,b.& c) _e (4-1)
•
TAX RATE NOT
5,Amount otsales tax .........._... APPLICABLE
6. Excess lax collected ...._ .............._...__e (6-1)
7. Total (add lines 5 & 5) ._..... ...._._......
...
II. a. Service tee rate ___..... _........ _._....
b. Service tee allowed vendor e
laiY f pad on ortolan doe 441..._..,......
9. Sales lax due (line 7 minus Ine 881.._.
10. Taxon $ •
11. Total tax due (add lines 9 & 10) ... (100)
12. Penalty: 0.10 limes line 11 ..... (200)
13. Monthly interesl rate
times ins 11 ,R12:t.... (300)
14. Total each tax (add Ines 11, 12, 313) ..
15. TOTAL AMOUNT REMITTED (add all columns on line 14) See electronic collections, on reverse .. Paid by EFT 0 (355) S
80
00
00 'g323.76
00
00 4 s fri),.3.1
00
00 (4-4) 3C‘35-1.1-5- 00-
.029T STATE
00 .IpVS 1i Ge
00 (6-4)
00
00
-et
00
.0200 CITY NOT
00 *7 703 err APPLICABLE
00 (6-2) 00 (6-3)
00 -101.03 ee-1
NO FEE
.0333
00
119pas', eb-
(8-1)
00
00 707.03
00
00 (11-2) 70.1,03
00 (12.2)
00 (13-2)
00
(8-2)
00 (8.3)
00 (6-4)
00
(10-1)
(11.1) NA
(12.1)
(13-1)
(10-2)
ee
00
80 (11.3) NA
00 (12-3)
00 (13.3) 00 (13-4) 00
08 NA
(10-3)
00
00 (11-4)
00
(10-4)
3V: I' -I - -e6
qR1r 00
oo
(12-4)
NA
70)-03
oo 9q1•os
0000100810000206
127457700004
ate 17 (11K(161
E PLACE
;; 12/22/08 1
12-74577
1 03003
11/08
S.pnwwunderpenayyofpery'urynthe s.c„„ddegree.[signature ♦ of`4 Afetze
1. Gross Sales end Services (include bad debts, previously deducted) ......•1(1-4) 4 gr q 1 t -
2.Oeduclions: a. Sales 10 other I:censed dealers. for resale ,.__..... • (2-4)
20-100 b.Otherdeductbns............. _...._....... ........
_.._...__
. NM sales: (One I minus fine2C) ..........
a. Sales out of faxing area .......
b. Exemptions (list of bank)
c. Overpayment from previous return ..
. Net taxable seles(kte3 m o.e a,b4 c) .11(4-1)
TAX RATE
. Amount of safes lax .....
Excess tax collected •
. Total (add lines S B 6)
. a. Service lee rate ........_.._
b. Service lee allowed vendor •
Only par70,abeat dw<100_....�_.
. Sales tax due (line 7 minus One 86)
. Tax on s ___..__ _..•
00
00
00
17
FIRES IUNE c.Total (add Ones 2a&20).._.. ...
_.
00
00
00
00
00
00 4!t'4O
00
00
00
O0 (4-4) ROPY 430
00
00
00
00
00
00 (4-2) 00
.6200 01TY
NOT
APPLICABLE
(6-1)
00
00
4.3)
.?fi,712.30
00
NOT .0290. STATE
00
00
00 (6-2)
00
00
00
00
APPLICABLE
(6-3)
00 $85.ga-
00 (6.4)
00 SSS Pa
-0334 ..
00
00
00
(8-1)
00 (8-2) 00
00 : r _ -. • 00
00 (10-2)
00 (11-2)
00 (12-2) 00
00
(8-3)
(10.1)
Total fax due (add lines 9 d ID)._ (100) (11-1) NA
. Penally: 0.101:m05 fine 11 ........... (200) (12-1)
. l.tonthly interest rate Imes Erie 11 R1 4.... (300) (13'1)
Tolal each tax (add Ones 11,12.313)..
00 10.3)
00 (11-3) WA -
(12-3)
(13.3)
00 (8-4) /7.51
00 5610.
00
00 (11-4)
00
00 (13-4)
00 Ste Co.%
(10-4)
(12-4)
00
00
00
00
00
(13.2)
00
A A 00
00
5. TOTAL AMOUNT REMITTED (add all columns on line 14) See electronic collections, on reverse .. Paid by EFT El (355) S
00
00
970.S0.00
0000110810000205
127457700004
..... . v � ............ .
O
O
n
O
0
0 a o O 0
OOOOO
FrT
J
z
g.
O
O
0
O
r�f1
S
3
0 0 0
OOO
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
•
op oc-
0 LI1 cn U C'
ca co
O • O 0 1'N co
-
c. Total (add Mob 2a&2t)
w
O
H
in
w
¢
li
9
4
OOOOO
0 0 0 0 0
0 0 0 0 0
OOOOO
Tr
kr
r cs
4
T
O
4
O
O
N
00
m
0
N
3
N
00000
S
LEI
H
z
O
0
0
N
O
}-
0
z
.3. Net sales: (be 1 minus 6n
r
a a
S z
S. Amount of sales tax
6. F xm.sstaxcalected
O
O
7. Total( 5ra558.8)
1
V)
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