2015 statement of assessment for grant county
TRANSCRIPT
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 002
TOWN OF
ACCT NO
0594Check if this is an Amended Return
BEETOWN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
186 149 239 2,114,000 10,453,000 12,567,000
25 18 23 126,700 675,500 802,200
1,007 25,706 4,588,200 4,588,200
416 1,057 1,053,100 1,053,100
137 1,476 1,625,300 1,625,300
51 455 1,000,900 1,000,900
220 219 4,032,600 20,682,700 398 24,715,300
2,042 386 14,540,800 31,811,200 29,354 46,352,000
34
8,000
27,200
37,000
272,300
344,500
46,696,500
09/22/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
0 0 0 0 0 0
0 8,000
0 27,200
0 37,000
0 272,300
0 344,500
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .978814519 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 002 0594
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
6 69 75,900 17 299 632,500
2 25 55,000
619.88 42.25 103.84
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
002
ACCT NO
0594
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220994
222912
224904
0135
0139
0444
SCH D OF CASSVILLE
SCH D OF LANCASTER COMMUNITY
SCH D OF RIVER RIDGE
6,144,100
31,935,400
8,617,000
46,696,500
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 46,696,500
46,696,500
6,144,100
31,935,400
8,617,000
46,696,500
46,696,500
46,696,500
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 004
TOWN OF
ACCT NO
0595Check if this is an Amended Return
BLOOMINGTON FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
165 73 356 3,152,300 4,373,400 7,525,700
12 6 30 112,500 323,100 435,600
671 18,324 3,930,400 3,930,400
306 438 88,500 88,500
105 1,486 2,081,800 2,081,800
108 456 1,277,900 1,277,900
134 138 3,820,400 10,046,000 386 13,866,400
1,502 218 14,468,700 14,908,500 21,477 29,377,200
69
6,400
82,400
9,600
1,485,700
1,584,100
31,011,000
06/08/2015 ANGELA ADAMS (608) 794-2107
1 1 1 4,900 166,000 170,900
0 6,400
45,800 128,200
2,900 12,500
1,000 1,486,700
49,700 1,633,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .982613802 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 004 0595
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
3 57 73,200 7 189 357,600
1 40 96,000 28 663.92 1,130,800
1,681.23 146.35 103.66 24.12
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
004
ACCT NO
0595
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220994
224904
0135
0444
SCH D OF CASSVILLE
SCH D OF RIVER RIDGE
2,200
30,788,200
30,790,400
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 30,790,400
30,790,400
220,600
2,200
31,008,800
220,600 31,011,000
220,600 31,011,000
220,600 31,011,000
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 006
TOWN OF
ACCT NO
0596Check if this is an Amended Return
BOSCOBEL FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
182 169 149 1,794,400 13,118,200 14,912,600
37 23 124 396,100 4,849,800 5,245,900
89 1,167 206,700 206,700
74 421 300,200 300,200
7 92 108,500 108,500
14 108 260,100 260,100
11 11 93,900 1,104,200 10 1,198,100
416 205 3,256,400 20,438,100 2,112 23,694,500
27
0
508,200
54,000
9,200
571,400
24,746,800
06/03/2015 WILL HANSEN (608) 476-2173
2 2 41 96,500 1,365,900 1,462,400
0 0
401,100 909,300
47,800 101,800
32,000 41,200
480,900 1,052,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.017282221 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 006 0596
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
4 87.9 118,600
8 239.32 574,400 9 152.12 319,500
1,735.04 10.3 146.6
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
006
ACCT NO
0596
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609 0134 SCH D OF BOSCOBEL AREA 22,803,500
22,803,500
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 22,803,500
22,803,500
1,943,300 24,746,800
1,943,300 24,746,800
1,943,300 24,746,800
1,943,300 24,746,800
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 008
TOWN OF
ACCT NO
0597Check if this is an Amended Return
CASSVILLE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
177 123 285 1,678,000 9,592,300 11,270,300
11 9 54 148,500 417,300 565,800
551 13,865 2,132,800 2,132,800
231 665 277,900 277,900
175 2,414 2,292,600 2,292,600
50 692 1,325,900 1,325,900
107 106 1,041,400 7,656,100 175 8,697,500
1,303 239 8,900,600 17,687,600 18,151 26,588,200
47
0
120,100
32,100
521,700
673,900
27,263,700
07/29/2015 HART APPRAISALS (608) 372-2964
1 1 1 3,500 21,900 25,400
0 0
1,600 121,700
0 32,100
0 521,700
1,600 675,500
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .872624342 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 008 0597
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
6 82.73 90,200
10 206.15 272,100
1,739.61 1,137.11 12.45 228.6
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
008
ACCT NO
0597
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220994 0135 SCH D OF CASSVILLE 27,236,700
27,236,700
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 27,236,700
27,236,700
27,000 27,263,700
27,000 27,263,700
27,000 27,263,700
27,000 27,263,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 010
TOWN OF
ACCT NO
0598Check if this is an Amended Return
CASTLE ROCK FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
79 73 87 464,300 4,028,100 4,492,400
4 2 4 17,900 19,400 37,300
737 17,988 2,553,100 2,553,100
252 367 110,600 110,600
108 1,879 2,067,800 2,067,800
39 377 792,200 792,200
94 94 896,000 6,025,100 93 6,921,100
1,313 169 6,901,900 10,072,600 20,795 16,974,500
3
0
8,100
3,200
3,100
14,400
16,988,900
09/09/2015 DON MCGUIRE (608) 875-7327
0 0 0 0 0 0
0 0
0 8,100
0 3,200
0 3,100
0 14,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .903405405 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 010 0598
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
10 214 470,800 39 845.85 1,860,900
3 119 261,800 14 246.3 536,600
683.81 12.25 20.58
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
010
ACCT NO
0598
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609
221813
223850
252527
252646
0134
0137
0140
0156
0157
SCH D OF BOSCOBEL AREA
SCH D OF FENNIMORE COMMUNITY
SCH D OF RIVERDALE (MUSCODA)
SCH D OF HIGHLAND
SCH D OF IOWA-GRANT
78,700
2,334,900
4,897,000
4,880,700
4,797,600
16,988,900
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 16,988,900
16,988,900
78,700
2,334,900
4,897,000
4,880,700
4,797,600
16,988,900
16,988,900
16,988,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 012
TOWN OF
ACCT NO
0599Check if this is an Amended Return
CLIFTON FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
57 50 124 761,600 4,875,800 5,637,400
3 3 2 23,800 237,300 261,100
741 18,578 3,440,900 3,440,900
507 1,486 1,003,600 1,003,600
182 1,159 1,275,700 1,275,700
37 373 647,400 647,400
142 144 1,265,600 15,993,000 154 17,258,600
1,669 197 8,418,600 21,106,100 21,876 29,524,700
15
0
25,800
12,600
51,100
89,500
29,614,200
06/02/2015 ASSOCIATED APPRAISAL (920) 749-1995
0 0 0 0 0 0
0 0
0 25,800
0 12,600
0 51,100
0 89,500
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .919387286 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 012 0599
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2 38 83,600 26 434 826,100
7 119.04 255,000
42.08 1.9 17.69
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
012
ACCT NO
0599
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221813
224389
252646
0137
0142
0157
SCH D OF FENNIMORE COMMUNITY
SCH D OF PLATTEVILLE
SCH D OF IOWA-GRANT
1,923,500
215,300
27,475,400
29,614,200
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 29,614,200
29,614,200
1,923,500
215,300
27,475,400
29,614,200
29,614,200
29,614,200
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 014
TOWN OF
ACCT NO
0600Check if this is an Amended Return
ELLENBORO FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
105 103 309 1,425,000 11,771,100 13,196,100
6 5 12 59,400 311,600 371,000
834 19,411 2,824,800 2,824,800
255 639 89,900 89,900
223 1,897 2,220,500 2,220,500
15 105 252,000 252,000
159 159 2,106,900 14,892,400 188 16,999,300
1,597 267 8,978,500 26,975,100 22,561 35,953,600
13
0
95,826
14,941
28,424
139,191
36,102,291
05/22/2015 RIC RINIKER (608) 348-7090
0 0 0 0 0 0
0 0
9,300 105,126
100 15,041
100 28,524
9,500 148,691
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .898270819 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 014 0600
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2 14.45 11,500 14 207.3 104,550
7.04 145.31 61.52
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
014
ACCT NO
0600
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
222912
224389
0139
0142
SCH D OF LANCASTER COMMUNITY
SCH D OF PLATTEVILLE
16,648,824
19,443,967
36,092,791
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 36,092,791
36,092,791
9,500
16,648,824
19,453,467
9,500 36,102,291
9,500 36,102,291
9,500 36,102,291
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 016
TOWN OF
ACCT NO
0601Check if this is an Amended Return
FENNIMORE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
106 102 97 756,000 9,632,200 10,388,200
21 18 36 259,700 1,615,200 1,874,900
755 20,315 4,483,000 4,483,000
315 442 132,800 132,800
43 587 734,700 734,700
24 121 303,500 303,500
167 166 1,594,600 12,893,100 162 14,487,700
1,432 287 8,289,300 24,351,900 21,765 32,641,200
24
0
75,200
2,790,310
36,800
2,902,310
35,573,810
05/22/2015 DON MCGUIRE (608) 875-7327
1 1 5 25,000 211,400 236,400
0 0
22,700 97,900
1,700 2,792,010
5,900 42,700
30,300 2,932,610
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.036989576 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 016 0601
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
11 127.19 318,200
8.07 1.84 43.97
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
016
ACCT NO
0601
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221813 0137 SCH D OF FENNIMORE COMMUNITY 35,307,110
35,307,110
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 35,307,110
35,307,110
266,700 35,573,810
266,700 35,573,810
266,700 35,573,810
266,700 35,573,810
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 018
TOWN OF
ACCT NO
0602Check if this is an Amended Return
GLEN HAVEN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
145 125 118 768,300 6,294,800 7,063,100
11 9 22 137,800 559,500 697,300
654 18,581 3,627,000 3,627,000
299 507 72,700 72,700
90 1,480 2,065,800 2,065,800
48 204 571,300 571,300
142 145 1,663,600 11,585,300 232 13,248,900
1,389 279 8,906,500 18,439,600 21,144 27,346,100
13
0
53,200
31,400
35,100
119,700
27,465,800
06/26/2015 ANGELA ADAMS (608) 794-2107
0 0 0 0 0 0
0 0
0 53,200
0 31,400
0 35,100
0 119,700
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.018307875 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 018 0602
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
22 401.63 727,500
2 60 160,000
143.22 .95 10.31 105.92
GLEN HAVEN SANITARY DISTRICT227060 0154 3,194,200
3,194,200
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
018
ACCT NO
0602
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220994
224904
0135
0444
SCH D OF CASSVILLE
SCH D OF RIVER RIDGE
14,571,900
12,893,900
27,465,800
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 27,465,800
27,465,800
14,571,900
12,893,900
27,465,800
27,465,800
27,465,800
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 020
TOWN OF
ACCT NO
0603Check if this is an Amended Return
HARRISON FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
116 106 186 2,344,900 12,083,500 14,428,400
4 4 4 44,500 248,100 292,600
825 18,894 2,928,100 2,928,100
389 880 525,200 525,200
179 1,695 2,190,000 2,190,000
69 585 1,520,200 1,520,200
162 159 3,040,100 14,296,200 293 17,336,300
1,744 269 12,593,000 26,627,800 22,537 39,220,800
13
0
98,000
9,500
50,700
158,200
39,398,000
08/05/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
0 0 0 0 0 0
0 0
0 98,000
300 9,800
18,700 69,400
19,000 177,200
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .950724288 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 020 0603
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
17 324.72 587,200
3 40 104,000 7 147 262,600
110.81 17.73
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
020
ACCT NO
0603
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
222912
224389
224529
0139
0142
0143
SCH D OF LANCASTER COMMUNITY
SCH D OF PLATTEVILLE
SCH D OF POTOSI
476,200
28,401,700
10,501,100
39,379,000
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 39,379,000
39,379,000
19,000
476,200
28,420,700
10,501,100
19,000 39,398,000
19,000 39,398,000
19,000 39,398,000
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 022
TOWN OF
ACCT NO
0604Check if this is an Amended Return
HAZEL GREEN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
205 182 275 2,726,500 23,225,700 25,952,200
29 24 32 337,800 3,123,100 3,460,900
820 20,870 4,176,000 4,176,000
358 547 105,900 105,900
32 61 60,900 60,900
8 63 125,300 125,300
177 177 1,821,100 22,038,400 189 23,859,500
1,629 383 9,353,500 48,387,200 22,037 57,740,700
42
0
1,027,100
157,600
91,700
1,276,400
59,096,400
05/22/2015 GARDINER APPRAISAL (608) 943-8009
0 0 0 0 0 0
0 0
73,800 1,100,900
3,100 160,700
2,400 94,100
79,300 1,355,700
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .906574602 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 022 0604
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2 61 101,000
80.57 9.87 106.5
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
022
ACCT NO
0604
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221246
222485
330427
0136
0138
0199
SCH D OF CUBA CITY
SCH D OF SOUTHWESTERN WISCONSIN (HZ GR)
SCH D OF BENTON
13,806,900
43,930,200
1,280,000
59,017,100
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 59,017,100
59,017,100
79,300
13,806,900
44,009,500
1,280,000
79,300 59,096,400
79,300 59,096,400
79,300 59,096,400
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 024
TOWN OF
ACCT NO
0605Check if this is an Amended Return
HICKORY GROVE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
67 66 101 656,500 5,866,800 6,523,300
6 6 88 203,500 550,200 753,700
779 15,161 2,188,300 2,188,300
429 885 210,100 210,100
356 4,165 4,585,500 4,585,500
70 927 2,040,500 2,040,500
163 162 1,766,600 10,946,800 298 12,713,400
1,870 234 11,651,000 17,363,800 21,625 29,014,800
20
0
247,600
6,700
34,400
288,700
29,303,500
06/02/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
0 0 0 0 0 0
0 0
0 247,600
0 6,700
0 34,400
0 288,700
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .86935948 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 024 0605
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
35 674 1,414,600
47 835.89 1,718,000
1.22 25.85 17.84
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
024
ACCT NO
0605
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609
221813
223850
0134
0137
0140
SCH D OF BOSCOBEL AREA
SCH D OF FENNIMORE COMMUNITY
SCH D OF RIVERDALE (MUSCODA)
17,493,900
11,415,600
394,000
29,303,500
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 29,303,500
29,303,500
17,493,900
11,415,600
394,000
29,303,500
29,303,500
29,303,500
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 026
TOWN OF
ACCT NO
0606Check if this is an Amended Return
JAMESTOWN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
872 739 874 26,375,800 91,908,300 118,284,100
96 80 365 2,886,700 15,718,900 18,605,600
624 13,662 2,701,900 2,701,900
210 412 80,900 80,900
68 786 794,000 794,000
49 556 1,162,900 1,162,900
154 153 2,688,300 17,359,800 391 20,048,100
2,074 973 36,769,900 125,742,100 17,050 162,512,000
76
0
1,029,178
474,526
708,791
2,212,495
164,807,795
05/22/2015 RIC RINIKER (608) 348-7090
1 1 4 79,400 755,100 834,500
0 0
11,800 1,040,978
26,900 501,426
44,600 753,391
83,300 2,295,795
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .921416713 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 026 0606
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
5 58.92 4,600
717.67 887.11 41.99 172.26
KIELER SANITARY DISTRICT #1
JAMESTOWN SANITARY DISTRICT #2
JAMESTOWN SANITARY DISTRICT #3
227030
227040
227070
0151
0152
0155
46,564,821
5,777,055
4,923,426
46,564,821
5,777,055
4,923,426
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
026
ACCT NO
0606
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221246
222485
0136
0138
SCH D OF CUBA CITY
SCH D OF SOUTHWESTERN WISCONSIN (HZ GR)
22,818,706
141,071,289
163,889,995
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 163,889,995
163,889,995
917,800
22,818,706
141,989,089
917,800 164,807,795
917,800 164,807,795
917,800 164,807,795
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 028
TOWN OF
ACCT NO
0607Check if this is an Amended Return
LIBERTY FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
142 114 126 1,263,200 8,939,800 10,203,000
27 19 17 177,600 2,083,300 2,260,900
843 19,953 2,831,200 2,831,200
331 512 177,700 177,700
177 1,495 1,574,400 1,574,400
23 213 446,500 446,500
172 172 2,149,300 15,877,500 262 18,026,800
1,715 305 8,619,900 26,900,600 22,578 35,520,500
20
0
815,200
56,200
127,000
998,400
36,518,900
06/02/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
0 0 0 0 0 0
0 0
0 815,200
0 56,200
0 127,000
0 998,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .966870708 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 028 0607
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
6 93 97,900 18 301 351,100
2 30.38 63,800
8.2 25.68 25.96
STITZER SANITARY DISTRICT227050 0153 8,063,600
8,063,600
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
028
ACCT NO
0607
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221813
222912
252646
0137
0139
0157
SCH D OF FENNIMORE COMMUNITY
SCH D OF LANCASTER COMMUNITY
SCH D OF IOWA-GRANT
28,924,400
7,566,700
27,800
36,518,900
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 36,518,900
36,518,900
28,924,400
7,566,700
27,800
36,518,900
36,518,900
36,518,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 030
TOWN OF
ACCT NO
0608Check if this is an Amended Return
LIMA FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
176 160 335 2,782,800 18,638,000 21,420,800
17 13 28 173,600 1,160,200 1,333,800
780 19,553 3,527,100 3,527,100
496 1,003 533,400 533,400
158 991 1,009,500 1,009,500
31 357 716,500 716,500
168 156 2,080,400 14,314,200 321 16,394,600
1,826 329 10,823,300 34,112,400 22,588 44,935,700
12
0
52,400
34,100
274,800
361,300
45,297,000
06/10/2015 GENE JOHNSON (715) 834-1361
0 0 0 0 0 0
0 0
0 52,400
0 34,100
0 274,800
0 361,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .974041054 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 030 0608
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
1 40 88,000 2 80 176,000
4 76.66 89,700
3 50.85 109,600
58.69 96.3 24.83
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
030
ACCT NO
0608
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224389
252646
0142
0157
SCH D OF PLATTEVILLE
SCH D OF IOWA-GRANT
42,608,500
2,688,500
45,297,000
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 45,297,000
45,297,000
42,608,500
2,688,500
45,297,000
45,297,000
45,297,000
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 032
TOWN OF
ACCT NO
0609Check if this is an Amended Return
LITTLE GRANT FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
40 36 58 466,800 3,174,000 3,640,800
2 2 3 32,000 192,900 224,900
717 19,363 2,773,600 2,773,600
411 852 543,100 543,100
200 1,627 1,754,600 1,754,600
32 303 652,600 652,600
151 148 1,773,500 13,477,000 238 15,250,500
1,553 186 7,996,200 16,843,900 22,444 24,840,100
9
0
34,600
27,500
4,700
66,800
24,906,900
06/02/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
0 0 0 0 0 0
0 0
0 34,600
0 27,500
0 4,700
0 66,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .954967908 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 032 0609
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
3 80 172,100 9 194.5 412,000
10 109.47 231,200
30.63 13.52
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
032
ACCT NO
0609
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
222912
224904
0139
0444
SCH D OF LANCASTER COMMUNITY
SCH D OF RIVER RIDGE
10,401,200
14,505,700
24,906,900
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 24,906,900
24,906,900
10,401,200
14,505,700
24,906,900
24,906,900
24,906,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 034
TOWN OF
ACCT NO
0610Check if this is an Amended Return
MARION FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
137 122 227 1,977,300 10,048,400 12,025,700
7 5 28 114,900 389,900 504,800
773 14,703 2,082,000 2,082,000
428 1,422 880,600 880,600
262 3,563 4,105,800 4,105,800
82 790 1,817,700 1,817,700
131 129 1,654,600 7,624,700 184 9,279,300
1,821 256 12,723,300 18,063,000 20,987 30,786,300
20
0
110,800
5,300
104,700
220,800
31,007,100
10/23/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
1 0 70 90,400 0 90,400
0 0
0 110,800
0 5,300
0 104,700
0 220,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .98418201 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 034 0610
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
4 160 368,000
33 685.78 1,342,200
22 429.02 956,000
301.42 2.01 10.93
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
034
ACCT NO
0610
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609
221813
0134
0137
SCH D OF BOSCOBEL AREA
SCH D OF FENNIMORE COMMUNITY
26,893,200
4,023,500
30,916,700
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 30,916,700
30,916,700
90,400
26,983,600
4,023,500
90,400 31,007,100
90,400 31,007,100
90,400 31,007,100
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 036
TOWN OF
ACCT NO
0611Check if this is an Amended Return
MILLVILLE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
64 63 57 428,600 3,982,400 4,411,000
0 0 0 0 0 0
258 5,843 729,400 729,400
57 127 38,300 38,300
64 1,136 1,136,100 1,136,100
54 559 1,118,200 1,118,200
35 35 329,600 2,110,100 33 2,439,700
532 98 3,780,200 6,092,500 7,755 9,872,700
4
0
0
0
32,000
32,000
9,904,700
06/08/2015 DON MCGUIRE (608) 875-7327
0 0 0 0 0 0
0 0
0 0
0 0
0 32,000
0 32,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .902700437 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 036 0611
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
15 322.71 645,400
14 429.22 858,400
4,662.02 19.37 42.23
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
036
ACCT NO
0611
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224904 0444 SCH D OF RIVER RIDGE 9,904,700
9,904,700
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 9,904,700
9,904,700
9,904,700
9,904,700
9,904,700
9,904,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 038
TOWN OF
ACCT NO
0612Check if this is an Amended Return
MOUNT HOPE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
38 31 71 312,200 2,115,600 2,427,800
3 2 3 27,500 578,800 606,300
587 14,739 2,351,900 2,351,900
315 1,230 426,900 426,900
105 1,250 1,159,800 1,159,800
53 582 1,076,600 1,076,600
140 140 876,000 9,770,200 146 10,646,200
1,242 174 6,272,000 13,118,200 18,042 19,390,200
17
0
224,200
7,300
15,500
247,000
19,716,700
06/03/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
1 1 21 41,100 653,600 694,700
0 0
59,900 284,100
16,800 24,100
2,800 18,300
79,500 326,500
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .906148945 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 038 0612
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
27 567.17 865,600
9 191.7 322,500
94.54 1.5 21.2
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
038
ACCT NO
0612
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609
221813
224904
0134
0137
0444
SCH D OF BOSCOBEL AREA
SCH D OF FENNIMORE COMMUNITY
SCH D OF RIVER RIDGE
460,500
822,700
17,659,300
18,942,500
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 18,942,500
18,942,500
774,200
460,500
822,700
18,433,500
774,200 19,716,700
774,200 19,716,700
774,200 19,716,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 040
TOWN OF
ACCT NO
0613Check if this is an Amended Return
MOUNT IDA FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
127 114 136 486,100 9,783,800 10,269,900
5 3 10 34,900 589,900 624,800
840 20,475 2,748,100 2,748,100
328 474 37,900 37,900
83 913 777,300 777,300
42 293 496,100 496,100
148 146 1,951,500 10,329,200 239 12,280,700
1,576 263 6,643,800 20,702,900 22,611 27,346,700
9
0
200
16,900
8,200
25,300
27,396,700
06/19/2015 DON MCGUIRE (608) 875-7327
3 0 71 111,900 0 111,900
0 0
22,500 22,700
0 16,900
2,200 10,400
24,700 50,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .884227018 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 040 0613
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2 40 68,000 6 95 161,500
2 43.76 74,400 2 70 119,000
120.87 54.61 52.88
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
040
ACCT NO
0613
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221813 0137 SCH D OF FENNIMORE COMMUNITY 27,260,100
27,260,100
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 27,260,100
27,260,100
136,600 27,396,700
136,600 27,396,700
136,600 27,396,700
136,600 27,396,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 042
TOWN OF
ACCT NO
0614Check if this is an Amended Return
MUSCODA FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
531 353 978 4,892,550 25,765,100 30,657,650
15 12 71 128,550 390,200 518,750
478 9,284 1,533,970 1,533,970
253 1,175 601,470 601,470
145 2,703 2,647,800 2,647,800
123 2,059 4,042,470 4,042,470
73 63 1,235,050 4,167,430 137 5,402,480
1,619 429 15,151,260 30,603,130 16,429 45,754,390
11
0
1,050
6,800
29,500
37,350
45,825,740
05/22/2015 PHILLIP SCHWABE (608) 739-3797
1 1 22 69,400 280,400 349,800
0 0
33,300 34,350
0 6,800
700 30,200
34,000 71,350
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .949647032 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 042 0614
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
19 555.25 983,400 47 1,031.73 1,842,900
37 755.1 1,154,400
2,492.22 201.04
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
042
ACCT NO
0614
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
223850 0140 SCH D OF RIVERDALE (MUSCODA) 45,441,940
45,441,940
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 45,441,940
45,441,940
383,800 45,825,740
383,800 45,825,740
383,800 45,825,740
383,800 45,825,740
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 044
TOWN OF
ACCT NO
0615Check if this is an Amended Return
NORTH LANCASTER FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
117 109 197 2,036,400 14,556,100 16,592,500
21 15 63 441,200 1,484,200 1,925,400
808 18,616 3,007,600 3,007,600
387 910 822,400 822,400
256 1,880 2,250,600 2,250,600
27 252 566,100 566,100
143 141 2,700,000 14,301,000 270 17,001,000
1,760 266 11,888,500 30,919,800 22,193 42,808,300
30
0
194,500
44,700
35,400
274,600
43,359,100
06/15/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
1 1 5 64,200 578,500 642,700
0 0
264,300 458,800
10,400 55,100
1,500 36,900
276,200 550,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.00026397 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 044 0615
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
9 135.54 205,300
4 39 64,800
.18 155.14 295.77
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
044
ACCT NO
0615
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221813
222912
0137
0139
SCH D OF FENNIMORE COMMUNITY
SCH D OF LANCASTER COMMUNITY
6,719,100
35,721,100
42,440,200
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 42,440,200
42,440,200
47,200
871,700
6,766,300
36,592,800
918,900 43,359,100
918,900 43,359,100
918,900 43,359,100
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
NO
TE
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 046
TOWN OF
ACCT NO
0616Check if this is an Amended Return
PARIS FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
233 183 414 4,116,600 23,016,500 27,133,100
14 12 30 238,100 917,500 1,155,600
753 15,814 2,655,000 2,655,000
435 1,683 1,367,300 1,367,300
209 1,933 2,422,400 2,422,400
96 1,031 2,579,400 2,579,400
149 145 1,892,400 15,723,500 160 17,615,900
1,894 343 15,469,300 40,522,100 21,140 55,991,400
21
0
137,300
10,500
17,400
165,200
56,265,100
06/08/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
5 3 75 198,100 864,600 1,062,700
0 0
83,400 220,700
5,700 16,200
19,400 36,800
108,500 273,700
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .979085067 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 046 0616
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2 10.4 26,000 37 642.12 1,527,900
11 195.84 424,700
4.2 208.79 168.86 40.44
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
046
ACCT NO
0616
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221246
224389
224529
0136
0142
0143
SCH D OF CUBA CITY
SCH D OF PLATTEVILLE
SCH D OF POTOSI
30,938,100
9,248,300
14,907,500
55,093,900
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 55,093,900
55,093,900
1,171,200
32,109,300
9,248,300
14,907,500
1,171,200 56,265,100
1,171,200 56,265,100
1,171,200 56,265,100
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 048
TOWN OF
ACCT NO
0617Check if this is an Amended Return
PATCH GROVE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
68 66 62 310,500 4,483,100 4,793,600
7 3 17 127,700 253,200 380,900
642 18,213 3,441,800 3,441,800
253 379 76,000 76,000
30 511 510,800 510,800
79 611 1,221,900 1,221,900
124 124 919,500 10,172,800 184 11,092,300
1,204 193 6,608,500 14,909,100 19,977 21,517,600
8
0
11,500
0
26,400
37,900
21,555,500
09/02/2015 DON MCGUIRE (608) 875-7327
1 0 0 300 0 300
0 0
0 11,500
0 0
0 26,400
0 37,900
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .958447645 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 048 0617
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2 50 100,000
18 371.54 743,000
20 270.88 541,700
75.49 1 53.49
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
048
ACCT NO
0617
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224904 0444 SCH D OF RIVER RIDGE 21,555,200
21,555,200
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 21,555,200
21,555,200
300 21,555,500
300 21,555,500
300 21,555,500
300 21,555,500
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 050
TOWN OF
ACCT NO
0618Check if this is an Amended Return
PLATTEVILLE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
459 396 842 15,668,700 62,192,200 77,860,900
49 37 253 2,228,500 6,054,600 8,283,100
791 15,197 2,818,500 2,818,500
387 870 408,500 408,500
68 435 435,300 435,300
43 426 852,000 852,000
175 172 2,988,100 16,405,400 306 19,393,500
1,974 607 25,451,600 85,043,400 18,336 110,495,000
48
0
517,100
135,600
75,500
728,200
111,230,200
06/29/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
2 2 7 52,000 391,200 443,200
0 0
2,700 519,800
4,200 139,800
100 75,600
7,000 735,200
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .897022933 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 050 0618
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
6 117 96,900
436.66 53.38 123.88
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
050
ACCT NO
0618
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224389 0142 SCH D OF PLATTEVILLE 110,780,000
110,780,000
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 110,780,000
110,780,000
450,200 111,230,200
450,200 111,230,200
450,200 111,230,200
450,200 111,230,200
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 052
TOWN OF
ACCT NO
0619Check if this is an Amended Return
POTOSI FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
249 203 428 3,137,000 20,256,500 23,393,500
17 8 56 166,800 394,500 561,300
1,045 22,926 3,493,300 3,493,300
517 955 146,500 146,500
186 2,292 1,952,400 1,952,400
86 934 1,598,700 1,598,700
221 216 2,229,600 17,703,500 330 19,933,100
2,322 428 12,730,500 38,466,600 27,923 51,197,100
48
0
492,900
7,800
450,900
951,600
52,181,700
10/05/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
1 1 2 6,200 112,100 118,300
0 0
32,800 525,700
100 7,900
100 451,000
33,000 984,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .864269388 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 052 0619
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
11 132.6 160,900 23 414.46 604,700
10 137.1 227,200
1,996.08 72.54 37.63 72.28
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
052
ACCT NO
0619
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221246
222912
224529
0136
0139
0143
SCH D OF CUBA CITY
SCH D OF LANCASTER COMMUNITY
SCH D OF POTOSI
1,481,500
4,384,900
46,164,000
52,030,400
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 52,030,400
52,030,400
151,300
1,481,500
4,384,900
46,315,300
151,300 52,181,700
151,300 52,181,700
151,300 52,181,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 054
TOWN OF
ACCT NO
0620Check if this is an Amended Return
SMELSER FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
289 229 436 6,746,400 28,243,100 34,989,500
23 19 58 572,100 2,160,300 2,732,400
842 19,935 4,494,300 4,494,300
377 791 979,700 979,700
49 423 413,100 413,100
24 240 481,000 481,000
150 147 1,766,300 14,626,900 169 16,393,200
1,754 395 15,452,900 45,030,300 22,052 60,483,200
23
0
202,600
39,200
35,400
277,200
60,816,300
06/03/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
0 0 0 0 0 0
0 0
50,800 253,400
4,600 43,800
500 35,900
55,900 333,100
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .97509011 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 054 0620
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
4 65 130,000 9 175.3 256,600
23.43 80.64 27.35
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
054
ACCT NO
0620
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221246
224389
0136
0142
SCH D OF CUBA CITY
SCH D OF PLATTEVILLE
35,844,100
24,916,300
60,760,400
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 60,760,400
60,760,400
55,900
35,844,100
24,972,200
55,900 60,816,300
55,900 60,816,300
55,900 60,816,300
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 056
TOWN OF
ACCT NO
0621Check if this is an Amended Return
SOUTH LANCASTER FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
180 155 213 4,240,500 21,616,400 25,856,900
18 15 48 405,800 1,193,600 1,599,400
667 18,548 3,396,400 3,396,400
412 685 168,300 168,300
75 447 672,700 672,700
8 80 239,000 239,000
168 167 3,285,000 17,624,400 314 20,909,400
1,531 340 12,479,900 41,368,300 20,344 53,848,200
53
0
424,800
138,400
115,600
678,800
54,583,300
06/17/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
3 3 9 72,200 933,900 1,006,100
0 0
45,800 470,600
4,100 142,500
6,400 122,000
56,300 735,100
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .960750277 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 056 0621
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
5 65 195,000
33.98 949.7 115.4
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
056
ACCT NO
0621
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
222912
224529
0139
0143
SCH D OF LANCASTER COMMUNITY
SCH D OF POTOSI
53,511,200
9,700
53,520,900
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 53,520,900
53,520,900
1,062,400
54,573,600
9,700
1,062,400 54,583,300
1,062,400 54,583,300
1,062,400 54,583,300
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 058
TOWN OF
ACCT NO
0622Check if this is an Amended Return
WATERLOO FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
281 160 1,120 8,216,600 14,634,000 22,850,600
8 9 34 166,400 635,100 801,500
786 16,126 2,609,500 2,609,500
400 838 486,600 486,600
273 3,721 4,284,300 4,284,300
52 554 1,255,900 1,255,900
187 183 1,920,700 12,046,600 187 13,967,300
1,987 352 18,940,000 27,315,700 22,580 46,255,700
56
0
97,200
88,100
156,100
341,400
46,756,900
06/02/2015 ASSOCIATED APPRAISAL (920) 749-1995
0 0 0 0 0 0
0 0
154,200 251,400
3,100 91,200
2,500 158,600
159,800 501,200
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .949202295 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 058 0622
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
32 685.26 1,282,900
14 263.95 569,100
2,562.9 201.94 32.37 19.43
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
058
ACCT NO
0622
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220994
222912
224529
0135
0139
0143
SCH D OF CASSVILLE
SCH D OF LANCASTER COMMUNITY
SCH D OF POTOSI
33,842,200
550,500
12,204,400
46,597,100
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 46,597,100
46,597,100
159,800
34,002,000
550,500
12,204,400
159,800 46,756,900
159,800 46,756,900
159,800 46,756,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 060
TOWN OF
ACCT NO
0623Check if this is an Amended Return
WATTERSTOWN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
151 119 315 2,014,900 9,364,500 11,379,400
10 8 51 163,900 208,100 372,000
441 9,252 1,258,400 1,258,400
240 949 876,100 876,100
154 2,136 2,246,600 2,246,600
101 1,062 2,254,400 2,254,400
94 94 909,700 6,248,200 102 7,157,900
1,192 222 9,744,000 15,997,800 13,877 25,741,800
29
0
83,700
1,600
377,700
463,000
26,205,100
06/02/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
1 1 10 20,000 177,000 197,000
0 0
0 83,700
200 1,800
100 377,800
300 463,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .952126082 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 060 0623
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
5 101.6 213,400 42 850.95 1,634,600
34 764.33 1,446,200
2,045.1 73.3 49.45
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
060
ACCT NO
0623
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609
223850
0134
0140
SCH D OF BOSCOBEL AREA
SCH D OF RIVERDALE (MUSCODA)
12,726,300
13,281,500
26,007,800
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 26,007,800
26,007,800
197,300
12,726,300
13,478,800
197,300 26,205,100
197,300 26,205,100
197,300 26,205,100
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 062
TOWN OF
ACCT NO
0624Check if this is an Amended Return
WINGVILLE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
75 70 136 253,200 7,448,500 7,701,700
11 5 42 51,000 215,000 266,000
704 20,891 3,181,100 3,181,100
309 435 44,400 44,400
0 0 0 0
57 643 840,500 840,500
125 125 439,500 12,030,800 191 12,470,300
1,281 200 4,809,700 19,694,300 22,338 24,504,000
9
0
210
1,707
47,979
49,896
24,553,896
05/22/2015 JIM UDELHOVEN (608) 943-8551
0 0 0 0 0 0
0 0
0 210
0 1,707
0 47,979
0 49,896
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .958298052 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 062 0624
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
10 166 154,800
7 88.4 117,800
3.81 4.53 24.72
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
062
ACCT NO
0624
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221813
252527
252646
0137
0156
0157
SCH D OF FENNIMORE COMMUNITY
SCH D OF HIGHLAND
SCH D OF IOWA-GRANT
6,593,439
148,300
17,812,157
24,553,896
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 24,553,896
24,553,896
6,593,439
148,300
17,812,157
24,553,896
24,553,896
24,553,896
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 064
TOWN OF
ACCT NO
0625Check if this is an Amended Return
WOODMAN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
101 86 92 919,700 5,071,500 5,991,200
0 0 0 0 0 0
544 11,873 1,633,300 1,633,300
224 461 108,200 108,200
56 796 795,800 795,800
93 721 1,441,400 1,441,400
62 62 544,100 3,725,500 54 4,269,600
1,081 148 5,485,200 8,797,000 14,037 14,282,200
4
0
0
12,100
7,000
19,100
14,301,300
08/31/2015 DON MCGUIRE (608) 875-7327
1 0 40 42,700 0 42,700
0 0
0 0
0 12,100
0 7,000
0 19,100
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .93275156 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 064 0625
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
29 509.9 1,019,800
11 309.3 618,600 1 35 35,000
2,204.6 24.99 9.79
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
064
ACCT NO
0625
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609
221813
224904
0134
0137
0444
SCH D OF BOSCOBEL AREA
SCH D OF FENNIMORE COMMUNITY
SCH D OF RIVER RIDGE
11,106,100
399,000
2,753,500
14,258,600
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 14,258,600
14,258,600
42,700
11,148,800
399,000
2,753,500
42,700 14,301,300
42,700 14,301,300
42,700 14,301,300
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 066
TOWN OF
ACCT NO
0626Check if this is an Amended Return
WYALUSING FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
194 147 179 1,886,200 10,026,800 11,913,000
19 13 42 268,100 750,700 1,018,800
575 12,437 1,823,200 1,823,200
265 847 887,100 887,100
167 1,998 1,998,000 1,998,000
119 1,711 3,421,800 3,421,800
108 107 966,600 7,097,200 111 8,063,800
1,447 267 11,251,000 17,874,700 17,325 29,125,700
121
0
7,856
10,850
468,900
487,606
29,613,306
07/30/2015 DON MCGUIRE (608) 875-7327
0 0 0 0 0 0
0 0
0 7,856
0 10,850
0 468,900
0 487,606
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .99428229 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 066 0626
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
4 160 320,000
13 275.83 551,700 72 1,405.24 2,810,500
1 40 80,000 33 576.14 1,152,300
3,389.82 3,428.06 47.75 56.84
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
066
ACCT NO
0626
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224904 0444 SCH D OF RIVER RIDGE 29,613,306
29,613,306
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 29,613,306
29,613,306
29,613,306
29,613,306
29,613,306
29,613,306
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 106
VILLAGE OF
ACCT NO
0627Check if this is an Amended Return
BAGLEY FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
375 354 34 4,187,800 13,526,300 17,714,100
29 21 12 260,000 754,900 1,014,900
17 284 49,400 49,400
3 22 6,500 6,500
1 2 3,000 3,000
5 0 7,900 7,900
3 3 22,000 179,500 3 201,500
433 378 4,536,600 14,460,700 357 18,997,300
11
0
3,000
50,980
2,200
56,180
19,053,480
07/30/2015 DON MCGUIRE (608) 875-7327
0 0 0 0 0 0
0 0
0 3,000
0 50,980
0 2,200
0 56,180
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .935222744 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 106 0627
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
1 21.12
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
106
ACCT NO
0627
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224904 0444 SCH D OF RIVER RIDGE 19,053,480
19,053,480
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 19,053,480
19,053,480
19,053,480
19,053,480
19,053,480
19,053,480
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 107
VILLAGE OF
ACCT NO
0628Check if this is an Amended Return
BLOOMINGTON FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
315 287 42 3,109,900 18,428,600 21,538,500
82 65 32 682,400 3,038,900 3,721,300
23 480 110,900 110,900
0 0 0 0
0 0 0 0
0 0 0 0
2 2 18,000 90,300 2 108,300
422 354 3,921,200 21,557,800 556 25,479,000
48
0
286,540
256,080
13,650
556,270
26,035,270
07/30/2015 DON MCGUIRE (608) 875-7327
0 0 0 0 0 0
0 0
0 286,540
0 256,080
0 13,650
0 556,270
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .907294524 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 107 0628
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
.82 31.28
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
107
ACCT NO
0628
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224904 0444 SCH D OF RIVER RIDGE 26,035,270
26,035,270
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 26,035,270
26,035,270
26,035,270
26,035,270
26,035,270
26,035,270
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 108
VILLAGE OF
ACCT NO
0629Check if this is an Amended Return
BLUE RIVER FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
235 198 22 2,186,000 10,548,900 12,734,900
33 25 14 262,500 1,127,000 1,389,500
25 280 69,500 69,500
6 18 2,700 2,700
3 53 53,200 53,200
7 23 46,100 46,100
9 9 46,600 328,400 12 375,000
318 232 2,666,600 12,004,300 422 14,670,900
20
0
40,010
47,450
3,200
90,660
14,761,560
07/16/2015 DON MCGUIRE (608) 875-7327
0 0 0 0 0 0
0 0
0 40,010
0 47,450
0 3,200
0 90,660
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.03828153 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 108 0629
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
10.51 2.61 7.27
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
108
ACCT NO
0629
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
223850 0140 SCH D OF RIVERDALE (MUSCODA) 14,761,560
14,761,560
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 14,761,560
14,761,560
14,761,560
14,761,560
14,761,560
14,761,560
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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18
- 0
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 111
VILLAGE OF
ACCT NO
0630Check if this is an Amended Return
CASSVILLE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
497 438 178 9,080,800 30,500,100 39,580,900
76 56 23 1,135,600 3,241,700 4,377,300
1 9 2,400 2,400
0 0 0 0
1 33 39,600 39,600
0 0 0 0
0 0 0 0 0 0
576 495 10,304,400 34,153,300 245 44,457,700
56
7,200
393,500
217,100
87,600
705,400
45,269,600
05/22/2015 ASSOCIATED APPRAISAL (920) 749-1995
1 1 2 46,000 411,500 457,500
0 7,200
18,700 412,200
82,300 299,400
5,500 93,100
106,500 811,900
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.00451413 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 111 0630
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
23.2 99.48
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
111
ACCT NO
0630
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220994 0135 SCH D OF CASSVILLE 44,705,600
44,705,600
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 44,705,600
44,705,600
564,000 45,269,600
564,000 45,269,600
564,000 45,269,600
564,000 45,269,600
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 116
VILLAGE OF
ACCT NO
0631Check if this is an Amended Return
DICKEYVILLE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
417 373 131 7,928,000 41,560,500 49,488,500
49 42 28 957,900 3,783,000 4,740,900
24 329 79,300 79,300
6 4 600 600
0 0 0 0
0 0 0 0
1 1 23,400 93,400 3 116,800
498 417 9,004,200 45,667,500 496 54,671,700
45
0
182,318
230,562
147,574
560,454
55,259,754
05/13/2015 GARDINER APPRAISAL (608) 943-8009
1 1 1 15,000 230,600 245,600
0 0
23,100 205,418
4,400 234,962
100 147,674
27,600 588,054
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.001390525 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 116 0631
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
48.39 56.3
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
116
ACCT NO
0631
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221246 0136 SCH D OF CUBA CITY 54,986,554
54,986,554
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 54,986,554
54,986,554
273,200 55,259,754
273,200 55,259,754
273,200 55,259,754
273,200 55,259,754
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 136
VILLAGE OF
ACCT NO
0632Check if this is an Amended Return
HAZEL GREEN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
457 421 40 7,323,900 35,812,400 43,136,300
43 39 20 653,200 4,229,700 4,882,900
32 354 78,700 78,700
1 1 100 100
0 0 0 0
11 47 103,700 103,700
5 5 143,000 361,300 19 504,300
550 466 8,312,400 40,486,800 482 48,799,200
77
0
647,755
322,537
162,354
1,132,646
49,933,046
05/22/2015 RIC RINIKER (608) 348-7090
1 1 1 9,800 83,400 93,200
0 0
0 647,755
1,100 323,637
100 162,454
1,200 1,133,846
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .984860053 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 136 0632
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2.64 25.54
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
136
ACCT NO
0632
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
222485 0138 SCH D OF SOUTHWESTERN WISCONSIN (HZ GR) 49,838,646
49,838,646
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 49,838,646
49,838,646
94,400 49,933,046
94,400 49,933,046
94,400 49,933,046
94,400 49,933,046
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 147
VILLAGE OF
ACCT NO
0633Check if this is an Amended Return
LIVINGSTON FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
293 253 11 3,820,900 18,884,700 22,705,600
24 21 4 271,600 1,312,700 1,584,300
24 350 91,400 91,400
2 1 200 200
0 0 0 0
0 0 0 0
5 5 89,100 289,100 10 378,200
348 279 4,273,200 20,486,500 376 24,759,700
21
0
41,441
145,300
73,829
260,570
25,020,270
05/22/2015 RIC RINIKER (608) 348-7090
0 0 0 0 0 0
0 0
0 41,441
0 145,300
0 73,829
0 260,570
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.026948698 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 147 0633
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2.67
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
147
ACCT NO
0633
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
252646 0157 SCH D OF IOWA-GRANT 25,020,270
25,020,270
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 25,020,270
25,020,270
25,020,270
25,020,270
25,020,270
25,020,270
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 151
VILLAGE OF
ACCT NO
0634Check if this is an Amended Return
MONTFORT FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
277 249 95 3,654,600 18,642,600 22,297,200
57 40 29 978,100 2,773,700 3,751,800
10 123 21,500 21,500
7 10 3,200 3,200
0 0 0 0
0 0 0 0
1 1 1,000 300 1 1,300
353 291 4,666,900 21,623,700 259 26,290,600
43
0
189,900
181,500
63,400
434,800
26,846,000
06/03/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
1 1 1 8,500 207,100 215,600
0 0
89,200 279,100
11,700 193,200
19,700 83,100
120,600 555,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .979671026 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 151 0634
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
2.6 .11 6.36
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
151
ACCT NO
0634
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
252646 0157 SCH D OF IOWA-GRANT 26,509,800
26,509,800
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 26,509,800
26,509,800
336,200 26,846,000
336,200 26,846,000
336,200 26,846,000
336,200 26,846,000
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 152
VILLAGE OF
ACCT NO
0635Check if this is an Amended Return
MOUNT HOPE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
97 82 33 936,600 5,018,400 5,955,000
18 14 5 126,400 532,900 659,300
11 108 17,600 17,600
0 0 0 0
0 0 0 0
0 0 0 0
2 2 10,900 344,200 2 355,100
128 98 1,091,500 5,895,500 148 6,987,000
13
0
10,600
20,200
9,600
40,400
7,027,400
05/19/2015 GARDINER APPRAISAL (608) 943-8009
0 0 0 0 0 0
0 0
0 10,600
0 20,200
0 9,600
0 40,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.066875161 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 152 0635
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
4.16 .33
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
152
ACCT NO
0635
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224904 0444 SCH D OF RIVER RIDGE 7,027,400
7,027,400
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 7,027,400
7,027,400
7,027,400
7,027,400
7,027,400
7,027,400
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 153
VILLAGE OF
ACCT NO
0636Check if this is an Amended Return
MUSCODA FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
535 473 217 5,061,900 32,167,600 37,229,500
87 70 28 1,218,900 8,478,000 9,696,900
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0
633 552 6,682,900 54,905,500 345 61,588,400
83
0
341,700
603,100
96,000
1,040,800
63,805,700
06/02/2015 ASSOCIATED APPRAISAL (920) 749-1995
11 9 100 402,100 14,259,900 14,662,000
0 0
995,400 1,337,100
142,600 745,700
38,500 134,500
1,176,500 2,217,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .967105993 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 153 0636
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
22.18 35.22
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
153
ACCT NO
0636
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
223850 0140 SCH D OF RIVERDALE (MUSCODA) 47,967,200
47,967,200
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 47,967,200
47,967,200
15,838,500 63,805,700
15,838,500 63,805,700
15,838,500 63,805,700
15,838,500 63,805,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 171
VILLAGE OF
ACCT NO
0637Check if this is an Amended Return
PATCH GROVE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
91 77 43 688,900 5,161,100 5,850,000
19 14 11 124,900 752,000 876,900
13 165 37,400 37,400
1 1 100 100
0 0 0 0
0 0 0 0
7 6 48,400 559,100 5 607,500
132 98 903,200 6,533,200 225 7,436,400
16
0
64,600
49,600
24,800
139,000
7,575,600
06/02/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
1 1 0 3,500 61,000 64,500
0 0
0 64,600
0 49,600
200 25,000
200 139,200
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .933170162 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 171 0637
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
.88 .12 .54
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
171
ACCT NO
0637
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224904 0444 SCH D OF RIVER RIDGE 7,510,900
7,510,900
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 7,510,900
7,510,900
64,700 7,575,600
64,700 7,575,600
64,700 7,575,600
64,700 7,575,600
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 172
VILLAGE OF
ACCT NO
0638Check if this is an Amended Return
POTOSI FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
319 272 47 6,309,000 24,540,000 30,849,000
46 38 14 510,700 3,204,700 3,715,400
21 370 61,800 61,800
10 27 27,300 27,300
2 19 20,800 20,800
12 104 250,200 250,200
10 10 327,100 676,200 18 1,003,300
420 320 7,506,900 28,420,900 599 35,927,800
32
0
74,307
69,845
42,413
186,565
36,114,365
06/04/2015 RIC RINIKER (608) 348-7090
0 0 0 0 0 0
0 0
0 74,307
0 69,845
0 42,413
0 186,565
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.064475829 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 172 0638
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
1 52 13,800
2 18.5 44,400
3.34 40.13
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
172
ACCT NO
0638
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224529 0143 SCH D OF POTOSI 36,114,365
36,114,365
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 36,114,365
36,114,365
36,114,365
36,114,365
36,114,365
36,114,365
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 186
VILLAGE OF
ACCT NO
0639Check if this is an Amended Return
TENNYSON FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
139 131 72 2,201,900 10,422,200 12,624,100
20 19 17 368,400 1,425,300 1,793,700
13 111 21,300 21,300
2 18 30,900 30,900
0 0 0 0
0 0 0 0
6 6 56,500 361,500 7 418,000
180 156 2,679,000 12,209,000 225 14,888,000
18
0
54,900
85,300
31,100
171,300
15,059,300
06/10/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
0 0 0 0 0 0
0 0
0 54,900
0 85,300
0 31,100
0 171,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .867156504 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 186 0639
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
.08 12.95
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
186
ACCT NO
0639
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224529 0143 SCH D OF POTOSI 15,059,300
15,059,300
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 15,059,300
15,059,300
15,059,300
15,059,300
15,059,300
15,059,300
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 191
VILLAGE OF
ACCT NO
0640Check if this is an Amended Return
WOODMAN FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
74 58 27 316,500 3,271,000 3,587,500
5 5 1 14,200 164,000 178,200
6 29 5,300 5,300
1 7 7,600 7,600
0 0 0 0
7 3 7,100 7,100
1 1 6,200 5,400 1 11,600
94 64 356,900 3,440,400 68 3,797,300
5
0
2,600
16,100
800
19,500
3,816,800
06/02/2015 WILL HANSEN (608) 476-2173
0 0 0 0 0 0
0 0
0 2,600
0 16,100
0 800
0 19,500
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .958850425 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 191 0640
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
99.56 .94 8.95
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
191
ACCT NO
0640
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609 0134 SCH D OF BOSCOBEL AREA 3,816,800
3,816,800
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 3,816,800
3,816,800
3,816,800
3,816,800
3,816,800
3,816,800
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 206
CITY OF
ACCT NO
0641Check if this is an Amended Return
BOSCOBEL FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
1,123 990 324 14,099,300 65,609,300 79,708,600
207 155 129 4,983,400 17,417,000 22,400,400
11 85 17,800 17,800
6 27 23,400 23,400
1 14 4,800 4,800
1 0 700 700
2 2 15,000 14,200 2 29,200
1,359 1,155 19,600,600 90,076,200 632 109,676,800
183
6,500
359,256
2,622,671
500,711
3,489,138
114,735,638
07/31/2015 GRETCHEN JELINEK (608) 647-8481
8 8 51 456,200 7,035,700 7,491,900
0 6,500
1,432,600 1,791,856
91,900 2,714,571
45,200 545,911
1,569,700 5,058,838
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .954014055 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 206 0641
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
247.66 4.94 612.29
97,713
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
206
ACCT NO
0641
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609 0134 SCH D OF BOSCOBEL AREA 105,674,038
105,674,038
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 105,674,038
105,674,038
9,061,600 114,735,638
9,061,600 114,735,638
9,061,600 114,735,638
9,061,600 114,735,638
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 211
CITY OF
ACCT NO
0642Check if this is an Amended Return
CUBA CITY FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
734 666 33 13,072,400 61,484,900 74,557,300
96 82 49 1,634,200 11,629,100 13,263,300
12 143 37,100 37,100
6 7 600 600
0 0 0 0
0 0 0 0
2 2 30,000 82,300 3 112,300
855 755 15,075,000 76,875,400 266 91,950,400
111
0
788,400
983,000
85,500
1,856,900
94,129,400
07/21/2015 GARDINER APPRAISAL SERVICE (608) 943-8009
5 5 31 300,700 3,679,100 3,979,800
0 0
300,400 1,088,800
12,200 995,200
9,500 95,000
322,100 2,179,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .993464826 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 211 0642
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
.33 95.35
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
211
ACCT NO
0642
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221246 0136 SCH D OF CUBA CITY 89,827,500
89,827,500
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 89,827,500
89,827,500
4,301,900 94,129,400
4,301,900 94,129,400
4,301,900 94,129,400
4,301,900 94,129,400
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 226
CITY OF
ACCT NO
0643Check if this is an Amended Return
FENNIMORE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
903 836 45 10,928,900 69,200,800 80,129,700
150 127 44 3,074,700 14,209,900 17,284,600
19 181 68,900 68,900
0 0 0 0
0 0 0 0
0 0 0 0
2 2 20,000 175,500 2 195,500
1,078 969 14,408,400 86,790,500 304 101,198,900
122
0
431,840
957,550
156,980
1,546,370
103,212,770
06/02/2015 DON MCGUIRE (608) 875-7327
4 4 32 315,900 3,204,300 3,520,200
0 0
266,000 697,840
172,800 1,130,350
28,700 185,680
467,500 2,013,870
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.027835389 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 226 0643
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
59.98 1 221.1
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
226
ACCT NO
0643
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
221813 0137 SCH D OF FENNIMORE COMMUNITY 99,225,070
99,225,070
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 99,225,070
99,225,070
3,987,700 103,212,770
3,987,700 103,212,770
3,987,700 103,212,770
3,987,700 103,212,770
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 246
CITY OF
ACCT NO
0644Check if this is an Amended Return
LANCASTER FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
1,463 1,377 78 29,752,100 127,120,800 156,872,900
212 190 90 6,337,100 34,761,900 41,099,000
56 430 108,300 108,300
8 42 2,100 2,100
1 3 2,200 2,200
0 0 0 0
5 5 32,000 236,800 5 268,800
1,756 1,582 37,145,700 169,909,400 699 207,055,100
211
0
2,010,800
2,437,300
339,900
4,788,000
214,091,900
08/19/2015 ACCURATE APPRAISAL LLC (800) 770-3927
11 10 51 911,900 7,789,900 8,701,800
0 0
1,881,100 3,891,900
234,400 2,671,700
133,300 473,200
2,248,800 7,036,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .980550338 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 246 0644
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
.51 124.7 218.98
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
246
ACCT NO
0644
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
222912 0139 SCH D OF LANCASTER COMMUNITY 203,141,300
203,141,300
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 203,141,300
203,141,300
10,950,600 214,091,900
10,950,600 214,091,900
10,950,600 214,091,900
10,950,600 214,091,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
22 271
CITY OF
ACCT NO
0645Check if this is an Amended Return
PLATTEVILLE FOR
Town - Village - City Municipality Name County Name
GRANT COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
2,607 2,419 735 54,567,100 279,230,400 333,797,500
394 333 444 41,649,900 176,046,200 217,696,100
119 513 134,100 134,100
25 119 247,500 247,500
0 0 0 0
3 25 79,900 79,900
3 2 61,200 9,500 4 70,700
3,167 2,769 98,103,100 476,722,600 1,954 574,825,700
447
0
3,731,100
9,635,300
1,577,300
14,943,700
590,493,300
05/27/2015 ACCURATE APPRAISAL LLC (800) 770-3927
16 15 114 1,363,400 21,436,500 22,799,900
0 0
418,700 4,149,800
201,700 9,837,000
103,500 1,680,800
723,900 15,667,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .932293439 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 22 271 0645
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
146.36 1.76 170.49
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
22MUN
271
ACCT NO
0645
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
224389 0142 SCH D OF PLATTEVILLE 566,969,500
566,969,500
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 566,969,500
566,969,500
23,523,800 590,493,300
23,523,800 590,493,300
23,523,800 590,493,300
23,523,800 590,493,300
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS