2015 Statement of Assessment for Adams County · STATEMENT OF ASSESSMENT FOR 2015 CO MUN...
Transcript of 2015 Statement of Assessment for Adams County · STATEMENT OF ASSESSMENT FOR 2015 CO MUN...
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
01 002
TOWN OF
ACCT NO
0001Check if this is an Amended Return
ADAMS FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,319 900 2,979 20,559,500 66,907,200 87,466,700
31 24 224 1,049,500 2,614,700 3,664,200
187 4,452 544,500 544,500
387 3,520 2,769,200 2,769,200
96 1,063 1,197,800 1,197,800
528 8,516 18,960,600 18,960,600
24 24 273,300 2,334,700 60 2,608,000
2,574 949 45,373,800 72,831,800 20,829 118,205,600
152
0
218,700
49,500
1,803,400
2,071,600
120,299,800
05/20/2015 JAMES WARZYNSKI (608) 293-3308
2 1 15 19,400 975,200 994,600
0 0
10,500 229,200
10,600 60,100
1,500 1,804,900
22,600 2,094,200
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .979545615 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 01 002 0001
$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
43 1,699.16 4,332,900 132 3,953.57 10,083,000
79 2,606.75 6,405,900
2,283.46 485.09 306.33
FRIENDSHIP LAKE DISTRICT018060 0005 10,165,400
10,165,400
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
01MUN
002
ACCT NO
0001
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 119,282,600
119,282,600
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 119,282,600
119,282,600
1,017,200 120,299,800
1,017,200 120,299,800
1,017,200 120,299,800
1,017,200 120,299,800
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)
01 004
TOWN OF
ACCT NO
0002Check if this is an Amended Return
BIG FLATS FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,600 1,171 4,917 29,451,500 44,539,400 73,990,900
17 13 66 502,600 1,878,500 2,381,100
83 2,394 333,900 333,900
118 732 680,200 680,200
30 456 590,500 590,500
293 5,654 14,467,700 14,467,700
14 16 86,300 695,300 21 781,600
2,155 1,200 46,112,700 47,113,200 14,240 93,225,900
137
0
105,900
30,900
406,800
543,600
93,769,500
05/18/2015 ASSOCIATED APPRAISAL SERIVCE (800) 721-4157
0 0 0 0 0 0
0 0
0 105,900
0 30,900
0 406,800
0 543,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.065439006 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 01 004 0002
$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
232 9,028.74 23,473,700 117 3,898.64 10,038,500
10 394.05 1,024,500 91 2,736.43 7,099,100
290.09 21.46 116.64
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
01MUN
004
ACCT NO
0002
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 93,769,500
93,769,500
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 93,769,500
93,769,500
93,769,500
93,769,500
93,769,500
93,769,500
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)
01 006
TOWN OF
ACCT NO
0003Check if this is an Amended Return
COLBURN FOR
Town - Village - City Municipality Name County Name
ADAMS 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
387 262 1,863 6,519,800 13,829,900 20,349,700
0 0 0 0 0 0
213 6,530 894,800 894,800
242 2,247 1,369,600 1,369,600
68 735 886,500 886,500
159 3,027 7,262,300 7,262,300
28 66 344,500 12,697,100 94 13,041,600
1,097 328 17,277,500 26,527,000 14,496 43,804,500
32
0
400
61,900
379,900
442,200
44,246,700
05/21/2015 JAMES WARZYNSKI (608) 296-3308
0 0 0 0 0 0
0 0
0 400
0 61,900
0 379,900
0 442,200
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.005542829 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 01 006 0003
$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 82.06 246,200
3 90.7 272,100 49 1,659.13 4,977,500
44 1,535.21 4,555,400
5,020 4.61 3.63
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
01MUN
006
ACCT NO
0003
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
010014
396335
694375
0017
0232
0429
SCH D OF ADAMS FRIENDSHIP AREA
SCH D OF WESTFIELD
SCH D OF TRI-COUNTY AREA (PLAINFIELD)
43,726,300
416,900
103,500
44,246,700
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 44,246,700
44,246,700
43,726,300
416,900
103,500
44,246,700
44,246,700
44,246,700
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)
01 008
TOWN OF
ACCT NO
0004Check if this is an Amended Return
DELL PRAIRIE FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,452 951 3,283 39,296,400 102,530,800 141,827,200
72 49 647 4,488,200 8,018,400 12,506,600
262 5,036 611,600 611,600
147 841 1,148,200 1,148,200
99 1,328 2,655,800 2,655,800
267 4,915 18,961,700 18,961,700
17 32 208,500 1,541,900 31 1,750,400
2,320 1,033 67,607,300 112,102,100 16,179 179,709,400
95
66,700
403,500
177,100
160,100
807,400
180,516,800
05/22/2015 RIGLEMON APPRAISAL SERVICE (608) 378-3003
4 1 98 236,900 11,000 247,900
0 66,700
0 403,500
0 177,100
0 160,100
0 807,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.099029054 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 01 008 0004
$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
12 325.28 1,301,100 64 1,597.01 5,282,000
2 48 192,000 24 697.88 2,783,800
633.84 3.62 183.8
FAWN LAKE PROTECTION DISTRICT018080 0561 8,268,800
8,268,800
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
01MUN
008
ACCT NO
0004
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
566678 0338 SCH D OF WISCONSIN DELLS 180,268,900
180,268,900
000400 0004 MADISON AREA TECHNICAL COLLEGE MADN 180,268,900
180,268,900
247,900 180,516,800
247,900 180,516,800
247,900 180,516,800
247,900 180,516,800
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)
01 010
TOWN OF
ACCT NO
0005Check if this is an Amended Return
EASTON FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,156 771 4,361 19,278,100 43,781,100 63,059,200
16 10 73 488,500 958,600 1,447,100
269 6,872 791,700 791,700
221 1,214 660,600 660,600
110 1,614 1,937,700 1,937,700
225 4,581 10,413,300 10,413,300
58 56 372,900 2,923,200 97 3,296,100
2,055 837 33,942,800 47,662,900 18,812 81,605,700
91
0
230,900
18,700
66,000
315,600
81,921,300
06/06/2015 RIGLEMON APPRAISAL SERVICE (608) 378-3003
0 0 0 0 0 0
0 0
0 230,900
0 18,700
0 66,000
0 315,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .970735031 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 01 010 0005
$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
4 160 336,000 79 2,405.6 5,456,500
23 847.11 1,763,700
411.16 16.48 200.04
EASTON LAKE DISTRICT018020 0001 4,942,700
4,942,700
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
01MUN
010
ACCT NO
0005
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 81,921,300
81,921,300
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 81,921,300
81,921,300
81,921,300
81,921,300
81,921,300
81,921,300
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)
01 012
TOWN OF
ACCT NO
0006Check if this is an Amended Return
JACKSON FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,692 1,157 2,764 65,318,900 91,791,100 157,110,000
33 21 362 1,323,700 1,345,900 2,669,600
348 8,129 1,087,500 1,087,500
264 1,964 2,112,900 2,112,900
96 1,331 2,306,900 2,306,900
201 3,413 11,233,300 11,233,300
42 41 256,300 2,009,700 70 2,266,000
2,677 1,220 83,662,100 95,189,600 18,043 178,851,700
47
1,500
76,500
33,000
367,200
478,200
179,330,700
05/23/2015 RIGLEMON APPRAISAL SERVICE (608) 378-3003
1 1 10 22,600 42,900 65,500
0 1,500
500 77,000
200 33,200
100 367,300
800 479,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.03149059 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 01 012 0006
$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 10 115,800 95 2,200.41 7,816,800
1 38.19 133,700 39 971.41 3,025,200
334.27 62.51 214.97
PEPPERMILL LAKE MANAGEMENT DISTRICT
JORDAN LAKE MANAGEMENT DISTRICT
GOOSE LAKE WATERSHED DISTRICT
018090
018100
018120
0562
0573
0597
14,402,100
45,745,800
13,214,900
14,402,100
45,745,800
13,214,900
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
01MUN
012
ACCT NO
0006
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
010014
396335
566678
0017
0232
0338
SCH D OF ADAMS FRIENDSHIP AREA
SCH D OF WESTFIELD
SCH D OF WISCONSIN DELLS
66,136,100
59,595,500
53,532,800
179,264,400
000400
001400
0004
0013
MADISON AREA TECHNICAL COLLEGE MADN
MID-STATE TECHNICAL COLLEGE WRAP
53,532,800
125,731,600
179,264,400
66,300
66,202,400
59,595,500
53,532,800
66,300 179,330,700
66,300
53,532,800
125,797,900
66,300 179,330,700
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)
01 014
TOWN OF
ACCT NO
0007Check if this is an Amended Return
LEOLA FOR
Town - Village - City Municipality Name County Name
ADAMS 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
232 212 553 3,061,200 13,091,400 16,152,600
8 7 46 230,700 865,400 1,096,100
353 10,369 1,245,000 1,245,000
460 4,305 2,865,100 2,865,100
63 476 600,400 600,400
227 2,847 7,573,900 7,573,900
143 141 429,600 9,193,200 579 9,622,800
1,486 360 16,005,900 23,150,000 19,175 39,155,900
14
0
50,100
7,600
111,200
168,900
39,324,800
06/24/2015 HOLLOWAY APPRAISAL SERVICE (608) 374-4207
0 0 0 0 0 0
0 0
0 50,100
0 7,600
0 111,200
0 168,900
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.061638806 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 01 014 0007
$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 80.06 191,100
1 40 114,000 35 924.91 2,075,700
35 979.36 2,140,900
2,411.16 131.99 22.08
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
01MUN
014
ACCT NO
0007
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
694375 0429 SCH D OF TRI-COUNTY AREA (PLAINFIELD) 39,324,800
39,324,800
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 39,324,800
39,324,800
39,324,800
39,324,800
39,324,800
39,324,800
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)
01 016
TOWN OF
ACCT NO
0008Check if this is an Amended Return
LINCOLN FOR
Town - Village - City Municipality Name County Name
ADAMS 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
308 243 328 1,398,200 15,336,800 16,735,000
3 1 87 188,300 32,400 220,700
347 9,635 1,263,100 1,263,100
377 1,749 1,248,500 1,248,500
142 1,203 1,433,900 1,433,900
391 5,795 14,089,700 14,089,700
33 102 189,100 3,860,000 56 4,049,100
1,601 346 19,810,800 19,229,200 18,853 39,040,000
7
0
1,000
0
44,100
45,100
39,085,100
05/28/2015 SCOTT ZILLMER (715) 754-2287
0 0 0 0 0 0
0 0
0 1,000
0 0
0 44,100
0 45,100
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .955798849 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 01 016 0008
$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
11 308.9 766,800 51 1,635.91 3,791,300
2 119.81 261,300 58 1,728.39 4,089,600
260 16.35 131.65
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
01MUN
016
ACCT NO
0008
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 39,085,100
39,085,100
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 39,085,100
39,085,100
39,085,100
39,085,100
39,085,100
39,085,100
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)
01 018
TOWN OF
ACCT NO
0009Check if this is an Amended Return
MONROE FOR
Town - Village - City Municipality Name County Name
ADAMS 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
979 618 1,765 29,006,700 48,738,400 77,745,100
10 8 34 272,000 902,400 1,174,400
76 1,539 197,800 197,800
78 455 287,900 287,900
59 631 747,800 747,800
117 1,910 4,542,300 4,542,300
8 8 119,300 569,200 18 688,500
1,327 634 35,173,800 50,210,000 6,352 85,383,800
30
7,000
2,600
6,500
403,900
420,000
85,803,800
07/07/2015 BA PAULS AND ASSOCIATES (715) 848-9300
0 0 0 0 0 0
0 7,000
0 2,600
0 6,500
0 403,900
0 420,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .970630124 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 01 018 0009
$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
76 3,333.48 7,146,600 51 1,541.92 3,475,400
32 875.27 1,792,300
253.96 11,219.04
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
01MUN
018
ACCT NO
0009
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 85,803,800
85,803,800
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 85,803,800
85,803,800
85,803,800
85,803,800
85,803,800
85,803,800
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)
01 020
TOWN OF
ACCT NO
0010Check if this is an Amended Return
NEW CHESTER FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,358 832 2,169 18,166,300 42,565,100 60,731,400
35 20 52 220,900 2,841,000 3,061,900
242 5,977 771,400 771,400
271 1,732 860,000 860,000
79 907 1,157,400 1,157,400
304 3,594 9,067,000 9,067,000
55 54 1,499,700 14,902,900 254 16,402,600
2,345 907 31,753,800 60,386,200 14,686 92,140,000
38
0
252,500
86,700
540,300
879,500
93,038,000
05/18/2015 JAMES WARZYNSKI (608) 296-3308
1 1 1 11,100 77,200 88,300
0 0
15,000 267,500
400 87,100
3,100 543,400
18,500 898,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.007828928 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 01 020 0010
$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
10 336.47 858,100 65 2,181.43 5,563,100
3 75.27 191,900 22 644.47 1,643,800
983.5 316.06 75.92 440.19
PATRICKS LAKE DISTRICT
MCGINNIS PUBLIC INLAND LAKE AND REHAB DIST
018030
018110
0002
0596
9,667,700
8,461,400
9,667,700
8,461,400
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
01MUN
020
ACCT NO
0010
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
010014
396335
0017
0232
SCH D OF ADAMS FRIENDSHIP AREA
SCH D OF WESTFIELD
92,278,600
652,600
92,931,200
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 92,931,200
92,931,200
106,800
92,385,400
652,600
106,800 93,038,000
106,800 93,038,000
106,800 93,038,000
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)
01 022
TOWN OF
ACCT NO
0011Check if this is an Amended Return
NEW HAVEN FOR
Town - Village - City Municipality Name County Name
ADAMS 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
413 299 574 11,835,200 22,161,600 33,996,800
16 13 98 457,800 1,233,600 1,691,400
398 8,935 959,600 959,600
288 2,016 1,796,900 1,796,900
165 1,954 3,350,800 3,350,800
133 1,671 5,366,800 5,366,800
94 91 796,600 6,029,400 163 6,826,000
1,507 403 24,563,700 29,424,600 15,411 53,988,300
57
0
161,600
36,400
243,100
441,100
54,429,400
06/04/2015 RIGLEMON APPRAISAL SERVICE (608) 378-3003
0 0 0 0 0 0
0 0
0 161,600
0 36,400
0 243,100
0 441,100
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .98747993 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 01 022 0011
$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 23 73,600 80 2,048.71 6,474,100
48 1,226.23 3,552,700
297.94 349.85 9.58
LAKE MASON MANAGEMENT DISTRICT018070 0556 17,638,100
17,638,100
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
01MUN
022
ACCT NO
0011
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
396335
566678
0232
0338
SCH D OF WESTFIELD
SCH D OF WISCONSIN DELLS
210,800
54,218,600
54,429,400
000400
001400
0004
0013
MADISON AREA TECHNICAL COLLEGE MADN
MID-STATE TECHNICAL COLLEGE WRAP
54,218,600
210,800
54,429,400
210,800
54,218,600
54,429,400
54,218,600
210,800
54,429,400
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)
01 024
TOWN OF
ACCT NO
0012Check if this is an Amended Return
PRESTON FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,827 1,196 2,763 35,354,300 77,830,800 113,185,100
29 23 168 1,102,400 2,629,700 3,732,100
146 3,157 391,300 391,300
51 284 209,300 209,300
60 901 1,388,200 1,388,200
238 5,585 13,877,700 13,877,700
27 26 94,400 981,500 56 1,075,900
2,382 1,249 52,560,700 84,172,600 12,947 136,733,300
34
0
98,700
41,500
85,800
226,000
137,165,300
05/11/2015 RIGLEMON APPRAISAL SERVICE (608) 378-3003
4 4 33 143,100 2,730,600 2,873,700
0 0
64,600 163,300
65,000 106,500
76,400 162,200
206,000 432,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.002338293 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 01 024 0012
$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
42 1,631.15 3,864,000 141 4,538.05 10,035,600
1 85.3 238,800 50 1,580 3,860,300
1,130.81 236.72 193.58
BIG ROCHE-A-CRI LAKE DISTRICT
FRIENDSHIP LAKE DISTRICT
018050
018060
0004
0005
31,936,100
9,718,200
31,936,100
9,718,200
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
01MUN
024
ACCT NO
0012
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 134,085,600
134,085,600
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 134,085,600
134,085,600
3,079,700 137,165,300
3,079,700 137,165,300
3,079,700 137,165,300
3,079,700 137,165,300
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)
01 026
TOWN OF
ACCT NO
0013Check if this is an Amended Return
QUINCY FOR
Town - Village - City Municipality Name County Name
ADAMS 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
2,512 1,692 2,441 53,814,100 98,917,000 152,731,100
27 25 89 1,932,300 2,802,500 4,734,800
143 3,676 465,300 465,300
134 1,076 567,400 567,400
54 853 1,046,500 1,046,500
225 3,438 8,669,800 8,669,800
50 50 233,500 1,238,600 71 1,472,100
3,145 1,767 66,728,900 102,958,100 11,644 169,687,000
137
0
15,900
129,200
2,314,800
2,459,900
172,146,900
05/20/2015 RIGLEMON APPRAISAL SERVICE (607) 378-3003
0 0 0 0 0 0
0 0
0 15,900
0 129,200
0 2,314,800
0 2,459,900
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .990756989 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 01 026 0013
$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
18 700.98 1,600,000 55 1,627.01 3,556,200
2 54.31 124,900 24 642.96 1,344,100
2,702.84 143.12 5,725.45
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
01MUN
026
ACCT NO
0013
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 172,146,900
172,146,900
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 172,146,900
172,146,900
172,146,900
172,146,900
172,146,900
172,146,900
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)
01 028
TOWN OF
ACCT NO
0014Check if this is an Amended Return
RICHFIELD FOR
Town - Village - City Municipality Name County Name
ADAMS 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
167 141 395 1,612,100 8,424,000 10,036,100
4 4 10 40,000 2,177,500 2,217,500
271 7,518 1,140,900 1,140,900
430 5,460 2,319,200 2,319,200
88 978 1,412,900 1,412,900
253 2,847 8,113,000 8,113,000
67 68 289,100 3,875,900 83 4,165,000
1,281 214 14,959,000 15,512,600 17,300 30,471,600
19
0
29,400
15,400
334,500
379,300
30,850,900
05/18/2015 ASSOCIATED APPRAISAL SERIVCE (800) 721-4157
1 1 9 31,800 1,035,200 1,067,000
0 0
0 29,400
0 15,400
0 334,500
0 379,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.06696878 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 01 028 0014
$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
6 230.18 644,600
5 200 596,000 85 2,653.78 8,054,200
6 149 331,600 52 1,667.83 4,864,400
143.85 23.96 313.27
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
01MUN
028
ACCT NO
0014
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
010014
396335
0017
0232
SCH D OF ADAMS FRIENDSHIP AREA
SCH D OF WESTFIELD
28,611,700
1,172,200
29,783,900
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 29,783,900
29,783,900
1,067,000
29,678,700
1,172,200
1,067,000 30,850,900
1,067,000 30,850,900
1,067,000 30,850,900
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)
01 030
TOWN OF
ACCT NO
0015Check if this is an Amended Return
ROME FOR
Town - Village - City Municipality Name County Name
ADAMS 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
6,254 4,269 5,640 217,039,900 361,718,800 578,758,700
78 64 906 3,962,400 14,632,500 18,594,900
21 674 75,700 75,700
179 2,759 1,094,400 1,094,400
5 170 200,800 200,800
244 4,566 9,453,200 9,453,200
6 6 99,100 393,600 13 492,700
6,793 4,344 232,348,300 377,955,200 14,755 610,303,500
88
9,500
1,106,900
677,800
394,400
2,188,600
612,530,800
06/01/2015 ASSOCIATED APPRAISAL SERVICE (920) 749-1995
6 5 27 422,800 1,210,300 1,633,100
0 9,500
20,100 1,127,000
15,100 692,900
3,500 397,900
38,700 2,227,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.053723495 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 01 030 0015
$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
269 10,705.94 21,900,200 126 4,088.89 8,833,400
3 120 259,200 42 1,351.53 2,914,800
530.28 424.52 5,335
TRI-LAKES MANAGEMENT DISTRICT018040 0003 493,230,000
493,230,000
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
01MUN
030
ACCT NO
0015
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
694375
713906
0429
0439
SCH D OF TRI-COUNTY AREA (PLAINFIELD)
SCH D OF NEKOOSA
220,300
610,638,700
610,859,000
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 610,859,000
610,859,000
1,671,800
220,300
612,310,500
1,671,800 612,530,800
1,671,800 612,530,800
1,671,800 612,530,800
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)
01 032
TOWN OF
ACCT NO
0016Check if this is an Amended Return
SPRINGVILLE FOR
Town - Village - City Municipality Name County Name
ADAMS 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
1,518 1,109 4,052 18,530,700 57,257,934 75,788,634
22 18 181 747,800 2,242,400 2,990,200
314 7,661 854,800 854,800
210 1,325 1,302,700 1,302,700
151 1,953 2,509,900 2,509,900
300 6,319 15,179,000 15,179,000
61 58 153,000 2,018,700 87 2,171,700
2,576 1,185 39,277,900 61,519,034 21,578 100,796,934
181
4,500
146,700
94,400
593,200
838,800
101,635,734
10/08/2015 RIGLEMON APPRAISAL SERVICE (608) 378-3003
0 0 0 0 0 0
0 4,500
0 146,700
0 94,400
0 593,200
0 838,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .990086388 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 01 032 0016
$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 80 240,000
20 663.19 1,605,600 126 3,333.18 7,643,500
52 1,608.34 3,732,800
250.06 35.81 86.51
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
01MUN
032
ACCT NO
0016
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
010014
566678
0017
0338
SCH D OF ADAMS FRIENDSHIP AREA
SCH D OF WISCONSIN DELLS
60,606,410
41,029,324
101,635,734
000400
001400
0004
0013
MADISON AREA TECHNICAL COLLEGE MADN
MID-STATE TECHNICAL COLLEGE WRAP
41,029,324
60,606,410
101,635,734
60,606,410
41,029,324
101,635,734
41,029,324
60,606,410
101,635,734
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)
01 034
TOWN OF
ACCT NO
0017Check if this is an Amended Return
STRONGS PRAIRIE FOR
Town - Village - City Municipality Name County Name
ADAMS 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
2,104 1,421 2,442 57,409,600 111,577,900 168,987,500
29 25 252 1,951,700 4,804,800 6,756,500
450 9,651 1,183,300 1,183,300
221 926 576,700 576,700
241 2,922 3,980,700 3,980,700
261 4,568 11,584,100 11,584,100
109 109 956,800 5,886,900 227 6,843,700
3,415 1,555 77,642,900 122,269,600 20,988 199,912,500
29
46,000
457,200
133,100
507,700
1,144,000
201,056,500
05/16/2016 RIGLEMON APPRAISAL SERVICE (608) 378-3003
0 0 0 0 0 0
0 46,000
0 457,200
0 133,100
0 507,700
0 1,144,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.086538171 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 01 034 0017
$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
3 118.22 283,700 83 2,262.54 5,413,600
59 1,535.56 3,643,300
140.53 720.87 5,698.2
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
01MUN
034
ACCT NO
0017
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 201,056,500
201,056,500
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 201,056,500
201,056,500
201,056,500
201,056,500
201,056,500
201,056,500
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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61
3 -
00
69
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)
01 126
VILLAGE OF
ACCT NO
0018Check if this is an Amended Return
FRIENDSHIP FOR
Town - Village - City Municipality Name County Name
ADAMS 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
345 255 167 5,134,100 15,000,900 20,135,000
45 41 17 801,200 6,164,600 6,965,800
0 0 0 0
0 0 0 0
0 0 0 0
1 37 66,800 66,800
0 0 0 0 0 0
394 298 6,155,400 22,531,200 280 28,686,600
77
2,200
202,200
716,500
278,900
1,199,800
30,701,000
05/19/2015 BA PAULS AND ASSOCIATES (715) 848-9300
3 2 59 153,300 1,365,700 1,519,000
0 2,200
771,400 973,600
20,200 736,700
23,000 301,900
814,600 2,014,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.152167467 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 01 126 0018
$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 22 43,100
8.6 46.11 73.22
FRIENDSHIP LAKE DISTRICT018060 0005 5,440,200
5,440,200
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
01MUN
126
ACCT NO
0018
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 28,367,400
28,367,400
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 28,367,400
28,367,400
2,333,600 30,701,000
2,333,600 30,701,000
2,333,600 30,701,000
2,333,600 30,701,000
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)
01 201
CITY OF
ACCT NO
0019Check if this is an Amended Return
ADAMS FOR
Town - Village - City Municipality Name County Name
ADAMS 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
757 657 237 5,382,400 37,007,100 42,389,500
141 116 126 2,974,900 20,910,100 23,885,000
3 29 4,700 4,700
6 65 38,500 38,500
0 0 0 0
24 456 909,900 909,900
0 0 0 0 0 0
942 782 9,841,700 64,480,300 1,023 74,322,000
156
0
1,071,573
1,991,101
242,978
3,305,652
79,991,952
10/20/2015 UPNORTH ASSESSMENTS LLC (715) 845-2022
11 9 110 531,300 6,563,100 7,094,400
0 0
1,862,100 2,933,673
96,700 2,087,801
405,500 648,478
2,364,300 5,669,952
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.022332167 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 01 201 0019
$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
6 140.62 293,600
2.98 4.16 269.62
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
01MUN
201
ACCT NO
0019
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
010014 0017 SCH D OF ADAMS FRIENDSHIP AREA 70,533,252
70,533,252
001400 0013 MID-STATE TECHNICAL COLLEGE WRAP 70,533,252
70,533,252
9,458,700 79,991,952
9,458,700 79,991,952
9,458,700 79,991,952
9,458,700 79,991,952
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)
01 291
CITY OF
ACCT NO
0020Check if this is an Amended Return
WISCONSIN DELLS FOR
Town - Village - City Municipality Name County Name
ADAMS 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
71 17 55 1,180,500 2,666,800 3,847,300
325 298 359 11,908,700 85,449,500 97,358,200
9 175 25,600 25,600
1 4 3,400 3,400
2 8 14,700 14,700
3 39 169,500 169,500
0 0 0 0 0 0
411 315 13,302,400 88,116,300 640 101,418,700
309
0
1,149,000
1,753,600
117,600
3,020,200
104,438,900
06/25/2015 ASSOCIATED APPRAISAL SERVICE (920) 749-1995
0 0 0 0 0 0
0 0
0 1,149,000
0 1,753,600
0 117,600
0 3,020,200
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .991490974 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 01 291 0020
$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
327.79 .88 117.17
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
01MUN
291
ACCT NO
0020
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
566678 0338 SCH D OF WISCONSIN DELLS 104,438,900
104,438,900
000400 0004 MADISON AREA TECHNICAL COLLEGE MADN 104,438,900
104,438,900
104,438,900
104,438,900
104,438,900
104,438,900
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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LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS