Blank Indiana State 104 PDF Template
The Indiana State 104 form is an essential document for businesses reporting tangible personal property for tax purposes. It must be submitted to the Township Assessor by May 15 each year, unless an extension is granted. This form captures key details, including the taxpayer's name, the nature of the business, and the location of the property. For those with property in multiple taxing districts, separate returns are required for each district due to varying tax rates. The form also mandates a duplicate filing for businesses with assessed values of $150,000 or more. Taxpayers must disclose any improvements made to real estate since the previous assessment date, detailing the nature, cost, and completion status of such improvements. Failure to file the form accurately and on time can lead to significant penalties, including monetary fines and additional tax assessments. Understanding the requirements and deadlines associated with the Indiana State 104 form is crucial for compliance and to avoid unnecessary financial repercussions.
Form Sample
BUSINESS TANGIBLE PERSONAL |
FORM 104 |
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PROPERTY RETURN |
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STATE OF INDIANA
State Form 10068 (R10 /
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: This form must be filed with the Township Assessor not later than May 15 unless an extension is granted in writing.
MARCH 1, 20 _________
For assessor's use only
Name of taxpayer (Please type or print) |
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Taxing District |
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Name under which business is conducted |
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Township |
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Address where property is located (Street and number, city) |
County |
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ZIP code |
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Nature of business |
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Name and address to which assessment and tax notice to be mailed (if different than above) |
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Street and number, city |
County |
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ZIP code |
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REQUIREMENTS AND PENALTIES
FILING REQUIREMENTS:
Property in more than one Taxing District - A taxpayer who has property in two or more taxing districts within the same township must file separate returns in each district covering only property located in that district. This is necessary since each taxing district may have different tax rates. [IC
Duplicate Return Requirement - Every taxpayer whose total combined assessed value of business personal property within a single taxing district is $150,000 or more must file each return in duplicate including the confidential returns and schedule attached thererto. See Regulation 16, Rule 2, Sec. 7(a). [IC
Total assessed value of business personal property filed in this taxing district is:
$150,000 or more
Less than $150,000
Multiple Location Taxpayers - Every taxpayer who is required to file in more than one township in the State of Indiana must file a summary form, Form 105 (available from the Department of Local Government Finance or local assessing officials), directly with the Department of Local Government Finance on or before July 15 of the assessment year. (Regulation 16, Rule 2, Sec. 6) [IC
Were expenditures made since March 1 of last year for improvements on any real estate owned, held, possessed, controlled or occupied by the tax- payer in the township wherein this return is filed?
Yes
No If Yes, attach a statement setting forth: Name of owner, location of real estate and explaining nature, cost, date construction of improvements was begun and date construction was completed. If not completed as of March 1, state the percentage completed at that time. (IC
PENALTIES FOR FAILURE TO FILE COMPLETE RETURN FORMS:
Failure to file a return on or before the date, as required by law, will result in the imposition of a
If the total assessed value that a person reports on a personal property return is less than the total assessed value that the person is required by law to report and if the amount of the undervaluation exceeds five percent (5%) of the value that should have been reported on the return, then the county auditor shall add a penalty of twenty percent (20%) of the additional taxes finally determined to be due as a result of the undervaluation.
In completing a personal property return for a year, a taxpayer must make a complete disclosure of all information relating to the value, nature or location of personal property owned, held, possessed or controlled on the assessment date [IC
This information would include, but not be limited to, completion of the heading and related information, answers to all questions and entries on all of the appropriate lines on the face of the return. If such information is not provided, the taxpayer will be contacted and directed to provide that informa- tion. In addition, a penalty of
The above penalties are due on the property tax installment next due for the return whether or not an appeal is filed with the Indiana Tax Court with respect to the tax due on that installment. [IC
Total Tangible Personal Property |
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ASSESSED VALUES |
ASSESSED VALUES BY |
ASSESSED VALUES BY |
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Form 102 |
Form 103 |
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BY TAXPAYER |
TOWNSHIP ASSESSOR |
PTABOA |
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(a) |
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(b) |
(c) |
Round Assessed Value to Nearest Ten Dollars |
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$ |
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All vehicles used in farm or business and not subject to Excise Tax must be reported as depreciable personal property in the pools on Schedule A of Forms 102 or 103. All such property used for recreational purposes (not used in business) must be reported on Form 101.
SIGNATURE AND VERIFICATION
Under penalties of perjury, I hereby certify that this return (including accompanying schedules and statements), to the best of my knowledge and belief, is true, correct, and complete; reports all tangible personal property, subject to taxation, owned, held, possessed or controlled by the named taxpayer in the stated township or taxing district on the assessment date of this return, as required by law; and is prepared in accordance with IC
Signature of authorized person |
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Please print name |
Date signed (mo., day, yr.) |
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Title |
Telephone number |
Signature of person preparing return based on all |
Telephone number |
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information of which he has any knowledge |
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Form Specifics
| Fact Name | Description |
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| Filing Deadline | The Indiana State Form 104 must be submitted to the Township Assessor by May 15 unless a written extension is granted. |
| Multiple Taxing Districts | Taxpayers with property in more than one taxing district must file separate returns for each district, as each may have different tax rates. (IC 6-1.1-3-10(b)) |
| Duplicate Filing Requirement | If a taxpayer's assessed value of business personal property is $150,000 or more, they must file returns in duplicate. (IC 6-1.1-3-7(c)) |
| Summary Form Requirement | Taxpayers required to file in multiple townships must submit a summary form, Form 105, by July 15 of the assessment year. (IC 6-1.1-3-10(a)) |
| Penalties for Late Filing | A $25 penalty applies for late returns, with additional penalties for returns not filed within 30 days after the due date. (IC 6-1.1-37-7) |
| Undervaluation Penalty | If the reported value is less than required by law and the difference exceeds 5%, a 20% penalty on the additional taxes will be imposed. (IC 6-1.1-3-9(a)) |
| Signature Requirement | Taxpayers must certify the accuracy of the return, which includes a signature from an authorized person, ensuring compliance with the law. |
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