Form 762-m commonwealth of virginia page 1 County of Warren Commissioner of the Revenue




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Form 762-M COMMONWEALTH OF VIRGINIA

Page 1 County of Warren

Commissioner of the Revenue

John H. Smedley, Sr.

P. O. Box 1775

Front Royal, VA 22630-1775

(540)635-2651 PHONE * (540)636-8280 FAX

RETURN OF MACHINERY AND TOOLS FOR LOCAL TAXATION ONLY
Report on this return the property owned by the taxpayer on January 1, annually and file with the Commissioner of the Revenue for the County of Warren on or before February 15, annually.

(Penalty imposed of 10% of tax if not filed by deadline)

Name: _________________________________________________
Address: _______________________________________________
City, State, Zip: _________________________________________
Federal ID# ________________________________________
Location: ______________________________________________

MACHINERY AND TOOLS
(TO BE REPORTED IF THE TAXPAYER IS ENGAGED IN MANUFACTURING, MINING, PROCESSING, OR REPROCESSING, RADIO, OR TELEVISION BROADCASTING, DAIRY, DRY CLEANING OR LAUNDRY BUSINESS.)

Capitalized Cost Commissioner’s

Assessment
Machinery and tools

Segregated by Section 58.1-3507

Code of VA as amended for

Local taxation exclusively. _______________ ____________________
DECLARATION OF TAXPAYER:
I declare that the statements and figures submitted on all pages of this return are true, full and correct to the best of my knowledge.
Signature: _______________________ Date: ____________


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