MARION COUNTY ASSESSOR NAME: ____________________ ACCOUNT NO:__________________

200 JACKSON STREET

FAIRMONT, WV 26554 BUSINESS CODE: ___________ TAX YEAR: __________________

MARION COUNTY, WEST VIRGINIA INDIVIDUAL PERSONAL PROPERTY AND REAL ESTATE REPORT (PROPERTY OWNED ON JULY 1, ). THE LAW PROVIDES THAT EVERY PERSON LIABLE TO TAXATION SHALL MAKE A REPORT IN WRITING TO THE ASSESSOR OF THEIR PROPERTY WHETHER CALLED UPON BY THE ASSESSOR OR NOT. THIS REPORT SHOULD BE REVIEWED AND FILED WITH THE APPLICABLE CHANGES AS SOON AS POSSIBLE AFTER JULY 1, BUT NO LATER THAN THE FIRST DAY OF OCTOBER. REFER TO INSTRUCTIONS, IF ENCLOSED, OR CONTACT YOUR ASSESSOR'S OFFICE IF YOU NEED ASSISTANCE IN COMPLETING THIS FORM.

NAME:_____________________________________

ADDRESS:__________________________________

CITY:_______________________________________

STATE:____________ ZIP CODE:______________ ACCOUNT NO: ____________________________________________

TAX YEAR:___________________BASED ON JULY 1,___________

TAX DISTRICT ____________________________________________

SS # __________ - ___________ - ____________

PHONE: (______) - ___________ - ____________

** SCHEDULE 1 **

VEHICLES, BOATS, BOAT MOTORS, AIRCRAFT, ATVS AND OTHER PERSONAL PROPERTY

(TRAILERS, MOTORIZED GOLFCARTS, JETSKI’S, ABOVE GROUND POOLS, SATELLITE DISH ANTENNA’S, HOUSEHOLD GOODS LEASED

OUT FOR OWN GAIN, MOTORCYCLES, SNOWMOBILES, RECREATIONAL VEHICLES, ETC.) ** DO NOT LIST LEASED VEHICLES **

ACTIVE MILITARY

IF YOUR HOME DOMICILE IS WV AND YOU ARE ON ACTIVE DUTY STATIONED OUTSIDE OF WV AND YOUR VEHICLE(S)

ARE IN YOUR POSSESSION, YOU MAY QUALIFY FOR AN EXEMPTION OF ONE VEHICLE ON YOUR PERSONAL PROPETRY.

A COPY OF YOUR MILITARY ORDERS MUST BE ATTACHED TO THIS FORM.

VIN, CC'S FOR MOTORCYCLES PURCHASE PURCHASE OWNER'S

TYPE MAKE MODEL YEAR LENGTH, WIDTH OR RV, BOATS & TRAILERS YEAR COST VALUE

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

______ ______ _________ ______ ___________________________________________ _______ ________ ___________

** ALL PERSONAL PROPERTY WITH MULTIPLE YEAR LICENSE RENEWAL MUST BE REPORTED ON THIS FORM PER WV STATE CODE **

NAME: ACCOUNT NO:

** SCHEDULE 2 **

MOBILE HOMES AND CABINS – MORE THAN 1 (ONE) ATTACH LIST

MOBILE HOME TRADE NAME: SIZE:

DISTRICT: MAP: PARCEL: SUB PARCEL:

YEAR: PERMIT NO: USED FOR: RESIDENCE RENTAL

IMPROVEMENTS TO MOBILE HOME: OWNERS VALUE: ASSESSOR’S VALUE:

NAME OF LANDOWNER:

CABIN SIZE: YEAR BUILT: OWNER VALUE:

IF YOU ARE 65 YEARS OF AGE OR OLDER, BEFORE JUNE 30^TH OF THE NEXT YEAR OR IF YOU ARE PERMANENTLY DISABLED, THEN YOU MAY FILE FOR THE HOMESTEAD EXEMPTION MUST BE MADE TO THE COUNTY ASSESSOR NO LATER THAN DEC 1.

TAXPAYER’S SIGNATURE: DATE:

** SCHEDULE 3 **

LIST REAL ESTATE OWNED

DISTRICT, MAP & PARCEL # BUILDING USED FOR RENTAL, LAND USED FOR FARM, OWNERS VALUE

(FROM YOUR TAX TICKET) PRIMARY RESIDENCE, OR COMMERCIAL OR LAND BUILDING

SECOND HOME RESIDENTAL

** SCHEDULE 4 **

NEW BUILDINGS, STRUCTURES, ADDITIONS, DELETIONS, REMODELING OR CONSTRUCTION ON YOUR PROPERTY DURING THE PAST 12 MONTHS

{BUILDING PERMIT MAY BE REQUIRED}

TOTAL COST $______.___ WHICH TRACT OF LAND___________________

DESCRIPTION (GARAGE, PORCH, ETC.) ______________________________________________________________________________

** SCHEDULE 5 **

ON JULY 1, WERE THERE ANY MOBILE HOMES OR CABINS NOT OWNED BY YOU LOCATED ON YOUR LAND?

{IF MORE THAN 2, ATTACH LIST}

IF NONE, WRITE NONE:__________ IF YES, GIVE NUMBER (COMPLETE SCHEDULE BELOW): _______________

DISTRICT: _____________________ MAP: ____________ PARCEL: ______________ SUBPARCEL: ___________________

MOBILE HOME OR CABIN OWNER’S NAME AND PHONE: ___________________________________ / (_____)_______-________

MOBILE HOME OR CABIN OWNER’S NAME AND PHONE: ___________________________________ / (_____)_______-________

NAME: ACCOUNT NO:

** SCHEDULE 6 **

IF YOU DO NOT OWN A HOME AND YOU RENT, LIST YOUR LANDLORD: ______________________________________________

DISTRICT:__________________ MAP:________________ PARCEL: ___________________ SUB PARCEL: ___________________

IF YOU ARE BUYING PROPERTY ON A LAND CONTRACT LIST THE SELLER: ___________________________________________

ARE YOU LIVING ON THIS PROPERY: ________ (YES) _________ (NO)

DISTRICT: ________________ MAP: _________ PARCEL: _________________________ SUB PARCEL: ____________________

** SCHEDULE 7 **

PLEASE NOTE THAT WV CODE 11-3-9 WAS AMENDED EFFECTIVE JANUARY 1, 2007 FOR TAX YEAR 2008 TO EXEMPT

CLASS 1 PERSONAL PROPERTY IN AGRICULTURE TO INCLUDE VEHICLES THAT QUALIFY FOR A FARM USE

EXEMPTION CERTIFICATE, FARM MACHINERY AND EQUIPMENT; LIVESTOCK AND PRODUCTS OF AGRICULTURE

WHILE IN THE HANDS OF THE PRODUCER.

COYOTE FUND FEE

{PLEASE INCLUDE A $1.00 FREE FOR EACH HEAD WITH THIS COMPLETED FORM}

LIST NUMBER OF SHEEP _____________ AND GOATS _________________ OF BREEDING AGE

** SCHEDULE 8 **

DOGS

*** MAIL IN FEE WITH COMPLETED FORM ***

SEX HAIR HAIR LENGTH COUNTY MUNICIPALS

AGE NAME (M OR F) COLOR (SHORT, MED, LONG) BREED FEE TAGS

______ ________ _____ _________ ________________ ____________ ______ __________ ________________

______ ________ ______ _________ _________________ ____________ ______ __________ _________________

______ ________ _____ _________ ________________ ____________ ______ __________ ________________

______ ________ ______ _________ _________________ ____________ ______ __________ _________________

______ ________ _____ _________ ________________ ____________ ______ __________ ________________

______ ________ ______ _________ _________________ ____________ ______ __________ _________________

______ ________ _____ _________ ________________ ____________ ______ __________ ________________

______ ________ ______ _________ _________________ ____________ ______ __________ _________________