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Home My WebLink About20193433.tiffAugust 6, 2019 Petitioner: MIDLAND EQUIPMENT FINANCE PO BOX 2149 GIG HARBOR, WA 98335-4149 CLERK TO THE BOARD PHONE (970) 400-4226 FAX (970) 336-7233 WEBSITE: www.weldgov.com 1150 O STREET P.O. BOX 758 GREELEY CO 80632 Agent (if applicable): RE: THE BOARD OF EQUALIZATION 2019, WELD COUNTY, COLORADO NOTICE OF DECISION Docket 2019-3433 Appeal 2008225149 Hearing 8/5/2019 Dear Petitioner: On the day indicated above, the Board of County Commissioners of Weld County Colorado convened and acting as the Board of Equalization, pursuant to C.R.S. §39-8-101 et seq., considered petition for appeal of the Weld County Assessor's valuation of your property described above, for the year 2019. Account # Decision The Assessment and valuation is set as follows: Actual Value as Actual Value as Set by Determined by Assessor Board P9105231 Stipulated - Approved Stipulated Value $270,216 $0 A denial of a petition, in whole or in part, by the Board of Equalization must be appealed within thirty (30) days of the date the denial is mailed to you. You must select only one of the following three (3) options for appeal: 1. Appeal to Board of Assessment Appeals: You have the right to appeal the County Board of Equalization's decision to the Colorado Board of Assessment Appeals. A hearing before that Board will be the last time you may present testimony or exhibits or other evidence, or call witnesses in support of your valuation. If the decision of the Board of Assessment Appeals is further appealed to the Court of Appeals pursuant to C.R.S. §39-8-108(2), only the record of proceedings from your hearing before the Board of Assessment Appeals and your legal brief are filed with the appellate court. All appeals to the Board of Assessment Appeals filed after August 10, 2019, MUST comply with the following provisions of C.R.S. §39-8-107(5): (5)(a)(I) On and after August 10, 2019, in addition to any other requirements under law, any petitioner appealing either a valuation of rent -producing commercial real property to the Board of Assessment Appeals pursuant to C.R.S. §39-8-108(1) or a denial of an abatement of taxes pursuant to C.R.S. §39-10-114 shall provide to the County Board of Equalization or to the Board of County Commissioners of the County in the case of an abatement, and not to the Board of Assessment Appeals, the following information, if applicable: (A) Actual annual rental income for two full years including the base year for the relevant property tax year; (B) Tenant reimbursements for two full years including the base year for the relevant property tax year; (C) Itemized expenses for two full years including the base year for the relevant property tax year; and (D) Rent roll data, including the name of any tenants, the address, unit, or suite number of the subject property, lease start and end dates, option terms, base rent, square footage leased, and vacant space for two full years including the base year for the relevant property tax year. (II) The petitioner shall provide the information required by subparagraph (I) of this paragraph (a) within ninety days after the appeal has been filed with the Board of Assessment Appeals. (b)(I) The Assessor, the County Board of Equalization, or the Board of County Commissioners of the County, as applicable, shall, upon request made by the petitioner, provide to a petitioner who has filed an appeal with the Board of Assessment Appeals not more than ninety days after receipt of the petitioner's request, the following information: (A) All of the underlying data used by the county in calculating the value of the subject property that is being appealed, including the capitalization rate for such property; and (B) The names of any commercially available and copyrighted publications used in calculating the value of the subject property. (II) The party providing the information to the petitioner pursuant to subparagraph (I) of this paragraph (b) shall redact all confidential information contained therein. (c) If a petitioner fails to provide the information required by subparagraph (I) of paragraph (a) of this subsection (5) by the deadline specified in subparagraph (II) of said paragraph (a), the County may move the Board of Assessment Appeals to compel disclosure and to issue appropriate sanctions for noncompliance with such order. The motion may be made directly by the County Attorney and shall be accompanied by a certification that the County Assessor or the County Board of Equalization has in good faith conferred or attempted to confer with such petitioner in an effort to obtain the information without action by the Board of Assessment Appeals. If an order compelling disclosure is issued under this paragraph (c) and the petitioner fails to comply with such order, the Board of Assessment Appeals may make such orders in regard to the noncompliance as are just and reasonable under the circumstances, including an order dismissing the action or the entry of a judgment by default against the petitioner. Interest due the taxpayer shall cease to accrue as of the date the order compelling disclosure is issued, and the accrual of interest shall resume as of the date the contested information has been provided by the taxpayer. Appeals to the Board of Assessment Appeals must be made on forms furnished by that Board, and must be mailed or delivered within thirty (30) days of the date the denial by the Board of Equalization is mailed to you. The address and telephone number of the Board of Assessment Appeals are: Board of Assessment Appeals 1313 Sherman Street, Room 315 Denver, Colorado 80203 Telephone Number: (303) 864-7710 Email: baa@state.co.us Fees for Appeal to the Board of Assessment Appeals: A taxpayer representing himself is not charged for the first two (2) appeals to the Board of Assessment Appeals. A taxpayer represented by an attorney or agent must pay a fee of $101.25 per appeal. OR 2. Appeal to District Court: You have the right to appeal the decision of the Board of Equalization to the District Court of the county wherein your property is located: in this case that is Weld County District Court. A hearing before The District Court will be the last time you may present testimony or exhibits or other evidence, or call witnesses in support of your valuation. If the decision of the District Court is further appealed to the Court of Appeals pursuant to C.R.S. §39-8-108(1), the rules of Colorado appellate review and C.R.S. §24-4-106(9), govern the process. OR 3. Binding Arbitration: You have the right to submit your case to binding arbitration. If you choose this option, the arbitrator's decision is final and you have no further right to appeal your current valuation. C.R.S. §39-8-108.5 governs this process. The arbitration process involves the following: a. Select an Arbitrator: You must notify the Board of Equalization that you will pursue arbitration. You and the Board of Equalization will select an arbitrator from the official list of qualified people. If you cannot agree on an arbitrator, the District Court of the county in which the property is located (i.e. Weld) will select the arbitrator. b. Arbitration Hearing Procedure: Arbitration hearings are held within sixty (60) days from the date the arbitrator is selected, and are set by the arbitrator. Both you and the Board of Equalization are entitled to participate in the hearing. The hearing is informal. The arbitrator has the authority to issue subpoenas for witnesses, books, records documents and other evidence pertaining to the value of the property. The arbitrator also has the authority to administer oaths, and determine all questions of law and fact presented to him. The arbitration hearing may be confidential and closed to the public if you and the Board of Equalization agree. The arbitrator's decision must be delivered personally or by registered mail within ten (10) days of the arbitration hearing. c. Fees and Expenses: The arbitrator's fees and expenses are agreed upon by you and the Board of Equalization. In the case of residential real property, the fess may not exceed $150.00 per case. For cases other than residential real property, the arbitrator's total fees and expenses are agreed to by you and Board of Equalization, but are paid by the parties as ordered by the arbitrator. If you have questions concerning the above information, please call me at (970) 400-4226. Very truly yours, BOARD OF EQUALIZATION Esther E. Gesick Clerk to the Board Weld County Board of Commissioners and Board of Equalization cc: Brenda Dones, Weld County Assessor COUNTY BOARD OF EQUALIZATION WELD COUNTY Single County Schedule Number P9105231 STIPULATION (As To Tax Year 2019 Actual Value) RE PETITION OF : NAME: ADDRESS: MIDLAND EQUIPMENT FINANCE PO BOX 2149 GIG HARBOR, WA 98335-4149 Petitioner (s) and the Weld County Assessor hereby enter into this Stipulation regarding the tax year 2019 valuation of the subject property, and jointly move the Board of Equalization to enter its order based on this Stipulation. Petitioner (s) and Assessor agree and stipulate as follows: 1. The property subject to this Stipulation is described as: 687 Gyrfalcon Ct Windsor, CO 2. The subject property is classified as Personal property. 3. The County Assessor originally assigned the following actual value to the subject property for the tax year 2019 : Total $270,216 4. After further review and negotiation, Petitioner (s) and Weld County Assessor agree to the following tax year 2019 actual value for the subject property: Total $0 5. The valuation, as established above, shall be binding only with respect to tax year2019 6. Brief narrative as to why the reduction was made: Equipment was mistakenly reported. Ownership of equipment transferred to Lessee Al's Granite for Less Inc. as of 1/1/2019. Equipment will be assessed to Al's Granite for Less Inc. 7. Both parties agree that: IIThe hearing scheduled before the Board of Equalization on 08/05/2019 at 10:30 a.m be vacated. ❑A hearing has not yet been scheduled before the Board of Equalization. 1 01°1-34 33 /4\S0103 DATED this 30th day of July , 2019 CT Nguyen CJ Nguyen (Jul 30, 2019) Petitioner(s) or Agent or Attorney Address: PO Box 2149 Gig Harbor, WA 98335 Telephone: 253-358-4035 Docket Number P9105231 Stip-1.Frm (Assistant) County Attorney for Respondent, Weld County Board of Commissioners Address: 1150 "O" Street P.O. Box 758 Greeley, CO 80632 Telephone:(970) 336-7235 County Assessor Address: 1400 N.17th Avenue Greeley, CO 80631 Telephone: (970) 400-3650 2 P9105231 MIDLAND EQUIPMENT FINANCE STIPULATION Final Audit Report 2019-07-31 Created: 2019-07-30 By: Sean McElroy (smcelroy@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAnTgt8zuwd-xvjeLjfhtDj1oj7rt7a23t "P9105231 MIDLAND EQUIPMENT FINANCE STIPULATION" History ,t Document created by Sean McElroy (smcelroy@co.weld.co.us) 2019-07-30 - 6:22:17 PM GMT- IP address: 204.133.39.9 E Document emailed to Sean McElroy (smcelroy@co.weld.co.us) for approval 2019-07-30 - 6:22:19 PM GMT Gip Document approved by Sean McElroy (smcelroy@co.weld.co.us) Approval Date: 2019-07-30 - 6:22:33 PM GMT - Time Source: server- IP address: 204.133.39.9 E?, Document emailed to Leo Chea (Ichea@weldgov.com) for approval 2019-07-30 - 6:22:35 PM GMT t Email viewed by Leo Chea (Ichea@weldgov.com) 2019-07-30 - 7:46:35 PM GMT- IP address: 204.133.39.9 d) Document approved by Leo Chea (Ichea@weldgov.com) Approval Date: 2019-07-30 - 7:53:47 PM GMT - Time Source: server- IP address: 204.133.39.9 0+ Document emailed to Brenda Dones (bdones@co.weld.co.us) for signature 2019-07-30 - 7:53:48 PM GMT t Email viewed by Brenda Dones (bdones@co.weld.co.us) 2019-07-30 - 7:59:26 PM GMT- IP address: 204.133.39.9 da Document e -signed by Brenda Dones (bdones@co.weld.co.us) Signature Date: 2019-07-30 - 7:59:44 PM GMT - Time Source: server- IP address: 204.133.39.9 E Document emailed to CJ Nguyen (pptdept@orionfirst.com) for signature 2019-07-30 - 7:59:46 PM GMT Adobe Sign ,t Email viewed by CJ Nguyen (pptdept@orionfirst.com) 2019-07-30 - 10:01:52 PM GMT- IP address: 75.149.169.181 6,e Document e -signed by CJ Nguyen (pptdept@orionfirst.com) Signature Date: 2019-07-30 - 10:03:21 PM GMT - Time Source: server- IP address: 75.149.169.181 E, Document emailed to Karin McDougal (weld-cboe@weldgov.com) for signature 2019-07-30 - 10:03:23 PM GMT ,5 Email viewed by Karin McDougal (weld-cboe@weldgov.com) 2019-07-30 - 11:47:38 PM GMT- IP address: 204.133.39.9 60 Document e -signed by Karin McDougal (weld-cboe@weldgov.com) Signature Date: 2019-07-31 - 1:31:14 PM GMT - Time Source: server- IP address: 204.133.39.9 Signed document emailed to Karin McDougal (weld-cboe@weldgov.com), Sean McElroy (smcelroy@co.weld.co.us), Leo Chea (Ichea@weldgov.com), canaya@weldgov.com, and 2 more 2019-07-31 - 1:31:14 PM GMT Adobe Sign Lice - NOTICE OF DETERMINATION Brenda Dones Weld County Assessor 1400 N 17th Ave Greeley, CO 80631 RECEIVED RVEMD JUL 292019 Date of Notice: 07/10/2019 Telephone: (970) 400-3850 Fax: <970) 304-6433 Office Hours: 8:00AM 00A M — 5:00PM PM ,�� LEGAL DESCRIPTION/ PHYSICAL PH sl � - LOCATION ACCOUNT NO. CGIiQNE ' �`�ii X AREA ALS WINDSOR MIDLAND GRANITE GYRFALCON FOR LESS INC AT D , CO EQUIPMENT FINANCE P9105231 2019 0421 ...... .mak MIDLAND PO GIG BOX HARBOR, EQUIPMENT 2149 WA 96335-4149 FINANCE687 ASSESSORIS VALUATION PROPERTY CLASSIFICATION ACTUAL VALUE REVIEW PRIOR TO ACTUAL VALUE REVIEW AFTER PERSONAL PROPERTY c 270,216 27O 216 y TOTAL I 270,216 270,216 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: PP0I - Your personal property has been valued in accordance with Colorado law, Other personal property, similar in nature, has been consistently valued using the same statutory methods. 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 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. Agent Of Applicable): 2019-3433 15-DPT-AR ARL VOL 2 1-84 Rev 01-16 P50103 APPEAL PROCEDURES County Board of Equalization Hearings will be held from my 25th through August 5th at 1150 0 Street. To appeal the Assessor's decision, complete the Petition to the County Board of Equalization shown below, and mail, file online, or deliver a copy of both sides of this form to: Weld County Board of Equalization 1150 O Street, P.O. Box 758 Greeley, CO 80631 Telephone: (970) 356-4000 ext, 4225 Online: www.co.weld.co.us/spps1. cboei To preserve your appeal rights, your Petition to the County Board of Equalization must be postmarked or delivered 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 10, § 39-2-125(1)(e), C.R.S. .S. 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 Contact the District Court in the County Denver, CO 80203 where the property is located. See your (303) 866-5880 local telephone book for the address and ww.dola.colorado.govfoaa telephone number. 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 filed if filed on the next business day, 39-1-120(3), C. R. S. I PETITION TO COUNTY BOARD OF EQUALIZATION What is your estimate of the property's value as of June 30, 2018? (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.) 0 0 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.) tTh L4w TA>' 5°F Mfl Ufl*) ILA 5l101§ ��PaAT�N�" Wok ATTESTATION I, the unp signed owner or agerat2 of the property identified above, affirm that the statements contained herein and cat}' ittathe hereto are true and complete. 7/15fv9 Date Signature GitePf Email Address Telephone Number °roil i re51-, colt) 2 Attach letter of authorization signed by property owner. 15-DPT-AR ARL VOL 2 1-84 Rev 01-16 Midland - Reporting Error Letter - No Equip MIIILANII EQUIPMENT FINANCE CF DIVISION OF I ►fIIIJLAf4D STATES BANK Po Box 2149 GIG HARBOR, WA 98335 7/17/2019 Hello Assessor, Sincere apologies with our tax software error. RECEIVED JUL 292019 WELD COUNTY COMMISSIONERS Midland reported equipment in error & should have never mailed out this reporting form. Customers own equipment (not Midland). Correction: Midland has no equipment to report. Attached is Midland's amended form. Details: Heartland Business Credit was the original lessor during 2018 & prior years. It was Heartland's policy to file PPT on behalf of their lessees (customers). Heartland assigned all customer contracts to Midland in 2018. Then Heartland business closed 12/31/2018. As of 1/1/2019 customers own equipment. Midland Equipment Finance is division of Midland States Bank. No equipment was transferred from Midland to the lessees (customers). This applies to customer equipment previously with Heartland & applies to any new Midland customers leased equipment. It is Midland's policy for lessee (customer) to file their own PPT on any EFA type contracts. Thank you for your help. Sincerely, J Nguyen PPT Accountant Po Box 2149, Gig Harbor, WA 98335 253-358-4035 pptdept@orionfirst,corm Enclosure (attach are copies of correspondence) 00 Nguyen From; Sent: To: Cc: Subject: Attachments: PPTDept Tuesday, July 2, 2019 6:38 PM PPTDept; Leo Chea Stacey Dullurn; Jenny Dubinsky RE: Weld County Assessor's Office Addendum -Al's Granite for Less.pdf; Addendum -Origin Engineering.pdf Hello Leo, from our phone discussion on 6/26. - as requested, if we can find more documents as proof customer is responsible for taxes - attached are x2 more documents showing customer agrees to responsibility of personal property taxes (instead of Midland) - this is regarding our protest forms & amended declaration form Thank you for your help. OR I@N FIRS` C.J NGUYEN I Personal Property Tax & Cash Accountant (253) 358-4035 (888) 705-8778 x1008 orionfirst.00rn This e-mail, and any attachments, contains information that is, or may be, covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, and is confidential and proprietary in nature. If you are not the intended recipient, any disclosure, copying, or distribution of this message is strictly prohibited. If you think that you have received this e-mail message in error, please e-mail the sender and delete all copies.. Thank you. From: PPTDept <PPTDept@orionfirst.com> Sent: Tuesday, June 25, 2019 7:05 PM To: Leo Chea <Ichea@weldgov.com>; PPTDept cPPTDept@orionfirst,corn> Subject: RE: Weld County Assessor's Office Hello Leo, to help clarify: -Midland Equipment Finance is a division of Midland States Bank -both company names are same owner -attached is copy of documents we mailed out -included is customer lease agreements showing their responsible for taxes -please let me know if need any additional information or documentation Thank you for your help. ORION FIRST C,J NGUYEN I Personal Property Tax & Cash Accountant (253) 358-4035 (888) 705-8778 x1008 o ri'nfirst.com This e-mail, and any attachments, contains information that is, or may be, covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, and is confidential and proprietary in nature. If you are not the intended recipient, any disclosure, copying, or distribution of this message is strictly prohibited. If you think that you have received this e-mail message in error, please e-mail the sender and delete all copies. Thank you. From; Leo Chea c Ichea@yveldgov.com> Sent: Tuesday, June 25, 2019 8:43 AM To: PPTDept <PPTDept orio.nfiist.com> Subject: Weld County Assessor's Office Good Morning OJ, I am reviewing the personal property protest that was submitted for accounts P9105231 and P9105233 Midland Equipment finance and need additional information. For purposes of personal property taxation, the company that has legal title to the equipment is the one that needs to report the equipment. After reviewing the attached business lease agreement for P9105231, it appears that Midland Equipment Finance is the legal title holder of the equipment. Can you provide me any additional lease documents that show otherwise? Also, can you provide me with the full business lease agreement for P9105233? Thank you, Leo Chea Weld County Assessor's Office Natural Resources & Commercial Personal Property Phone: 970 400-3663 or 720 652-4255 ext. 3663 Fax: 970 304-6433 lichen @weIcigov.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. Total Control Panel To: pptdept c rnonfirst.com Message Score: 1 From: Iehea@wtddgov.ccrn My Spam Bioeking Level: Medium Block this sender Block weldgov.corn This message was delivered because the content filter score did not exceed your filter level. High (60): Pass Medium (75): Pass Low (90): Pass Login 2 Midland tert,iprr„nt tMaw, C Business Lease Agreement Lease S 32014,001 SUPPLIER: NORTHWOOD INDUSTRIAL MAADHINERY INC. i LESSEE: Afs Granlae For Lees, inc, dba ►,1'$ Drmr ete L. ° Legal Name 11'610 Commonwealth Dr. Legal 6.17 0 (falcon Court Name Unit 0 :A a• . ,^Y�° • ; . Address a .Louisville �1 "Y 40299 Address Windsor _ 80550 Wed r . C State Z • Ci . Stale Zip E QU 1PMENT DESCRIPTION -E *EQUIPMENT" SERIAL No, s..County _ One 1 New H'ortttwoad 138 U'FC Fat ontor together with all attachments and accessories MONTHLY RENT PAYMENT: $4,304.58 Et (Plus Sales/Use Tax) 9 (includes le /Use Tax) LEASE TERM: 84 (IN MONTHS) Months - Advance Payment $.Q0 LEASE PURCHASE $1.00 Purchase OPTION Option e word :Ceasemeans this business Lease Agreement, the w ou" and *your" mean Lessee and the wine ave, eus' and sour mean Lesser. This Lease shall not be effective until omutated by the Lessee and accepted by p an authorized representative of Lessor at its Drtncl tee of business. . .a AA r _ TED BY LESSOR: Midland tartea Bank_ LESSEE:. AI's Granite or ssd lnc,dba Ms Granite 7.71 Off _ Date: i Name - Title I 04 Federal Tax ID ''-tf'T?'i' 1. LEASE CHARGES. You hereby agree to lease from us the personal property: described above or on any ached schedule (the "Equipment") for to Monthly Rent Payment t set forth above for the full term of this Lem}. Rental Payments shall start on the date that We orally confirm with you that the Equipment has been delivered to the bcrion listed above, is fully installed and is in good operating order (the 'Payment Start Date). Upon executon of this Lease, you will deihrer to us an advance payment anchor security deposit, as set forth above. To the extent permitted by law, we may charge you a fee not to exceed $750 (plos applicable sat&use tax) to cover docurnertalien and investigator' castes You a that no art of any y advance rrt is or will be deemed to be a security deposit and that any advance payment is not refundable, The security' deposit set forth above is seturity for your performance of ail your ob5gations under this Least We may use all or any part of the security deposf to pay any sum in default or any amount that we spend by reason of your default. You agree that you are not entitled to Interest on the security deposit tams you we in default, we will return the security deposit or any balance thereof to you within sixty (60) days after the excitation of the Lease Tyr and any extenelen thereof, f, We may also charge you a partial payment for the Om a between the Payment Start Date and the due date icr the first monthly paymes . You will deliver monthly payments to us on the "Rent Payment Date: Ss We specify, at the address set forth above or at any other address we provide to you with proper notice. You also agree to pay us a late fee equal to the greater of $51,00 or 10% al eny amount that is not paid within live days of the Rental Pa -rant Date, but act mote than the highest � Ig legal rate. You agree that we may adjust the rent payment proportionally up or down if the actual cost of the Equipment exceeds or is less than the amount stated in this Lease_ If you do not authorize a Draft Request for the withdrawal of your Monthly Rent Payment, you also agree to pay a monthly bfkrrg charge of per month. You ages to pay $50.)0 for each check or Draft Request that the bank returns. for insuffi ient funds or any other reason. Mer we sign this Lease, it SHALL. NOT BE CANCELABLE by you for any: reason,. ceding equipment failure, loss or damage. 2. TAXES. You assume liatiiirty for and shill pay when due all lames preluding sates, use and personal property: es), licenses and reborn fees, fines, penthhes„ and otter atheithisneve charges relating be this Lens or tip Equip 1, tt we pay any: tax on your elf relating to Lints Lease or Equipment (when _, such peel Is made during of after the Lease Term), you agree to nurse us In full for such payrrnent(s). You agree tre pay us icc the loss of any income mac beret caused by your acacia If an Increase In the federal corporate income tax rata andante ,e tn the *accelerated t recovery deduces' alit by the Internet Revalue C+cde, as ameanded, adversely dices our *Max earnings or cash trans, you agree that we may Increase the amounbs due under this Lease to offset any such adverse effect_ 3. SELECTION OF EQUiPMENT?DISCLAIMER OF WARRANTIES You acknowledge that you, not we, selected the Equilxneet and The suppfrer of the Equipment, based on yaw en judgment and without retianoe On dry statements Made by us, You acknowledge that you we leasing the Equipment 'AS IS,' and WE D1SCUUM ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING VVARRANTIES CF NONBINFRINGEMENT, MERCHANTABILITY, OR FITNESS FOR A PARTICULAR PURPOSE. YOU HEREBY WAIVE ANY CLAIM (INCLUDING ANY CLAIM BASED ON STRICT OR ABSOLUTE LIABILITY IN TORT) YOU MIGHT HAVE AGAINST US FOR ANY LOS DAMAGE fWHETHER DIRECT, INDIRECT, GENERAL, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL) OR EWEiIISE CAUSED BY THE EQUIPMENT OR THIS LEASE. We ate not responsible (or service repairs to the Equuipment, As long as you are not In result of this Lem, we hereby assign to you any warranties provided to us by the manufacbser of or sari provider for the Equipment, f any. You acknowledge that your sole remedy for broS of any such eranhanty will be against the manufacturer of or service proves for the Equipment and that you will have no such: remedy or claim against as, nor shallsuch breach have any effect whatsoever on the rights dolt obligations of you at us hereunder. Other than girls Leap, Vila are not party: t or bound by aid ste not her the t of y perrebase eider or other areemfl regard the Equipment You acme That Ai ilaratatiorrs on mars and ilitaides or -gained In this Lease represent a reasonable allocation &risks between you NCI us. All reference to "Equipment' in the Lease shall dude both coltectively and nd dua . any and all software licenses (each, a *License") lain respect to any computer software (Softemee') contained In the destaiptton of the Equipment andlor otherwise incorporated into any personal property amslieakig Equipment under the Lease. You are subject to and bound by all such Licenses, WE EXPRESSLY DISCLAIM ANY WARRWARRANTY THAT NO PERSON HOLDS A. CLAIM TO DR INTEREST IN ANY WM:ARE OR LICENSE T ARISING SOLELY FROM ANY ACT OR OMISSION SY LESSOR) THAT WILL INTERFERE WITH LESSEES ENJOYMENT ITS LEASENOCD INTEREST M THE LICENSE OR SOFTWARE. 4. LOCATION AND INSPECTION, YOLO 39100 b keep the Equipment at the location specified above. You may remove or allow the Equipment to. be removed fpm the address alms only upon our prior Initial camera and only t (a) the now loft is whin the continental United Slates; and ) you pry IJCIDel f statements or other documentation as we *reasonably aimed prat Mr I the &tuft:anent. You agree to request relccatien attest 30 days' prior to =la telotater. You agree b reimburse us for any costs that we hear as a resat of won, Any charges under this Lease (e.g., rental payments) slag not at 'friars the peribe the Equiparentls mit of service due to a relation that you hale re You voll pearit us on your penises to inspect the Equipment and your business reoNts droning rmental bum. hem 5. USE OF EQUIPMENT. You at your expense, use, maintain and keep the Equipment En good operating order in the mariner for trichinas n d and Bendel, SOLELY FOR YOUR BUSINESS PURPOSE? in accordance with manufacturers- recommendations and le COrrpgarice with all applicable lama regaslow end insurance requirements. You wfil not make any .identortS or additions to the Equipment without our prior written c onsenl. M adore, atachmeens, tar mtacements made be the Equipment, mess matte bares to Totting by as, std become part of the Equipment. You warrant and t to ea that the Equipment vie be use by you a Ey for business purposes at the location on The front of Ns Lease and era br persona a or household purposes. S. LESSEE REPRESENTATMS. You represert arnd. pmt that (a) this Lease con es a tom, ltd, and b obligation, on, at* alpine' you in accordance with Ns terms; 0 you have the ay b ;Wain al .A year obligations ureter the Lean (c) you will not viol* any law, regulation OF Calkackall Otte= by entering into arid performs your obigations tender the Leese; (d) of terandiat or other statements that you wed or made to us are true and correct k ail (0). no consent or approell r L gang of roe tOr reatietabon ma or Wing of any other aim tty any tenon or erg is required for you to perfomr the obagatieers under this Lease. Any peen sig ring Lease far you warraela that he oe she is eat end cempoweredio do so, 7. INSURANCE. You are rases for and accept the tisk of Jess Dr ttnage to the Equipment You agree to keep the Equiprreemr hsured vgns4 $ hilts ti toss, inclucieg Mita careeralle artal adratcnal handy b an &countea least end b the replacement cost, and you will fist us as loss payee art us wedeln proof et is Murano' V you do not give us prof, w ra net be obligated b) tittle otter Insoratce and charge you afee for 8. RETURN OF EQUIPMENT. Unless man" a ptinthase or tam epSon provided for fa thisla urn +earn, erup, at errand prestent b this Leases you shall a trtt V. al min ram. Pekin tie EcOproefit n the Seine =Mac as when you received it, accepting onty retie wear aid tear„ to ash beaten, as we designate, You shat pay at tusis and opeereeesbaske lean and Mum the Equipment to the did 14c rte Atter the expiration pira of tie Laze Yearend thereafter QM ins ada receive aqwntniec Ennui', y m . j Midland{ LEASE AGREEMENT Lease Agreement No. Dated: 827-220498-0(11 October 2., 201.8 LESSOR: r LE - LESSEE: Origin Entiiieering -a LLC Midland States Bank 7700 Clayton, Phone: Bonhomme Avenue MO 61 MS 800.648,6517 611 Technefogy Wfnc,lsoi, CO Type and State Federal Tax Circle 80550 of Organization: LLC, C ID: S2-2330299 , EAS€ TERMS TOTAL EQUIPMENT COST $124,038 90 EQUIPMENT DESCRIPTION t New Maxim rti Model 1530 Waterjet EQUIPMENT LOCATION 671 Technology Circle Windsor, CO 80550 SECURITY DEPOSIT ADVANCE PAYMENTS Payments in Arrears ENITIAL LEASE TERM (In months) 34 CUT-OFF DATE larlualy 18, 20:19 END OF LEASE TERMS �. Mandatory Purcfia5e: $1.00 RENT PAYMENT AMOUNTS (S) 8,1 erg a I.,8O(1,15 COMMEtN>iCEMENT DATE V / 10/1012018 Acceptance Date: Q Commencement Date: _1 011.5"2,01 8 The word "Lease", 'the Lease" Dr "this Lease" means this Lease Agreement, the words "you" and "your" mean Lessee and the words "'we", "us" and 'lour" mean Lessor This Lease shall not be effective until executed by 1ya u and accepted by on authorized representative of ours. 1. Lease You hereby agree to tease from us, subject to the terms and conditions herein, the persona i property and equipment in the Equipment Description above or any '�c1ac,'clklitr t�tlack)Cd 1t :I'k_t�s, pail t,�1it�.a�r ES 111U�, u1 sOlet tiwal ! (kLCt1!SL`S aC itillt.:d in dl) 'Mew arid VreirbalLiruri kerkiI We equip' M.:lit or acquiell pi iilclilailv'H7i use III UI nllterlrrisc with egLlltartlullt, tugdellOr With al# replotl_'lilents, purr:,, mpaii ,, add I tith 15) LiCt.CIL,siorl5, OP yd acuk:C.:AA km lricurpurated i el clttaLhed tma- (tut iIt!revcr IacitecJ dial whether now owned or hereinafter' acquired, mid all pi meals of the forr:Roing, including, any Insurance recoveries and all general intangibles relating to or arising therefrom, all products thereof and all cash and non -cash proceeds (including insurance proceeds) of the equipment (the "Equipment"). THIS IS A NET LEASE THAT CANNOT BE CANCELLED OR TERMINATED FOR ANY REASON ANO IS AN ABSOLUTE AND UNCONDITIONAL OBLIGATION, WHICH SHALL NOT BE SUBJECT TO ANY ABATEMENT, REDUCTION, SETOFF OR DEFE#'4SE OF ANY t(I'NO. You agree to make payment of all Rent Payments and other amounts due hereunder and you cannot withhold or reduce any amounts for any reason, Including brat riot limited to the condition or performance of the Equipment. Plawaeri.nd meats, You will pay all Rent Payments duo hereunder to us In the Rent Payment Amcun t Cs l above for the f uli Initial Lease Term of this Lease. The above Commencement Date for this Lease is determined as fellows. (i) the fifteenth (1S ") day of the month If the above Acceptance Date is on the first (f') day through the fifteenth ('IS") day of the month; nri (ii} [an the first (1") day of thy► month if the above ArceptunrF flute is on the shitracar 1h [16'°j) through the final day of such month.. The Accrtitancei Dat° 'limit he triprtity, TO) r_rirr5tarnrnt Is tinlivered to the 1..rpriprlyrit tncatrorl, Irriiy irtctnllecl, in gond operating only; eirnr ;nib/arr_epi Prl by you Than (Iv -Tilted Delivery Dud Acceptance Certificate satisfactory to us. If we do not receive the executed De? very and Acceptance Certificate by the Cut -Off Late, then we may terminate this Lease. You authorize us to insc-u't or correct the Commencement Dote or Acceptance Date above_ The first Rent Pays -rent is due on the Commencement Date, if the Rent Payments above are stated to he "made in advance", or If the payments above are stated to be "made in all rears" then the first Rent Payment shall be due on the date that is one month after the Commencement Date, M subsequent Rent Payments are due on the same dziy at each month thereafter, at the :above address or other address provided, whether an invoice b rendered, until all amounts clue under this Lease are paid 1n full and &1 obligations satisfied You am responsible for all costs of shipping, transportation, and other arm -;es relating to delivery and acceptance of the Equipment Upon execution of this Lease, you will pay any Advance Pa,tirrr en t(s)(n o i -re f tnrlclab lr: ) and we may also charge you costs incurred in the origination r of this ).ease. Any Secu ray Deposit bv; I l constitute security for performance of your obligations anti shaft not hear any interest, lit an Event of Default, we may apply any Security Deposit to amounts Elbe heieuridlec, and if no Event of Default occurs, we will return the Security Deposit (or remcsir nw, iaalanncct) to you upon satisfaction of all Lease obligations On the Comnielicenielnt Date", you will only an interim amount of rent ('"i ittrim, lent''). equal ro ; tegr, I'-lrr-ar:iridt cat: (I) r4:irh 14; (it iTymcint Amount (if miiiriplc' Rent Pr I- ilnt Arar}urit ,$) li Seri i nr\et'.'. rr>_cssn rrr,int; rho krint P:iymm'nt Anilntin[ for the majority of the Rent Payments), multiplied by, (u) 1f31)", multiplied by, (an) the number of days Ircirn the Acceptance Date to (arid exc(;clirlg,) the C:'mmencenient Date, II the Acceptance Date is Oil the 1'I or to WI' of the month, bier the Commencement Date and Acceptance Date are the same and no lrtMrlm Rent is due. All Interim, Rent is calculated on xi: 3EDdayyetar basis sand due as stated on your iii olce. Lath Payme meant nt Chang _ainrd Application_ Tirnt is of the essence We itiay charge a fats fee, not to exceed the gremtE'r-of $50.0D or ten percent 410%), of any Rent Payment or other 'tampion` not pia within ten (10) days of when due and charge a non -sufficient nt funds lee of $3.6.00 lot e3Lin check or draft request returned eci for insufficient funds or other i mr a r ;serasarnl3j Any late tea (s'} or other fee(s) charged hereunder shall not exceed the maximum amount pin multi) ed uri Lit:?r applicable law, and if any court, regulatory aeency or rather sirnika'I iuihority dete'rirnini s any anousit(s) to be iacuritou c, then such amounts will be r e,cl rrerd to the maximum amount permitted by law_ Any excess amounts pale);Almpoi irious w ill be applied to your obligations hereunder until Fully satisfied with an y remaining excess imixint(s) refunded, ' tr'e reserve the Iightto 4iU r; cl:St; lb; RD lit r Ili AFRO 141 aliii in:. teat=!111;j:,‘ iir)(APlit by IT lcI tii'FR pel rill (1oN It11 i illinl;e iI'r lipIol a11a lige a Will t04, a) n ¶ uii5,L-Itit by+ you; tfift Lv r,L1MIS g peJ I +?Ilt (10%.,), >l:a;iI LVlll v':;ci rl;{t a v'iltt'I'(I Anll'nifinpncc I Kirinlut 1;W*0, 141}Slitiwi$Ot tors, indirilible, Ih4' rate, publisher? by'the Interwt rrtirienl-ti Exchange nCE")D on he intr,rnet uaehaitc (http://ww►mithcicc Cerra/rimiketdl,rlta /reports.j1 O)j for the Series/Run "USID Ratc'E:1;[UO", as updated mid puhlisIrre by ICE -cltrily, or if nt xattige1 published, then a Similar suckmsor index selected by us. This lase rs estalulisheci at (,tie index rate ai 3.08B% (the',swap R it el as of Fetcher 1, 2D1'8., 51 i.oulri the Swap Rate increase as cal the r: undinE Date, TA) a areE each r kern Payment and the total i rrrro4J rat dua hereunder shall be adjusted to r wiles suth increase, with suth revic.recl Swap Rate re rn Dining fa y,e d thereafter. We will use best efforts to send you mil i :t• S arty Swap Rate increase, however, 'failure lc, send or to roc ivP stint nDti cs, s li ?I1 not be "sl tleiej ese. Ai] Rent Payment Amount (s) received by us will be applflc ck r(t) to inch Rent Payment due anti outstanding, hi o4 de r U'I ii•I lst &ling -1 w, and :far Kim') such RFnt Parry rierrt, first to any accrued but unpaid amotailts d'UF: tasrtlei the 1-mpii> ut; Tease rate, brill fitter to the rent amount of such P yrrltnt; next (ii) to any 1M owe l for any clue hot unpaid Rent Payment(s); next Ciiij to airy other cosu timed us; and brolly (iv) any remaining balance applied to future Rent Payi'merilis) -in age tr'de r` di uke_ We may O tI) ASI y of I r final Relit Payment based ran rti ca lc Matting t rru I•arhriThriVinirg tialuicp to tr! r,+m r ly Ir Alea totAt n mount n. nt due t331° li'1414'4' .i..>,r V..'�, (. Taxes. You ray Mien due, anti 'crwin request file all tax filings for all loxes, ic Eluding vales -inn Line 1axE.Ps, property taxes, !j ease and registration le0ci assedcsngents, plc: nfllim, and titter vii{ate reldrt mg It this Le-Ot Uri- the EquimenL We are Oat liable f to any sail es„ toe, ,cic'aurial l-ri up :rty or oilier taxes. re 'airing to the Lease Dr the Equipment . We may pay certain t IferpOtintS tie ceS5Cr ry to prat tt our initl esrts and you will immediatrity rtimbutse us if this Lei/4e is a IMlt i idatory PUrch se lease, we ;,..vif repro any sattF..i into lase and volt I Willi deport al) pE'rsona l prtApertytotes cal la prwVJii ttc prod Eli ilclyi neitt irS si I aI lJI I -n s4 . Loa seA ieernentjll 1118 interest rn m- ctherwiso cnntrfk you or any Gunr,intor• is, or shall he, (Al INN" on the "5per•ialIy Ue agnatod Nntronnlc ;tint Moller i'nnnn List." mniritarnnd by tfw Entice rat Foreign Assets Control (" OFAC" ), ()apartment of Treasury or any similar lists rnn rnta inod by agencies under statute, regulation, order or other authority, or (B) a person designated under Sections 1(h), (c) or (d) of Executive Order No. H221 (Septc_mlaer 23, 2001), or any related authority; and (ii) all applicable ilia .;; Secrecy Act taws for the prevention and detection of money laundering violations 15. MISCELLANEOUS. a. Entire Agreement Arnenelment ; Counterparts; Chattel Paper; Enforceability. This Lease Constitutes the the subject matter hereunder and supersedes ail prior oral and written agreements. No modification or amendment of this Lease shall be binding ll S Lyx l , � ' riiirigby both parties. This Lease 'nay be executed in one or more. couirterparts, each of which is an original and together constitutes one Lease. The origin e shall constitute the original chattel paper under the UCC. If any term hereunder Is determined by a court, agency or other authority to be invalid or unenforeeablr:, such finding shall not affect any remaining terms of hills 1' ice b. PlOcks E'Ir�krtiaic, l� aru rents. All notices hereunder must be sent by certified marl or recognized overnight delivery service, postage prepaid, return receipt requested to you at the address stated above or an alternative address provided in writing.. This Lease, any signature page or counterpart thereto, signed and transmitted by facsimile machine, telecopler or other elk ctron is means (including via transmittal of a "pdf" file] shall be deemed an original document that k valid, binding and enforceable. The signature of any person thereto shall be considered an original signature and the document transmitted has the same binding effect as an original signature on an original document. At our request, any facsimile, telecopy or other electronic document shalt he pioviderl with a ''wet Ink" signature and/or martually transmitted in original form by the person{s) who executed the facsimile, telecopy or other electronic document, The parties hereby consent to using such electronic signature(s) and/or electronic transmission of docirment(s) and intend to be legally bound thereby. No party may raise use of a facsimile, telecopier or other electronic means of delivery, or the lad any signature is electronic, as a defense to enforcement of this Lease. r_ Further Aiwwranca's USA Patriot Act. You will pith aptly L'xintutee &id deliver ;ury ri.a[tlaur clOc_trrcicnL .3rrtl mike fur Wm fiction J. WV IflC1/ IL1riur'st tta fulfill the purpose cal lhk Lease We hill ill eby provide lichee dint pursuant to thr. USA PA I FDIC I ALL ( I itle III of Pub, L, October, 2b 2001), we erre required to ohtmru rf verily ofd record information Identifying you and any gr rri run tor(s), ici cludili rg names, addresses and information to comply with this law. You a rid any Guara n torts) agree to promptly provide documentation complying with obligations under anti -money laundering taws, "know your customer" requirements and the Act. d. Governing taw:.prrrisdir:tinnjVerm tory Trial Waiver. this Lease shall be subject to, and governed by, the laws of the State of Illinois, without regard to the conflict of laws principles thereof. Each party cements to the jurisdiction of the state courts located In Effingham County ;n the State of Illinois or the federal courts located in the Southern District of Illinois for resolving disputes for this tease and waives any objection it may now or hereafter have to the laying of jurisdiction and trertirte in such courts. EACH PARTY IRREVOCABLY WAIVES TRU\L BY JURY IN ANY LEGAL PROCEEDING G ARISING OUT OF OR RELATING TO THIS LEASE OR THE TRANSACTIONS CONTEMPLATED HEREBY. NO PARTY HEREUNDER SHALL BE LIABLE FOR SPECIAL, CONSEQUENTIAL PUNITIVE OR INDIRECT' DAMAGES ARISING OUT OF THIS LEASE. ce La Midland States Bank 335531 Print Name: LtJcl Garcia Title: Senior l^ rd1,.tg.Specialist . Atli hor ?Pri ,i Signature: K Rf � � -- y. q Nariie: Origin Engineering LLC Print Name: Matthew Chase Title: Member Arrthnrii d Signature: X PERS.OtNA G t.aARANTY: Frei>r ,r'I ar arty tar (earh n "G r reran tnr") ° Mindy anti cevernl ly° u nr onrli t ir,nai.l y ;knrl i rr pvrinnbly. ci ra r and ' the full and pror-Tr pt pay+rrrrn t• and performance of Lessees obligations for the above Lease Agreement and amendments (the r4Lea,s.e"J, 11:) *Nth this Guaranty is attached, led, and any other now existing, or hereafter ter .arising, obligation or indebtedness of Lessee to Lessor, its successors, ccessors, assignees es and affiliates {each, an 'Obligation"). This Guaranty nt+y is a legal, valid artd binding cal tygat won, enforceable in a ccogtip n cD with its term, it rid i`ernain s in full force and effect until all Obligations are fully satisfied. No obligation of Guarantor can be assigned or delegated, and tills Guw ditty may only be modified in writing by both parties, This Guaranty is. of payment and performance and may be enforced directly against Guarantor without proceeding against Lessee, gunrantois ea other .parties, and without lessor pursuing any other remedy Guarantor waives any right to require Lessor to make presentment or dernand for performance, or give any notice of nonperformance, protest, or nisi iou ar . Wil I i out notice to, or consent by, Guarantor, Lessor nmy for any Obligation, in i k sale discretion, release; obligors, guarantors or rir,i,i + sa •,, rllr rri i i�,� 4 ra, i ti�{, v' I r�7 f r�l r.krt,k, tar ii l ippi n t , rtr exe•rr i';v any r i l.;i st in- rPnw!i 1 y Guarantor shall have: nn r i f'.I t of i Throp,,f?I ion, i en iibui',pnient, (C nit rrtr+. Ilion or uu en ini ty with Lessee or any guarantor for any Oh igat ion, EACH GUARANTOR WAIVES ALL DEf Ei SES TO THIS GUARANTY, This Chomp ty .shut! be governed by the laws of the State of Illinois, without regard to the conflict of bile's principles thereof. Each Guarantor consents to the jurisdiction of the state courts located in 'Effingham County w the State of illi nois or the le.dera I courts located in the Southern Gi strict of ill i n ois for resolving disputes arising hereunder and waives any objection it r11a1y now or hereafter have to the laying of lurasdict i on and venue in such courts, s1 EACH GUARANTOR R IRREVOCABLY WAIVES TRIAL BY JURY IN ANY LEGAL PROCEEDING EDING AR.IS4NG OUT Of; OR RELATING TO THIS GUARANTY OR ANY OBLIGATION. The teams in 120) 'one (c) t f the Lease a, relating to notices, electronic documents, further assurances anti the USA Patriot Act Snell apply to this Guaranty and Goa riirptar Guar ant oil s h2i II be Ji bit? for all costs incurred by Lessor hi et ifu i rang this Guaranty and this Gtro' n1y is binding t pori each GU? rant or, its heirs and representatives, in fervor of Lessor, its assi ;r1ees and ar1,I;a e . GUARANTOR Horne: Matthew Chase ,--a-_. Prin Name: .MatthL'w-h1tse SiAnMite': X 4'lrit n 1 it r.2IJr1,n r State of Colorado_-__ 19 DPT-AS S Form PERSONAL Pt S�' 4 s� DS 056 61.- [ 9 DECLARATION SCHEDULE (CONFIDENTIAL DATA) RETURN TO COUNTY ASSESSOR Weld County BA CODE T.A. CODE SCHEDULE/ACCT, NO. DO NOT USE FOR ASSESSOR ONLY RECEIVED COMPLETED LATE FILING PENALTY APPLIED O YES I NO A. NAME AND MAILING ADDRESS (INDICATE Al'l CHANGES OR CORRECTIONS) Midland States Bank, DEA: Midland States Bank PD Box 2149 Gig Harbor, WA 98335 Assessment Date Due Date January 1, 2019 April 15, 2019 ESS NAME AND PHYSICAL LOCATION OF THE _ ILS NAL PROPERTY AS OF JANUARY 1, 2019 Midland States Bank, DBA: Midland States Bank See Attached B. BUSINESS: Start -Up Date (at this location) Square Footage the Business Occupies None C. BUSINESS STATUS: (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: ■ ■ ❑ Product or Service Provided NEW BUSINESS/ORGANIZATION. You must give a complete itemized listing of all personal property, Use the first part of Section I) and attach, separate sheets) if needed. The assessor may select your business for an audit whether or not you file a declaration schedule. EXISTING BUSINESS/ORGANIZATION. Indicate any additions and/or deletions to your listing in Section a 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: O Personal Property Sold Q Personal Property Stored U 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) 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. Q' CHECK HERE IF THERE ARE NO CHANGES FROM LAST YEAR'S DECLARATION SCHEDULE INFORMA.TION. IF SO, GO DIRECTLY TO SECTION H. COMPLETE THE FORM, SIGN IT, AND RETURN FORM TO THE ASSESSOR. NOTE: DO NQT CHECK THIS BOX IF THIS IS A NEW BUSINESS OR ORGANIZATION. ri If NO ADDITIONS, check here; otherwise, list all acquired to January 1. Attach if NOTE: are Subject personal property Include ALL Expensed Assets with a Life of Greater Than 1 Year, Fully to IRS Depreciation. Do not report licensed vehicles in this section. prior Depreciated Assets additional sheets necessary. Still in Use, and Stored Assets that Item W Number Quantity Complete Description Including Model or Capacity Year Acquired Check New or Used L for Each Item: Your Original Installed Cost Month & Year First Placed into Service New i❑ Used $ /each - ❑ New ❑ Used $ /each New II Used /each _❑ ❑ New MI Used ,$ /each III New ❑ Used $ leach gi If NO DELETIONS, check here; otherwise, list all personal property sold, traded, or discarded prior to January 1 r Attach separate sheet(s) if needed. Item ID Number Quantity Complete Description Including Model or Capacity - Year Acquired Cheek New or Used for Each Item: Your Origin Installed Cost 4 $ /each ■ New _ Used II New ❑ Used $ /each SEE PAGE TWO Midland States Hank -Weld County Assessor 1 E. MOBILE EQUIPMENT (Not Leased, Loaned, or Rented) ❑ Check here and complete this section if there is any mobile equipment at this location. Item ID Cumber Description / Model or Capacity Licensed / -Tabbed? Year Acquired Check New for Each or Used item: sit Your Installed Cost C Year In Use None a $ O N col. ❑ Used $ ❑ � r�' .fit.. F. GENERAL LEDGER (original DO N l" ; ' :.� Sesir BALANCES with 5MM license plates, rental decals, or 1 -tabs. installed costs only) Do not lis ' _s.' ` ` Ile equipment Furniture & Equipment i Electronic Office Equipment Computers Cornputers Capitalized Mobile Equipment Signs All Other 0 0 0 +� BALANCE IAN. l,, 2018 0 0 0 ✓ 0 0 0 7C E BALANCE JAN. 1, 2019 G. FULLY DEPRECIATED ASSETS I EXPENSED all fully depreciated assets and expensed items. If you ITEMS: Attach have none, write "bone." a separate sheet including the appropriate Federal Forms denoting - Description Year Acquired Cost Description Year Acquired r Cost 1. 4. S 5. H. LEASED, LOANED, OR RENTED PROPERTY Declare Property Owned by Others. Did you have any leased, loaned, or rented machinery, equipment, furniture, signs, vending niachinac, etc., at this location on January 1? ■ Yes %1 No If you checked yes, list the items below, showing owner's name, address, and telephone capitalized on your books and records, please check the box at the beginning of the number; property description; etc. If any of the leased equipment listed is line corresponding with the name of the lessor,. If additional room is needed, attach a complete listing of all leased personal property. If you checked no, go to Section Ito complete this form, Owner/Lessor's Name, Address, Tele. No, IOriginal Description Including Model/ Serial Na. or Capacity New or Used? Cease Number Term (From - To) Annual $ Rent Int tl Cos Total Cost of Lease H. I. Personal Property None $ ❑ New ❑ Used $ $ $ a New ❑ Used $i $ $ ❑ New _ ❑ Used H.2. Mobile Equipment LicensL`c b; d None ❑ $ $ $ ❑ New s Used ❑ $ $ $ IN New ❑ Used ❑ If purchase or !maintenance options ,are included in the total annual $ rent shown above, check here and furnish details, IS THERE ANY RENEWABLE ENERGY PROPERTY (e.g., solar panels, wind turbines, hydroelectric propel►) AT THIS LOCATION? Yes 0 No, IF YES, THE PROPERTY IS: Owned IN Leased, IF OWNED, COMPLETE THE DS 058 FORM. ■ IN 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 ail 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." § 3.9-5-107(2), C.R.S. PROPERTY OWNER'S FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN)/SOCIAL SECURITY NUMBER (SSN) 37-0259550 NAME OF OWNER Midland States Bank PRINT NAME OF PERSON SIGNING CJ Nguyen PHONE NUMBER 253-358-4035 E-MAIL ADDRESS pptdept@orionfirst.com FAX NUMBER SIGNATURE OF OWNER OR AGENTW.,,t DATE 05/17/2019 ❑ Check here if new agent. If new agent, submit 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. Midland Slates Bank -Weld County Assessor 05117/20/9 07:44:'19PM Lease # Totals: Lessee Name Site Address I Site City Grand Totals: Active Property List State Class Description Acquisition Date Lease End Date Midland States Bank Page 1 Reported Cost Assessed Value CNguyen 05/17/2019 07:44:19PM Weld County Assessor Lease # Lessee Name Site Address 1 Tax Obligation of Taxpayer - Personal Property 40246810 402468 10 Disposed Property List Declaration of Property Leased to Others Description Site City AL'S GRANITE FOR LESS, INC Acquisition Date Owner Class Disposal Date Reported Cost ONE (1) NEW PRISTINE HS l HYDRO; 06/30/2018 687 GYRFALCON COURT UNIT I) Windsor M100 AL'S GRANITE FOR LESS, INC ONE (1) NEW NORTHWOOD 138 LIFC 06/30/2018 687 GYRFALCON COURT UNIT D 40273483 Windsor M100 12/31/2018 12/31/2018 ORIGIN ENGINEERING LLC 1 New Maxim Model 1530 Waterjet Eqi 10/15/2018 671 TECHNOLOGY CIRCLE Totals: Windsor Ml 00 12/3111018 Page 1 Grand Totals: ti of aKt tt s 3 25,128 82 271,551 49 124,038 90 420,714 21 # of assets: 3 420,719 21 ge °L1R TO' SofTj,V,E HOWIR - A&bLAM) I) SIoUhu1) NAME Nat CPEA1E aaMinn bEcLMA11ON Midland States Bank CNguyen • s!T! • TZr i r . g• ••".• •••• `ST.`STIP elitatanialan .a . t� {S r till e.■ r•srA;t(�r. s:eDsVR v•••a1.•'_a^s++iim.• min rrr.r�..... t' LA D EQUIPMENT FINANCE :PO BOX 2149 GIG HARBOR, A 98335 hrhl��ln�^PII��rbhllludlll�P�q��hddli°�r��u� WELD COUNTY BOARD OF EQUALIZATION 1150 O STREET GREELEY CO 80631-9596 $0.8132 US POSTAGE O T E Fl RS 1 CLASS FROM 983 5 18 JUL 2019 e ida RECEIVED JUL 2 9 2018 WELD COUNTY COMMISSIONERS July 30, 2019 Petitioner: MIDLAND EQUIPMENT FINANCE PO BOX 2149 GIG HARBOR, WA 98335-4149 CLERK TO THE BOARD PHONE (970) 400-4226 FAX (970) 336-7233 WEBSITE: www.weldgov.com 1150 O STREET P.O. BOX 758 GREELEY CO 80632 Agent (if applicable): RE: THE BOARD OF EQUALIZATION 2019, WELD COUNTY, COLORADO NOTIFICATION OF HEARING SCHEDULED Docket 2019-3433, AS0103 Appeal 2008225149 Hearing 8/5/2019 10:30 AM Account(s) Appealed: P9105231 Dear Petitioner(s): The Weld County Board of Equalization has set a date of August 5, 2019, at or about the hour of 10:30 AM, to hold a hearing on your valuation for assessment. This hearing will be held at the Weld County Administration Building, Assembly Room, 1150 O Street, Greeley, Colorado. You have a right to attend this hearing and present evidence in support of your petition. The Weld County Assessor or his designee will be present. The Board will make its decision on the basis of the record made at the aforementioned hearing, as well as your petition, so it would be in your interest to have a representative present. If you plan to be represented by an agent or an attorney at your hearing, prior to the hearing you shall provide, in writing to the Clerk to the Board's Office, an authorization for the agent or attorney to represent you. If you do not choose to attend this hearing, a decision will still be made by the Board by the close of business on August 5, 2019, and mailed to you within five (5) business days. Because of the volume of cases before the Board of Equalization, most cases shall be limited to 10 minutes. Also due to volume, cases cannot be rescheduled. It is imperative that you provide evidence to support your position. This may include evidence that similar homes in your area are valued less than yours or you are being assessed on improvements you do not have. Please note: The fact that your valuation has increased cannot be your sole basis of appeal. Without documented evidence as indicated above, the Board will have no choice but to deny your appeal. If you wish to discuss your value with the Assessor's Office, please call them at (970) 400-3650. If you wish to obtain the data supporting the Assessor's valuation of your property, please submit a written request to assessor@weldgov.com. Upon receipt ofyour written request, the Assessor will notify you of the estimated cost of providing such information. Payment must be made prior to the Assessor providing such information, at which time the Assessor will make the data available within three (3) working days, subject to any confidentiality requirements. Please advise me if you decide not to keep your appointment as scheduled. If you need any additional information, please call me at your convenience. Very truly yours, BOARD OF EQUALIZATION Esther E. Gesick Clerk to the Board Weld County Board of Commissioners and Board of Equalization cc: Brenda Dones, Assessor Hello