The URL can be used to link to this page

Browse Search

Home My WebLink About20202885.tiffRESOLUTION RE: APPROVE, IN -PART, PETITION FOR ABATEMENT OR REFUND OF TAXES FOR ACCOUNT NUMBER P9101713 - SHAN I, LLC WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board of County Commissioners of Weld County, State of Colorado, at a duly and lawfully called regular meeting held on the 21st day of September, 2020, at which meeting there were present the following members: Chair Mike Freeman, and Commissioners Steve Moreno, Scott K. James, Barbara Kirkmeyer, and Kevin D. Ross, and WHEREAS, notice of such meeting and an opportunity to be present has been given to the taxpayer and the Assessor of said County, with said Assessor, Brenda Dones, being present, and taxpayer, Shan I, LLC, not being present, and WHEREAS, the Board of County Commissioners has carefully considered the attached petition, and is fully advised in relation thereto. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Board concurs with the recommendation of the Assessor and the petition be, and hereby is, approved, in -part, and an abatement or refund be allowed as follows: CORRECTION TO ASSESSED VALUATION ABATEMENT OR REFUND TAX YEAR $314,340.00 $2,081.86 2019 cc: APPL O91 WI ao cc: ASFtC(3AI 3'en/ c K/LL), CACKerN) IotQ&(90 2020-2885 AS0105 TAX ABATEMENT PETITION - SHAN I, LLC PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 21st day of September, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: dia./LA) k" •t Mike Freeman, Chair Weld County Clerk to the Board reno, Pro-Tem County Attorney Kevin D. Ross Date of signature: (9(x31 ae.) 2020-2885 AS0105 PETITION FOR ABATEMENT OR REFUND OF TAXES County: Weld Date Received (Use Assessor's or Commissioners' Date Stamp) Section I: Petitioner, please complete Section I only. Received by ASR 4/14/2020 Date: Montn Day Year Cristina Petitioners Name: SHANILLC RECEIVED Petitioner's Mailing Address: 10923 Meade Court Westminster CO 80031 AUG 2 7 2020 City or Town State Zip Code SCHEDULE OR PARCEL NUMBER(S) PROPERTY ADDRESS OR LEGAL DESCRIPTION OF PROPERTY P9101713 2510 46TH AVE GREELEY WELD COUNTY COMMISSIONERS L1 SUFFOLK SUB 5TH FG Petitioner requests an abatement or refund of the appropriate taxes and states that the taxes assessed against the above property for the property tax year 2019 are incorrect for the following reasons: (Briefly describe why the taxes have been levied erroneously or illegally, whether due to erroneous valuation, irregularity in levying, clerical error, or overvaluation. Attach additional sheets if necessary.) The accountant mistakenly reported a lump sum cost that did not follow state of Colorado personal property declaration standards. The lump sum includes things such as wall finishes, lighting package including parking lot. and never accounted for the S200 in value or more as taxable I am supplying an itemized list and I welcome a site visit by the assessor's staff to verify the quantities and the associates values. This list was supplied on official county forms for 2019 consideration I am still very much baffled as to why no review was given and now we are at this stage Petitioner's estimate of value: $ 178,945 00 Value (2019 ) Year I declare, under penalty of perjury in the second degree, that this petition, together with any accompanying exhibits or statements, has been prepared or examined by me, and to the best of my knowledge, information, and belief, is tLue, correct, and corplete. or111 19 — Petitioner's Signature Daytime Phone Number c 303 Email David Amin@hiltoncon 358-2681 By Daytime Phone Number Agent's Signature' Email ) 'Letter of agency must be attached when petition is submitted by an agent If the Board of County Commissioners, pursuant to § 39-10-114(1), C RS . or the Property Tax Administrator, pursuant to § 39-2-116, C R.S . denies the petition for refund or abatement of taxes in whole or in part, the Petiboner may appeal to the Board of Assessment Appeals pursuant to the provisions of § 39-2-125. C R S. within thirty days of the entry of any such decision § 39-10-114.5(1), C.R S Section II: Original Corrected Abate/Refund S Actual Assessor's Recommendation (For Assessor's Use Only) Tax Year 2019 Assessed Tax $1,166,066 $338,160 $29,555.18 $1,083,914 $314,340 $27,473.32 $82,152 $23,820 $2,081.86 Assessor recommends approval as outlined above. If the request for abatement is based upon the grounds of overvaluationno abatement or refund of taxes shall be made if an objection or protest to such valuation has been filed and a Notice of Determination has been mailed to the taxpayer, § 39-10-114(1)(a)(I)(D), C.R.S. Tax year: Protest? ❑ No ❑ Yes (If a protest was filed, please attach a copy of the NOD.) Assessor recommends denial for the following reason(s): Ci2H),ric�, L�cn ca Assessors or Deputy Assessor's Signature 15-DPT-AR No. 920-66/15 FOR ASSESSORS AND COUNTY COMMISSIONERS USE ONLY (Section III of Section IV must be completed) Every petition for abatement or refund tiled pursuant to § 39-10-114, C.R.S. shall be acted upon pursuant to the provisions of this section by the Board of County Commissioners or the Assessor, as appropriate, within six months of the date of filing such petition, § 39-1-113(1.7), C.R.S. Section III: Written Mutual Agreement of Assessor and Petitioner (Only for abatements up to $10,000) The Commissioners of County authorize the Assessor by Resolution No. to review petitions for abatement or refund and to settle by written mutual agreement any such petition o -- abatement or refund in an amount of $10,000 or less per tract, parcel, or lot of land or per schedule of personal property, in accordance with § 39-1-113(1.5), C.R.S. The Assessor and Petitioner mutually agree to the values and tax abatemenUrefund of: Original Corrected AbatelRefund Tax Year Assessed Tax Note: The total tax amount does not include accrued interest, penalties, and fees associated with late and/or delinquent tax payments, if applicable. Please contact the Courty Treasurer for full payment information. Petitioner's Signature Assessor's or Deputy Assessor's Signature Date Date Section I • Decision of the County Commissioners (Must be completed if Section III does not apply) WHEREAS, the County Commissioners of County. State of Colorado, at a duly and lawfully called regular meeting held on / / , at which meeting there were present the following members: Month Day Year with notice of such meeting and an opportunity to be present having been given to the Petitioner and the Assessor of said County and Assessor (being present —not present) and Name Petitioner (being present —not present), and WHEREAS, the said Name County Commissioners have carefully considered the within petition, and are fully advised in relation thereto, NOW BE IT RESOLVED that the Board (agrees —does not agree) with the recommendation of the Assessor, and that the petition be (approved —approved in part —denied) with an abatement/refund as follows: Year Assessed Value Taxes Abate/Refund Chairperson of the Board of County Commissioners' Signature County Clerk and Ex -Officio Clerk of the Board of County Commissioners in and for the aforementioned county, do hereby certify that the above and foregoing order is truly copied from the record of the proceedings of the Board of County Commissioners. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said County this day of Month Year County Clerk's or Deputy County Clerk's Signature Note: Abatements greater than $10,000 per schedule, per year. must be submitted In duplicate to the Property Tax Administrator for review. Section V: Action of the Property Tax Administrator (For all abatements greater than $10,000) The action of the Board of County Commissioners, relative to this petition, is hereby ❑ Approved O Approved in part $ ❑ Denied for the following reason(s): Secretary's Signature Property Tax Administrator's Signature Date 15-DPT-AR No. 920-66/15 Abatement Filin MAIL TO: ONLINE ACCESS CODE:SYX3VG STATE OF COLORADO WELD COUNTY ASSESSOR CONFIDENTIAL 1400 N 17TH AVE GREELEY CO 80631 PERSONAL PROPERTY Phone (970) 400-3650 DECLARATION SCHEDULE Fax (970) 304-6433 (CONFIDENTIAL DATA) Email: assessorefile@co.weld.co.us 2019 IF NO ADDITIONS OR DELETIONS CHECK HERE ❑ I IIL Assessment Date January 1, 2019 19 DPT-AS FORM � �� u IIII Due Date April 15, 2019 DS 056 61-19 'Do NOT USE -FOR ASSESSORS ONLY RECEIVED COMPLETED LATE FILING PENALTY APPUED YES NO PIN NUMBER T.A. CODE B.A. CODE SCHEDULE/ACCT. NO. P9104682 0600 22100 P9104682 A. NAME AND MAILING ADDRESS (INDICATE ANY CHANGES OR CORRECTIONS) HOMEWOOD SUITES 2510 46TH AVE GREELEY, CO 80634-3760 BUSINESS NAME AND PHYSICAL LOCATION OF THE PERSONAL PROPERTY AS OF JANUARY 1, 2019 HOMEWOOD SUITES 2510 46TH AVE GREELEY B. BUSINESS:Start-Up Date (�15 location) Square Fo�tage th Business Occupies `% ( Product or Sc>Zvio� Provided hotel C. BUSINESS STATUS: (Please check the appropriate boxes ONLY). O NOT CURRENT BUSINESS OWNER. If you are not the cunt business owner, check here and provide the name and address of the new owner: Date Sold: O NEW BUSINESS/ORGANIZATION. You The assessor may select your business for an 4 EXISTING BUSINESS/ORGANIZATION. Cl NEW OWNER OF PREVIOUSLY EXISTING AS OF JANUARY 1, DID YOUR BUSINESS ❑ Personal Property Sold ❑ Personal Property If sold, Name and Contact Information of New NOTE: If sold to more then one new owner, please O PROPERTY CHANGED LOCATION TO must give a complete itemized listing of all personal property. Use the first audit whether or not you file a declaration schedule. Indicate any additions and/or deletions to your listing in Section D. BUSINESS/ORGANIZATION. Yea must pie a complete itemised listing CEASE OPERATIONS'? 0 Yes X No If yes, please complete Stored Date Sold / Stored If sold Selling Price pan of Section D and ends separate sheets) dell personal properly acquired mn c bhalaoss purchase. below. of Furnishings, Assets, and Equipment Only: S if needed. Include additions nude prior to Jay I. Owner of the Personal Property. Phone Number( ) attach a listing of the new owners ON (DATE) D. ITEMIZED LISTING OF PERSONAL PROPERTY: For the most accurate assessment, it is recommended that you attach a complete itemized asset listing with each business personal property declaration filing O If NO ADDITIONS, check here; otherwise, list all personal property acqured prior to January I Attach addition& sheep if necessity. Cl If DELETIONS, check hers; otherwise, list all personal property acquired poor to January 1. Attach additional sheep if necessary ITEM ID NO. YEAR ACQUIRED QUANTITY COMPLETE DESCRIPTION INCLUDING MODEL OR CAPACITY YOUR ORIGINAL INSTALLED COST EACH FACTOR/ LIFE SPECIFY ITEM NEW OR USED MONTH & YEAR FIRST PLACED INTO SERVICE ASSET N ITEMIZED LISTING IS BASED ON PRIOR YEARS RETURN PLEASE REVIEW AND CORRECT PLEASE COMPLETE AND SIGN THE REVERSE SIDE AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15.2019 INSTRUCTIONS FOR COMPLETION OF THIS FORM ARE ATTACHED AS A SEPARATE SHEET THIS a FTIRtN iC ctrRl FPT TA Al MIT Abatement Filing E. MOBILE EOUIPMENT (Not Leased, Loaned, or Rented) Check here and complete this section if there is any mobile equipment at this location. Item ID Number Description / Model or Caoacitv Licensed I Z -Tabbed? Year Acquired Check New or Used for Each Item ❑ New ❑ Used Your Installed Cost Year In Use O New ❑ Used ❑ New ❑ Used F. GENERAL LEDGER (original installed costs only) Balance Jan 12018 Furniture Machinery & Eauioment Capitalized Mobile Eauioment DO NOT USE FISCAL YEAR BALANCES Do not list mobile equipment with SMM license elates rental decals or Z -tabs. Electronic Office Eauioment Computer 5 Siens All Other Balance Jan 12019 G. FULLY DEPRECIATED ASSETS / EXPENSED ITEMS: Attach a separate sheet including the appropriate Federal Forms denoting all fully depreciated assets and expensed items. If you have none. write "None." Description 1. Year Acouired Cost Description Year Acouired Cost 4. 2. S $ S 6. 3. H. LEASED, LOANED. OR RENTED PROPERTY Declare Property Owned by Others. D. you have ow leased, loaned, or rented machinery, equipment, furniture, signs, vending machines, etc., at this location on January 1? Yes LI No If you checked yes, list the items below, showing owner s name, address, and telephone number, property description; etc. If any of the leased equipment listed is capitalized on your books and records, please check the box at the beginning of the line corresponding with the name of the Lessor. If additional room is needed, attach a complete listing of all teased personal property. If you checked no, go to Section Ito complete this form. Original Installed Cost Owner/Lessor's Name. Address. Tele. No. H.1. Personal Property Description Including Model/ Serial No. or Capacity New or Used? Total Cost of Lease Lease 8 Term (From -To) Annual S Rent ❑ New ❑ Used ❑ New ❑ Used H.2. Mobile Equipment Licensed/ Z -Tabbed? ❑ New 0 Used ❑ New ❑ Used ❑ If purchase or maintenance options are included in the total mutual S can dawn above. check here and furnish details. L IS THERE ANY RENEWABLE ENERGY PROPERTY (e.g., solar panels, wind turbines, hydroelectric property) AT THIS LOCATION? ❑ Yes ❑ No IF YES, THE PROPERTY IS:❑ Owned 0 Leased IF OWNED. COMPLETE THE DS 058 FORM. J. DECLARATION THIS RETURN IS SUBJECT TO AUDIT "1 declare, under penalty of perjury in the second degree, that this schedule, together with any accompanying exhibits or statements, has been examined by me and to the best of my knowledge, information, and belief sets forth a full and complete list of all taxable personal property owned by me, or in my possession, or under my control, located in this county, Colorado, on the assessment date of this year; that such property has been reasonably described and its value fairly represented; and that no attempt has been made to mislead the assessor as to its age, quality, quantity, or value" § 39-5-107(2), C.R.S. PROPERTY OWNEWskFpgR4L EMPLOYER IDENTIFICATION NUMBER (FEIN)/SOCIAL SECURITY NUMBER52. NAME OF OWNER i•Pti 5 (9 A PRINT NAME OF P RSO�I S GNING CA, IC) ,1� PHONE NUMBEI?3O 35 2G FAXNUMBER�jO. 1tSS' 14c E-MAIL ADDRESS�V 1 �'Y11 V�A" . M 1 a SIGNATURE OF OWNER OR AGENT DATE 1� ti 1 ❑ Check here if new agent. If new agent, su mit a letter of authorization when filing this form. PLEASE COMPLETE, SIGN AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15, 2019. MAKE A COPY FOR YOUR RECORDS. Abatement Filing Homewood Suites Greeley Rooms King bed Frame King Matress King Box Spring Queen Frame Queen Matress QueenBox Spring Night Stand Dresser Desk Office Chair Kitchen Table Kitchen Chairs End Table Tv Fridge King Headboard Queen Headboard Pool Pool Lounge Chairs Pool Chairs Pool Tables Small Table Trash Can Laundry Can Rug Large Trash Can Lodge Tall Chairs Orange Chairs Grey Chairs Square Chairs Round Chairs Small Square Table Large Square Table Wing Table Kid Chairs Black Square Chairs Trash Can TV Meeting Room 8 ft Tables Round Tables Wooden 8 ft Tables Brown Chairs Total Count Original Cost 2015 • • Abatement Filing Grey Chairs Gold Chairs Trash Can Fitness Room Stationary Bike Treadmill Elliptical Weight Bench Free Weights Weight Machine Weight Ball Trash Can Water Dispenser Scale Hotel Laundry Commercial Wahser Commercial Dryer Laundry Table Laundry Cart Laundry Chairs Guest laundry Washers Dryers Table Chair Trash Can Office Roll Chairs File Cabinet Trash Can Home Office Chairs End Tables Desk Roll Chairs Clock Trash Can Lobby Luggage Cart Chairs Couch Table Pre -Function Chairs Square Chair Round Table Short Round Table S. • • • Abatement Filing Tall Table Couch Lamp Patio Tall Chairs Table Umbrella Small Chairs White Table Green Couch Green Chairs Gas Grill General Manager Office Desk Roll Chairs File Cabinet Trash Can Sales Office Desk Roll Chair File Cabinet Other Computers Printers Security Cameras Security DVR Network Switch Total Abatement Filing VALIANT PROJECT STATUS REPORT E Project: 51194 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruya(d valiantproducts.com Fax: (303)892-5535 EXPECTED APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE WINDOW COVERING 173787 3.00 PR WC900 Pinch Pleat Blackout Drapery Customer 2/11/2015 2/18/2015 261083 173787 3.00 PR WC901 Pinch Pleat Drapery Sheers Customer 2/11/2015 2/18/2015 261083 173787 3.00 PR WC500A Pinch Pleat Drapery Sheers Customer 2/11/2015 2/18/2015 261083 173787 9.00 PR WC500B Pinch Pleat Drapery Sheers Customer 2/11/2015 2/18/2015 261083 173787 24.00 PNL WC001A Stationary Side Panel Customer 2/11/2015 2/18/2015 261083 173787 190.00 PNL WC001B Stationary Side Panel Customer 2/11/2015 2/18/2015 261083 173787 6.00 PNL WC001C Stationary Side Panel Customer 2/11/2015 2/18/2015 261083 173787 18.00 PNL WC001D Stationary Side Panel Customer 2/11/2015 2/18/2015 261083 173787 12.00 PR WC002A Pinch Pleat Drapery Sheers Customer 2/11/2015 2/18/2015 261083 173787 95.00 PR WC002B Pinch Pleat Drapery Sheers Customer 2/11/2015 2/18/2015 261083 173787 3.00 PR WC002C Pinch Pleat Drapery Sheers Customer 2/11/2015 2/18/2015 261083 173787 9.00 PR WC002D Pinch Pleat Drapery Sheers Customer 2/11/2015 2/18/2015 261083 173787 12.00 PR WC003A Pinch Pleat Blackout Drapery with French Seams Customer 2/11/2015 2/18/2015 261083 173787 95.00 PR WC003B Pinch Pleat Blackout Drapery with French Seams Customer 2/11/2015 2/18/2015 261083 173787 3.00 PR WC003C Pinch Pleat Blackout Drapery with French Seams Customer 2/11/2015 2/18/2015 261083 173787 9.00 PR WC003D Pinch Pleat Blackout Drapery with French Seams Customer 2/11/2015 2/18/2015 261083 173787 5.00 PR WC200 Pinch Pleat Drapery Sheers with Beaded, Weighted Customer 2/11/2015 2/18/2015 261083 173787 3.00 EA WC902 Soft Valance Customer 2/11/2015 2/18/2015 261083 173787 12.00 EA WC004A Soft Valance with Contrasting Banding Customer 2/11/2015 2/18/2015 261083 173787 95.00 EA WC004B Soft Valance with Contrasting Banding Customer 2/11/2015 2/18/2015 261083 173787 3.00 EA WC004C Soft Valance with Contrasting Banding Customer 2/11/2015 2/18/2015 261083 173787 9.00 EA WC004D Soft Valance with Contrasting Banding Customer 2/11/2015 2/18/2015 261083 173787 3.00 EA WC903 Ultratrack Double Drapery Rod for Sheers and Customer 2/11/2015 2/18/2015 261083 173787 3.00 EA WC502A Decorative Stainless Steel Drapery Rod with Customer 2/11/2015 2/18/2015 261083 173787 9.00 EA WC502B Decorative Stainless Steel Drapery Rod with Customer 2/11/2015 2/18/2015 261083 173787 238.00 EA WC005 Stationary Drapery Rod Customer 2/11/2015 2/18/2015 261083 173787 24.00 EA WC006A Ultratrack Single Drapery Rod for Sheers and Customer 2/11/2015 2/18/2015 261083 173787 214.00 EA WC006B Ultratrack Single Drapery Rod for Sheers and Customer 2/11/2015 2/18/2015 261083 173787 24.00 EA WC007 ADA Drapery Wand with Loop Customer 2/11/2015 2/18/2015 261083 173787 5.00 EA WC201 Decorative Drapery Rod with Cord Control, Customer 2/11/2015 2/18/2015 261082 1 of 8 VALIANT PROJECT STATUS REPORT Mt tVIRYTHIN(: TAKIN CARL It Project: 51194 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 lAbatement Filing Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruya@valiantproducts.com Fax: (303)892-5535 EXPECTED APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE CARPET 173782 398.00 SY CP900 CYP Carpet for Office and Stairwells Customer 261065 173782 1,062.00 SY CP500 CYP Carpet for Corridors Customer 261065 173782 53.00 SY CP501 CYP Carpet for Corridor Border at Elevator Lobby Customer 261065 173782 2,800.00 SY CP001 Inline Scroll Tip Sheared Carpet Customer 261065 173782 46.00 SY CP300 CYP Carpet for Home Office 261065 Customer 173782 266.00 SY CP200 CYP Carpet for Lodge Customer 261065 173782 367.00 SY CP400 CYP Carpet for Meeting Room and Prefunction Customer 261065 173782 524.00 LF CB900 3" Bound Carpet Base Customer 261066 173782 256.00 LF CB901 12" Bound Carpet Base for Stringers 261066 Customer 173782 2,823.00 LF CB500 3" Bound Carpet Base Customer 261066 173782 6,400.00 LF CB001 3" Bound Carpet Base 261066 Customer ON HOLD 173782 300.00 LF CB400 3" Bound Carpet Base Customer 261066 173782 320.00 SY CC900 Fiber Double Stick Carpet Cushion for Stairwells Customer 261317 173782 960.00 SY CC500 Fiber Double Stick Carpet Cushion for Corridors, Customer 261317 173782 2.640.00 SY CC001 Fiber Carpet Cushion. 32 Ounce, 5/16" Thickness. 261317 Customer 173782 40.00 SY CC300 Fiber Double Stick Carpet Cushion for Home Customer 261317 173782 280.00 SY Fiber Double Stick Carpet Cushion for Lodge, Customer 261317 173782 280.00 SY ,CC200 CC400 Fiber Double Stick Carpet Cushion for Meeting Customer 261317 173782 1.00 LOT CP100 CYP Tip Sheared Elliptical Rug Customer 261400 173782 2.00 EA CP100L Labor to Cut Elliptical Rug. Apply No -Slip Customer 261402 173782 40.00 SY CC100 Fiber Double Stick Carpet Cushion for Lobby CASE GOODS 173791 _ 6.00 EA Customer 1 /30/2015 2/6/2015 261151 FF201 Tea Table, with Lamiante Inlay Top, 1-1 /4" x 173791 4.00 EA Customer 1/30/2015 2/6/2015 261151 FF202 Dining Table, with Laminate Inlay Top, 1-1/4" x 173791 4.00 EA FF203 Dining Table, with Laminate Inlay Top, 1-1/4" x Customer 1/30/2015 2/6/2015 261151 173791 4.00 EA FF204 Dining Table, with Laminate Inlay Top. 1-1/4" x Customer 1/30/2015 2/6/2015 261151 173791 2.00 EA FF206 Dining Table, with Laminate Inlay Top, 1-1/4" x 261151 Customer 1/30/2015 2/6/2015 173792 1.00 EA Customer 1/30/2015 2/6/2015 261153 FF900 Breakroom Table, with Mahogany Finished Top, 173788 77.00 EA FF001 King Size Wallmount Upholstered Headboard, with Customer 2/2/2015 2/9/2015 261092 173788_ 16.00_EA FF002 Queen Size Wallmount Upholstered Headboard, with Customer 2/2/2015_ 2/9/2015 _261092 2of8 Abatement Filing VALIANT PROJECT STATUS REPORT EL EVERY1NINL TAKEN (ARE CL Project: 51194 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruvaavaliantproducts.com Fax: (303)892-5535 EXPECTED APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE 173788 154.00 EA FF003 One -Drawer Nightstand Customer 2/2/2015 2/9/2015 261092 173788 54.00 EA FF004 Desk with Casters Customer 2/2/2015 2/9/2015 261092 173788 54.00 EA FF005 Console Table to Nest with Desk, with Shelves Customer 2/2/2015 2/9/2015 261092 173788 54.00 EA FF006A Three -Drawer Bachelor Chest Customer 2/2/2015 2/9/2015 261092 173788 62.00 EA FF006B Three -Drawer Bachelor Chest Customer 2/2/2015 2/9/2015 261092 173788 31.00 EA FF007 Dining Table Customer 2/2/2015 2/9/2015 261092 173788 85.00 EA FF008 Side Table Customer 2/2/2015 2/9/2015 261092 173788 80.00 EA FF009 "L" Shaped Towel Cubby with Towel Bar Customer 2/2/2015 2/9/2015 261092 173788 2.00 EA FF014 Executive Desk Customer 2/2/2015 2/9/2015 261092 173788 8.00 EA FF015 One -Drawer Nightstand Customer 2/2/2015 2/9/2015 261092 173788 85.00 EA FF016 Wrap Table for Ottoman, with Veneer Contrasting Customer 2/2/2015 2/9/2015 261092 173788 1.00 EA FF301 Custom Peninsula Type Desk, Double Sided Customer 2/2/2015 2/9/2015 261092 173792 3.00 EA FF802 Patio Dining Table with Umbrella Hole Customer 2/2/2015 2/9/2015 261152 173792 1.00 EA FF803 Cocktail Table for Patio, with Stone Tpo Customer 2/2/2015 2/9/2015 261152 173792 2.00 EA FF805 Trash Container, with 32 Gallon Liner Customer 2/2/2015 2/9/2015 261152 173792 5.00 EA FF808 Acrylic 42" Round Dining Umbrella Table Customer 2/2/2015 2/9/2015 261152 173792 1.00 EA FF809 Acrylic 20" Round Tea Table Customer 2/2/2015 2/9/2015 261152 173792 3.00 EA FF810 9' Hexagon Manual Lift Umbrella, with 1.5" Solid Customer 2/2/2015 2/9/2015 261152 173792 3.00 EA FF811 Umrella Base, Cement Filled Aluminum Customer 2/2/2015 2/9/2015 261152 173788 2.00 EA FF300 Side Table Customer 261089 173788 1.00 EA FF100 Side Table with Wood Top Customer 261089 173788 2.00 EA FF205 Side Table with Marble Top Customer 261089 173788 4.00 EA FF500 Hall Chest, with Two Small Drawers on Top, Two Customer 261091 173788 1.00 EA FF400 Sofa Table with Two Drawers and One Fixed Shelf Customer 261091 173788 1.00 EA FF401 Cocktail Table with One Drawers and One Fixed Customer 261091 173788 2.00 EA FF402 End Table with Shelf on Bottom Customer 261091 173791 1.00 EA FF200 Prototypical Large Wing Table, Counter Height, Customer 261148 173788 88.00 EA FF017 Folding Metal Luggage Rack, with Chrome Finish Customer 261308 SEATING 173788 2.00 EA UP300 Task Chair with Mesh Back, Built -In Lumbar Customer 1/30/2015 2/6/2015 261090 173791 50.00 EA UP403 Stack Chair, with Tribute Fabric Customer 1/30/2015 2/6/2015 261095 3 of 8 Abatement Filing VALIANT PROJECT STATUS REPORT M. EVERY THIM, MIN (:ARE O. Project: 51194 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruvaevaliantproducts.com Fax: (303)892-5535 EXPECTED I APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE 173792 4.00 EA FF901 Breakroom Chair, Molded Plastic, with Silver Customer 1/30/2015 2/6/2015 261153 173785 2.00 EA UP004 Mid Back Task Chair, with Black Nylon Mesh Back, Customer 2/2/2015 2/9/2015 261074 173785 30.00 EA UP001 Upholstered Lounge Chair Customer 2/2/2015 2/9/2015 261075 173785 85.00 EA UP002 Upholstered Ottoman, with Feet and Glides on Customer 2/2/2015 2/9/2015 261075 173785 85.00 EA UP003 Full Size Sofa Sleeper, with Innerspring Customer 2/2/2015 2/9/2015 261075 173785 116.00 EA UP005 Wood Frameed Dining Side Chair Customer 2/2/2015 2/9/2015 261078 173792 4.00 EA FF800 Evo Woven Barstool at Island Customer 2/2/2015 2/9/2015 261152 173792 6.00 EA FF801 Evo Woven Dining Chair Customer 2/2/2015 2/9/2015 261152 173792 3.00 EA FF806 Sling Pool Chaise Lounge Customer 2/2/2015 2/9/2015 261152 173792 24.00 EA FF807 Sling Pool Dining Chair Customer 2/2/2015 2/9/2015 261152 173792 1.00 SET UP800 Modular Sofa, with Two Corner Modules, One Customer 2/2/2015 2/9/2015 261152 173792 2.00 EA UP802 Modular Arm Chair, with Aluminum Frame, Greco Customer 2/2/2015 2/9/2015 261152 173789 1.00 EA UP100 Armless Curved Sofa for Lobby, with Customer 261136 173789 1.00 EA UP101 Cocktail Table with Upholstered Sides and Wood Customer 261136 173789 1.00 EA UP201 Double Sided Sectional: Lounge Side Fixed Seat Customer 261136 173789 3.00 EA UP201A Pillow for Sectional Customer 261136 173789 3.00 EA UP201 B Pillow for Sectional Customer 261136 173789 6.00 EA UP203 Ottoman with Attached Back Customer 261136 173789 2.00 EA UP205 Corner Booth Customer 261136 173789 1.00 EA UP500 Upholstered Bench Customer 261137 173789 6.00 EA UP501 Lounge Chair Customer 261137 173789 4.00 EA UP301 Lounge Chair Customer 261137 173789 2.00 EA UP102 Upholstered Lounge Chair Customer 261137 173789 2.00 EA UP103 Upholstered Bench Customer 261137 173789 11.00 EA UP200 Counter Stool for Wing Table, with Silver Foot Customer 261137 173789 20.00 EA UP202A Dining Chair with Contrasting Fabrics Customer 261137 173789 8.00 EA UP202C Dining Chair with Contrasting Fabrics Customer 261137 173789 4.00 EA UP204 Lounge Chair Customer 261137 173789 1.00 EA UP400 Sofa Customer 261137 173789 2.00 EA UP401 Lounge Chair Customer 261137 173789 2.00 EA UP402A Cube Ottoman Customer 261137 173789 2.00 EA UP402B Cube Ottoman Customer _ 261137 4 of 8 Abatement Filing VALIANT PROJECT STATUS REPORT EVERYTHING. TAKEN (ARE U. Project: 51194 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruvaavaliantproducts.com Fax: (303)892-5535 EXPECTED APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE 173790 1.00 EA UP301 P Lumbar Pillow with Self Welt Customer 261146 173790 2.00 EA UP100P1 Throw Pillow for Lobby Sofa with Self Welt Customer 261146 173790 2.00 EA UP100P2 Throw Pillow for Lobby Sofa with Self Welt Customer 261146 BED & BED ACCESSORIES 173785 4.00 EA FF012 King Size Metal Bed Frame for ADA Rooms, 7-1/2" Customer 2/2/2015 2/9/2015 261350 173785 2.00 EA FF013 Queen Size Metal Bed Frame for ADA Room, 7-1/2" Customer 2/2/2015 2/9/2015 261350 173785 73.00 EA FF010 King Size Steel Bed Base, 7.5" H Customer 2/2/2015 2/9/2015 261352 173785 14.00 EA FF011 Queen Size Steel Bed Base, 7.5" H Customer 2/2/2015 2/9/2015 261352 173785 77.00 SET BED001 King Size Serta Suite Dreams 2 Bed Set Customer 261076 173785 16.00 SET BED002 Queen Size Serta Suite Dreams 2 Bed Set Customer 261076 LIGHTING 173780 85.00 EA LD001 Entry Ceiling Light Customer ON HOLD 261059 173780 85.00 EA LD002 Bath Ceiling Light Customer 261059 173780 31.00 EA LD003 Pendant Light Fixture Customer 261059 173780 2.00 EA LD100 Five -Light Chandelier Customer 261056 173780 4.00 EA LD101 Decorative Wall Sconce Customer 261055 173780 1.00 EA LD102 Pendant Light Fixture Customer 261060 173780 2.00 EA LD103 Pendant Light Fixture Customer 261059 173780 4.00 EA LD200 Custom Pendant Chandelier Customer 261057 173780 2.00 EA LD201 Pendant Light Fixture for Over Wing Table Customer 261058 173780 2.00 EA LD202 Pendant Light Fixture, 6.125" Diameter, Customer 261060 173780 1.00 EA LD300 Pendant Light Fixture Customer 261056 173780 55.00 EA LD500 Wall Sconce Customer 261059 173780 2.00 EA LD600 Vanity Light Customer 261059 173780 1.00 EA LD800 Vanity Light, with Satin Aluminum Finish, 32.5" Customer 261319 173781 154.00 EA LM001 Single Socket Nightstand Lamp Customer 261063 173781 8.00 EA LM002 Double Socket Nightstand Lamp Customer 261063 173781 85.00 EA LM004 Floor Lamp Customer 261063 173781 85.00 EA LM005 Table Lamp with Turquoise Finish, Metal Base Customer 261064 173781 2.00 EA LM006 Desk Lamp with Twin Lights Customer 261063 5 of 8 ... fV1RY ININK. (AKIN (ARE Of. Project: 51194 VALIANT PROJECT STATUS REPORT 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 Abatement Filing Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruya(valiantproducts.com Fax: (303)892-5535 EXPECTED APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE 173781 2.00 EA LM300 Table Lamp Customer 261064 173781 1.00 EA LM400 Buffet Lamp with Meshed Metal Strip Shade and 261062 173781 2.00 EA LM401 End Table Lamp _Customer Customer 261061 173781 8.00 EA LM500 Buffet Lamp with Ribbed Mercury Glass and Customer 261062 I WALL COVERING 173783 2,200.00 LY VW500 Wall Vinyl Customer 261069 173783 1,501.00 LY VW002 Accent Wall Vinyl for Headboard Wall and Kitchen Customer 261069 173783 50.00 LY VW102 Wall Fabric for Panels Behind Front Desk Customer 261070 173783 45.00 LY VWY00 Wall Vinyl Customer 261072 173783 7,300.00 LY VW001 Main Guest Room Wall Vinyl 261072 Customer 173783 1,200.00 LY 261072 VW003 Bathroom Wall Vinyl Customer 173783 30.00 LY VW300 Vinyl Wallcovering 261072 Customer 173783 30.00 LY VW301 Accent Wall Vinyl Customer 261072 173783 67.00 LY VW100 Vinyl Wallcovering Customer Quantity Verifications Needed 261072 173783 30.00 LY VW101 Vinyl Wallcovering Customer Prior To Production 261072 173783 295.00 LY VW200 Vinyl Wallcovering Customer 261072 173783 30.00 LY VW201 Wall Vinyl for Pantry Customer 261072 173783 145.00 LY VW400 Vinyl Wallcovering Customer 261072 173783 106.00 LY VW401 Vinyl Wallcovering Customer 261072 173783 30.00 LY VW801 Wall Vinyl Customer 261072 173783 176.00 LY VW901 Wall Vinyl Customer 261509 173783 60.00 LY VW800 Wall Vinyl Customer 261071 173783 60.00 LY VW600 Wall Vinyl Customer 261071 ARTWORK & MIRRORS 173790 1.00 EA AA900 Framed and Matted Artwork I 261145 Customer 1/30/2015 2/6/2015 173790 1.00 EA AA300 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 173790 1.00 EA AA301 Framed and Matted Artwork _261145 261145 Customer 1/30/2015 2/6/2015 173790 1.00 EA AA100 Framed and Matted Artwork 261145 Customer 1/30/2015 2/6/2015 173790 1.00 EA Customer 1/30/2015 2/6/2015 261145 AA101 Framed and Matted Artwork 173790 1.00_EA AA202 Framed and Matted Artwork _Customer - 1/30/2015 2/6/2015 261145 6of8 Abatement Filing VALIANT PROJECT STATUS REPORT EVERYTHING TAKEN CARE U. Project: 51194 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruvanvaliantproducts.com Fax: (303)892-5535 EXPECTED APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE 173790 1.00 EA AA205 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA406 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA407 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA801 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA802 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA803 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA601 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA602 Framed and Matted Artwork Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA400 Framed Mirror Customer 1/30/2015 2/6/2015 261145 173790 1.00 EA AA800 Vanity Mirror Customer 1/30/2015 2/6/2015 261145 173790 4.00 EA AA600 Framed Vanity Mirror Customer 1/30/2015 2/6/2015 261145 173791 1.00 EA AA501 Framed Artwork Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA502 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA503 Handcrafted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA504 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA505 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA103 Oil Reproduction Artwork Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA201 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA203 Hand Painted Oil on Canvas Artwork Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA402 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA408 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA409 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA410 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA411 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261149 173791 4.00 EA AA500 Round Mirror Made of Individual Panels of Customer 1/30/2015 2/6/2015 261149 173791 1.00 EA AA401 Decorative Beveled Mirror Customer 1/30/2015 2/6/2015 261149 173790 1.00 EA AA102 Hand Painted Gallery Wrapped Artwork Customer 1/30/2015 2/6/2015 261449 173790 1.00 EA AA200 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261449 173790 1.00 EA AA204 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261449 173790 1.00 EA AA403 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261449 173790 1.00 EA AA404 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261449 173790 1.00 EA AA405 Hand Painted Artwork on Canvas Customer 1/30/2015 2/6/2015 261449 7 of 8 ICI VALIANT PROJECT STATUS REPORT IML EVIRYTHIt& TAKEN CARE ❑E. Project: 51194 14802117 Homewood Suites 2510 46th Avenue Greeley, CO 80634 Abatement Filing Date: Friday, November 07, 2014 Project Manager: Ted Teruya Phone: (303)892-1234 ext 260 Email: tteruvaavaliantproducts.com Fax: (303)892-5535 EXPECTED APPROX ORDER QUANTITY ITEM DESCRIPTION SHIP TO SHIP DATE DELIVERY NOTE CODE 173785 85.00 EA AA005 Lighted Mirror with Lights on All Four Sides Customer 2/2/2015 2/9/2015 261073 173785 85.00 EA AA001 Framed and Double Matted Artwork Customer 2/2/2015 2/9/2015 261077 173785 85.00 EA AA002 Framed and Double Matted Artwork Customer 2/2/2015 2/9/2015 261077 173785 50.00 EA AA003 Framed and Double Matted Artwork Customer 2/2/2015 2/9/2015 261077 173785 85.00 EA AA004 Framed and Matted Artwork Customer 2/2/2015 2/9/2015 261077 173785 85.00 EA AA007 Framed and Double Matted Artwork Customer 2/2/2015 2/9/2015 261077 173785 2.00 EA AA008 Framed and Double Matted Artwork Customer 2/2/2015 2/9/2015 261077 173785 85.00 EA AA006 Full Length Mirror Customer 2/2/2015 2/9/2015 261077 173791 1.00 LOT AA104 Accessories Customer 261148 8 of 8 State of Colorado 19 OPT -As Form T1° 056 61-19 DO NOT USE - FOR ASSESSOR ONLY PERSONAL PROPERTY Original Filing DECLARATION SCHEDULE (CONFIDENTIAL DATA) RETURN TO COUNTY ASSESSOR Weld County RECEIVED COMPLETED LATE FILING PENALTY APPLIED ❑ YES ❑ NO ' B.A. CODE T.A. CODE SCHEDULE/ACCT Pq NO. Assessment Date Due Date lO ill i 2 January 1, 2019 April 15, 2019 A. NAME AND MAILING ADDRESS (INDICATE CHANGES OR CORRECTIONS) a ay, z LLL ANY BUSINESS NAME AND PHYSICAL LOCATION OF THE PERSONAL PROPERTY AS OF JANUARY 1, 2019 I B. BUSINESS: Start -Up Date (at this location) Square Footage the Business Occupies Product or Service Provided EXISTING BUSINESS/ORGANIZATION. Indicate any additions and/or deletions to your listing in Section D. n NEW OWNER OF PREVIOUSLY EXISTING BUSINESS/ORGANIZATION. You must give a complete itemized listing of all personal property acquired in a business purchase. Include additions made prior to Jan. 1 since that purchase. AS OF JANUARY 1, DID YOUR BUSINESS CEASE OPERATIONS? ❑ Yes ❑ No If yes, please complete below: ❑ Personal Property Sold ❑ Personal Property Stored Date Sold / Stored If sold, Selling Price of Furnishings, Assets, and Equipment Only: $ If sold, Name and Contact Information of New Owner of the Personal Property: Phone Number NOTE: If sold to more than one new owner, please attach a listing of the new owners. ❑ PROPERTY CHANGED LOCATION TO ON (DATE) : (Please check the appropriate boxes ONLY). NOT CURRENT BUSINESS OWNER. If you are not the current business owner, check here and provide the name and address ❑ of the new owner: Date Sold: NEW BUSINESS/ORGANIZATION. You must give a complete itemized listing of all personal property. Use the first part of Section D and attach separate sheet(s) if needed. The assessor may select your business for an audit whether or not you file a eclaration schedule. D. ITEMIZED LISTING OF PERSONAL PROPERTY: FOR THE MOST ACCURATE ASSESSMENT, IT IS RECOMMENDED THAT YOU ATTACH A COMPLETE ITEMIZED ASSET LISTING WITH EACH BUSINESS PERSONAL PROPERTY DECLARATION FILING. CHECK HERE IF THERE ARE NO CHANGES FROM LAST YEAR'S DECLARATION SCHEDULE INFORMATION. IF SO, GO DIRECTLY TO SECTION H. COMPLETE THE FORM, SIGN IT, AND RETURN FORM TO THE ASSESSOR. NOTE: DO NOT CHECK THIS BOX IF THIS IS A NEW BUSINESS OR ORGANIZATION. ❑ If NO ADDITIONS, check here; otherwise, list all personal property acquired prior to January 1. Attach additional sheets if necessary. NOTE: Include ALL Expensed Assets with a Life of Greater Than 1 Year, Fully Depreciated Assets Still in Use, and Stored Assets that are Subject to IRS Depreciation. Do not report licensed vehicles in this section. Item ID Number Quantity Complete Description Including Model or Capacity Year Acquired Check New or Used for Each Item: Your Original Installed Cost Month & Year First Placed into Service $ /each ❑ New ■ Used • New ■ Used $ /each ❑ New ■ Used $ /each ❑ New • Used $ /each ■ New O Used $ /each If• NO DELETIONS, check here; otherwise, list all personal property sold, traded, or discarded prior to January 1. Attach separate sheet(s) if needed. Item ID Number Quantity Complete Description Including Model or Capacity Year Acquired Check New or Used for Each Item: Your Original Installed Cost $ /each ■ New O Used $ /each 0 New ■ Used YIIIIIIIIIIIIII E. MOBILE EQUIPMENT (Not Leased, Loaned, or Rented) Original Filing OCheck here and complete this section if there is any mobile equipment at this location. Item ID Number Description / Model or Capacity Licensed / Z -Tabbed? O O O Year Acquired Check New or Used for Each Item: ❑ New ❑ Used O New O Used O New O Used Your Installed Cost Year In Use F. GENERAL LEDGER (original installed costs on y) DO NOT USE FISCAL YEAR BALANCES Do not list mobile equipment with SMM license plates, rental decals, or Z -tabs. Furniture Machinery & Equipment Capitalized Mobile Equipment Electronic Office Equipment Computers Signs AU Other BALANCE JAN. 1, 2018 BALANCE JAN. 1,2019 G. FULLY DEPRECIATED ASSETS / EXPENSED ITEMS: Attach a separate sheet including the appropriate Federal Forms denoting all fully depreciated assets and expensed items. If you have none, write "None." Description 1. 2. 3. Year Acquired Cost Description 4. Year Acquired Cost 5. 6. H. LEASED, LOANED, OR RENTED PROPERTY Declare Property Owned by Others. Did you have any leased, loaned, or rented machinery, equipment, furniture, signs, vending machines, etc., at this location on January 1? showing owner's name, address, and telephone number; property description; etc. If any of the leased equipment records, please check the box at the beginning of the line corresponding with the name of the Lessor. If additional of all leased personal property. If you checked no, go to Section Ito complete this form. ■ Yes ■ No If you checked yes, list the items below, listed is capitalized on your books and room is needed, attach a complete listing Owner/Lessor's Name, Address, Tek. No. Description Including Model/ Serial No. or Capacity New or Used? Total Cost of Lease Original I Cast d o Lease Number Term (From - To) Annual S Rent H.1. Personal Property L ■ New $ $ $ • Used O ❑ New $ $ $ II Used O ■ New $ $ $ ❑ Used H.2. Mobile Equipment Licensed/ Z -Tabbed? O ■ N•ew $ $ II Used O ■ New $ $ $ II • Used • If purchase or maintenance options are included in the total annual $ rent shown above, check here and furnish details. i. IS THERE ANY RENEWABLE ENERGY PROPERTY (e.g., solar panels, wind turbines, hydroelectric property) AT THIS LOCATION? ❑Yes ❑ No, IF YES, THE PROPERTY IS: ['Owned ['Leased, IF OWNED, COMPLETE THE DS 058 FORM. J. DECLARATION THIS RETURN IS SUBJECT TO AUDIT "I declare, under penalty of perjury in the second degree, that this schedule, together with any accompanying exhibits or statements, has been examined by me and to the best of my knowledge, information, and belief sets forth a full and complete list of all taxable personal property owned by me, or in my possession, or under my control, located in this county, Colorado, on the assessment date of this year, that such property has been reasonably described and its value fairly represented; and that no attempt has been made to mislead the assessor as to its age, quality, quantity, or value." § 39-5-107(2), C.R.S. PROPERTY OWNER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)/SOCIAL SECURITY NUMBER (SSN) 2/5 - Lp-f[Q60Co NAME OF OWNER PRINT NAME OF PERSON SIGNING Sf k -S ACC n- /l, PHONE NUMBER 3d3'_37,v7S E-MAIL ADDRESS d"c��e sk. e _l v(Qk, 0 curt i ` . kt-1— FAX NUMBER SIGNATURE OF OWNER OR AGENT 01j 1TC� l DATE LI' O Check here if new agent. If new agent, sub a letter of authorization when filing this form. PLEASE COMPLETE, SIGN AND RETURN TO THE ASSESSOR ON OR BEFORE APRIL 15, 2019. MAKE A COPY FOR YOUR RECORDS. Original Filing Name SHAN I LLC Situs Address Email FRONTDESK@TAYLORSACCOUNTING.NI Online Access Code Phone 3032376695 Total Original Cost If no additions or deletions check here: Account no Description Quantity P9101713 EQUIPMENT 1 P9101713 FURNITURE AND FIXTURES 1 P9101713 EQUIPMENT 1 P9101713 FURNITURE P9101713 2016 IMPROVEMENTS 1 P9101713 2017 IMPROVEMENTS 1 Original Filing 2510 46TH AVE GREELEY G7QA9L 0 Year Acquired Original_Cost Desc_Type 2015 $ HM - HOTE Abstract_Code Property_Type 2410 - EQUIP,I 1 - Average of 2410 - EQUIP,I 5 - Rental Furn 2410 - EQUIP,I 1 - Average of 2410 - EQUIP,I 5 - Rental Furn 2410 - EQUIP,I 5 - Rental Fur,, 2410 - EQUIP,I 5 - Rental Furn Company_Name HOMEWOOD St. HOMEWOOD SI HOMEWOOD St HOMEWOOD St. HOMEWOOD SI HOMEWOOD St. O CQ 5 TI Co Form 4562 Depreciation and Amortization Report Tax Year 2018 ► Keep for your records 2018 Page 1 of 1 Name as Shown on Return SHAN I, LLC Identifying Number 45-4460067 QuickZoom here to enter assets QuickZoom here to set MACRS convention for assets acquired in 2018 ► Activity: Form 1065 - Line 22 Asset Description code Date In Service Cost (Net of Land) Land Bus Use % Section 179 Special Depreciation Allowance Depreciable Basis Life Method/ Convention Prior Depreciation Current Depreciation DEPRECIATION BUILDING 07/01/15 *Code: S = Sold, A = Auto, L = Listed, V = Vine with SDA in Year Planted/Grafted, C = COGS, 7 = 754 8/27/2020 Attn: Brenda Dones RE: 2019 Abatement received 4/14/2020 P9101713 SHAN I LLC 1780 KIPLING ST LAKEWOOD, CO 80215 2019 Assessors Value $1,166,066 SUBJECT: This abatement is for the personal property located at the Homewood Suites at 2510 46th Ave Greeley. The 2019 value was derived using the cost approach based on the IRS depreciation schedule. This information was provided in 2019 by the taxpayer's accountant. This was the same data provided to us in 2017 and 2018. The owner has requested an abatement using an itemized listing of property. The itemized listing that the owner supplied does not total to the cost that is listed on the owner's IRS depreciation schedule. The owner's IRS depreciation schedule totals personal property in the amount of $1,628,885 whereas the itemized listing supplied totals to $373,650. Multiple times we have requested from the owner an itemized list that totals to the same original cost amount as the equipment lines on his depreciation schedule however that information has not been supplied to our office so that we can identify what is different. We do agree with the owner's assertion that real property should not be valued with the personal property. We also agree with the owner that items under $350 of original installed cost should not be included in this personal property value. We have reviewed the provided itemized listing and removed those items and value resulting in the recommended stipulated value of $1,083,914. 8/31/2020 Property Report Weld County PROPERTY PORTAL Property Information (970) 400-3650 Technical Support (970) 400-4357 Account: P9101713 August 31, 2020 Account Information Account Parcel Space Account Type Tax Year Buildings Actual Value Assessed Value P9101713 095914328001 Personal 2020 993,786 I 288,200 Legal L1 SUFFOLK SUB 5TH FG LSUbdivi5i0n Block Lot I Land Economic Area Property Property Address City 2510 46TH AVE j GREELEY E Zip j Section Township Range Owner(s) Account { Owner Name Address P9101713 SHAN I LLC 10923 MEADE CT WESTMINSTER, CO 800312124 Document History No documents found. https://propertyreport.co.weld.co.us/?account=P9101 71 3 1/3 8/31/2020 Property Report Building Information No buildings found. Valuation Information Type Code Description Personal 2410 Property Totals Actual Value Assessed Value Acres Land SqFt EQUIP,FURN,MACH,COMM 993,786 288,200 0.000 0 993,786 288,200 0.000 0 Comparable sales for your Residential property may be found using our SALES SEARCH TOOL Tax Authorities Tax Area District District Name ID Current Mill Levy 0600 0700 AIMS JUNIOR COLLEGE 6.354 0600 0411 0600 ( 1050 0600 GREELEY CITY HIGH PLAINS LIBRARY 11.274 3.217 1 0301 NORTHERN COLORADO WATER (NCW) 0600 0206 SCHOOL DIST #6-GREELEY 44-14 0600 a 0100 WELD COUNTY (----- I Total 1.000 50.517 15.038 87.4 Photo https://propertyreport.co.weld.co.us/?account=P9101713 2/3 8/31/2020 Property Report NO PHOTO Sketch NO SKETCH Copyright © 2020 Weld County, Colorado. All rights reserved. Privacy Policy & Disclaimer I Accessibility Information https://propertyreport.co.weld.co.us/?account=P9101713 3/3 wen ,2450 This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, current, or otherwise reliable THIS MAP IS NOT TO BE USED FOR NAVIGATION CLERK TO THE BOARD September 9, 2020 PHONE: (970) 400-4225 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com ATTN: DAVID AM I N SHAN I, LLC 10923 MEADE COURT WESTMINSTER, CO 80031-2124 RE: SCHEDULE NUMBER P9101713 Dear Property Owner: This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes on the property described as: 2510 46th Avenue, Greeley, Colorado 80634. The meeting is scheduled for Monday, September 21, 2020, at 9:00 a.m., in the Chambers of the Board of County Commissioners of Weld County, Colorado, Weld County Administration Building, 1150 O Street, Assembly Room, Greeley, Colorado 80631. The Assessor is recommending that the Board approve, in -part, your petition. You are not required to be present at this hearing; however, this is your opportunity to have your position heard, particularly if your position is opposed to the Assessor's recommendation. If you intend to submit any documentation in support of your position for this hearing, all such documentation must be submitted to the Office of the Clerk to the Board and to the Weld County Assessor's Office at least seven calendar days prior to the meeting date in order for it to be considered at the scheduled hearing. If you have any questions concerning this matter, please do not hesitate to contact me at (970) 400-4213. Sincerely, Chloe A. Rempel Deputy Clerk to the Board Supervisor crempel@weldgov.com cc: Weld County Assessor Chloe Rempel From: Sent: To: Subject: Attachments: Good morning, Chloe Rempel Wednesday, September 9, 2020 10:29 AM david.amin@hilton.com NOTICE OF HEARING - Petition for Abatement or Refund of Taxes - P9101713 Notice of Hearing - Tax Abatement Petition.pdf This is to advise you that the Weld County Board of Commissioners will hear your petition for abatement or refund of taxes on the property described as: 2510 46th Avenue, Greeley, Colorado 80634. The meeting is scheduled for Monday, September 21, 2020, at 9:00 a.m. Please see the attached letter and copy of the petition form for further information (hard -copies to follow). Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Supervisor Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4213 Email: crempel@weldgov.com Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. i WELD COUNTY PETITION FOR ABATEMENT OR REFUND OF TAXES CERTIFICATE OF MAILING LAST NAME COMPANY POSTAL FIRST NAME ADDRESS 1 CITY STATE CODE DAVID AMIN SHAN 10923 MEADE WESTMINSTER CO 80031 - I. LLC COURT 2124 david.amin@hilton.com I hereby certify that I have sent a notification of hearing date letter in accordance with the notification requirements of Weld County in the United States Mail. postage prepaid First Class Mail by letter as addressed on the attached list this 9th day of September, 2020. CZ. (4 La -11 in L N IT' 0 0 0 O U, N 0 N Chloe A. Rempel Deputy Clerk to the Board Supervisor U.S. Postal Service'' CERTIFIED MAIL® RECEIPT Domestic Mail Only Fo r delivery information, visit our website at www.usps.comr). Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ ❑ Certified Mall Restricted Delivery $ Adult Signature Required $ Adutt Signature Restricted Delivery $ Postage $ Total Postage and Fees Sent To A4 -4-n • ck7tv d On n antii ta•LeCal street and Apt. No., or PO Box No. ne ecid---QQcr-t City, State, ZIP+4 Postmark Here Q a -a .. • O PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions CLERK TO THE BOARD September 9. 2020 ATTN: DAVID AMIN N SHAN I, ..LC 10923 MEADE COURT WESTMINSTER, CO 80031-2124 RE: SCHEDULE NUMBER P9101713 Dear Property Owner: This is to advise you that the Weld Count abatement or refund of taxes on the propert' 80634. The meeting is scheduled for Monda of the Bcard of County Commissioners of Building. 1150 O Street. Assembly Room, The Assessor is recommending that the required to be present at this hearing: hov heard particularly if your position is oppose submit any documentation in support of yc must oe submitted to the Office of the Cle Office at east seven calendar days prior to scheduled hearing. If you have any questions concerning tin (970) 400-4213. Sincerely. . Chloe A. Rempel Deputy Clerk to the Board Supervisor crempel@weldgov.com cc: Weld County Assessor W O o III Q o m en N >.- W o O) z a O o f WI lie O) Q 8 t\ M o t M a cod' o ui �► N o 0 0 0 _ A A I1 av=1.00‘; ammictimmovimaimi 1.11 r-1 U] m CI ttta co oLn C Q ' o co CO W f-- o �w O CC 00 U w CC 00 w o m w MOM OrwC� II N 11 PHONE: (970) 400-4225 FAX: (970) 336-7233 c Cl Cl `it • te w ILL DD ie t 1t F•• '+1 S S w. M CLERK TO THE BOARD PHONE: (970) 400-4213 FAX: (970) 336-7233 1150 O STREET P.O. BOX 758 GREELEY, COLORADO 80632 www.weldgov.com September 30, 2020 ATTN: DAVID AMIN SHAN I, LLC 10923 MEADE COURT WESTMINSTER, CO 80031-2124 RE: SCHEDULE NUMBER P9101713 Dear Property Owner: On September 21, 2020, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and approved, in -part, same. Pursuant to C.R.S. §39-2-125(f), you have the right to appeal this decision to the State Board of Assessment Appeals within thirty days. You may obtain the appropriate forms and instructions from: Board of Assessment Appeals — Department of Local Affairs 1313 Sherman Street, Room 315 Denver, CO 80203 Phone: (303) 864-7710 Email: dola_baa@state.co.us. In preparation for appealing to the State Board of Assessment Appeals you may also go to the following state link to obtain any further information you may need to proceed, http://www.dola.state.co.us/baa/index.htm Very truly yours, aaQ-c. PLc& Chloe A. Rempel Deputy Clerk to the Board Supervisor crempel@weldgov.com Enclosures: Resolution 2020-2885, Copy of Petition for Abatement of Refund of Taxes cc: Weld County Assessor Chloe Rempel From: Sent: To: Subject: Attachments: Good afternoon, Chloe Rempel Tuesday, September 29, 2020 2:20 PM david.amin@hilton.com NOTICE OF DECISION - Tax Abatement Petition - P9101713 Notice of Decision - Tax Abatement Petition.pdf On September 21, 2020, the Board of Weld County Commissioners considered your petition for abatement or refund of taxes and approved, in -part, same. Please see the attached letter, copy of the Resolution, and copy of the Petition form for further information (hard -copies to follow). Sincere regards, Chloe A. Rempel Deputy Clerk to the Board Supervisor Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4213 Email: crempel@weldgov.com Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 WELD COUNTY PETITION FOR ABATEMENT OR REFUND OF TAXES CERTIFICATE OF MAILING FIRST NAME LAST NAME COMPANY POSTAL ADDRESS 1 CITY STATE CODE 'DAVID AMIN SHAN I. LLC 10923 MEADE WESTMINSTER CO 80031 - COURT 2124 david amin@hilton.com I hereby certify that I have sent a Tax Abatement Petition decision letter in accordance with the notification requirements of Weld County in the United States Mail, postage prepaid First Class Mail by letter as addressed on the attached list this 30th day of September. 2020. CD 0 0 O r -R Q. Chloe A. Rempel Deputy Clerk to the Board Supervisor U.S. Postal Service"' CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery information, visit our website at www.usps.com®. Certified Mail Fee Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ Return Receipt (electronic) $ ❑ Certified Mail Restricted Delivery $ O Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ Postage $ Total Postage and Fees C`- Sent To Ati-n = �V ekvkr -treet apt. to. or PO Box No. N 101 min Postmark Here UajD(s'O rY1.e�A.dft. City, State, ZTP+4® a _ 7. ` PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions I $ Y - 1 ' < • •,1 co a) -o < Q ❑ ❑ 16 C a) J O cri 11.5 0 U Th ❑ ❑ T• 0 0 tea) E .n o 4--0 C ro O E12 -O 13 a) W U) O O E sc >, a) O s O v- c/) (n -2 O 2 U O N cts (d O U C 'c ( C a.. 1 cV o) E E Lozi m °oo° o N (/) Ocl) O }'..C Q >,e) C ct3 O 0 a o0 < o ■ ■ ■ N 2 D Q a) O C O RS E C 0 r;U-' -' •i s5. (V 2 cu 00 acccncn OOOOOO a) z L G L c c a) -O -o o 0 in a) a) -e 47 _ a) D (1) 0 O O <0000 ❑lt❑❑❑ 9590 9402 4445 8248 1213 84 N a) C) a) U U) a) cc a) a) 0 0 cc cu cu o I z C O U- m U] r CI 0 U, rR a 8 cc 15) m� E O D , July 2015 PSN 7530-02-000-9053 PS Form 3811 Hello