2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI...

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STATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an Amended Return CATO FOR Town - Village - City Municipality Name County Name MANITOWOC COUNTY REMARKS OF Page 1 WHEN COMPLETING THIS DOCUMENT DO NOT WRITE OVER X's OR IN SHADED AREAS Line No. 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 ACRES WHOLE NUMBERS ONLY TOTAL VALUE OF LAND AND 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 REVIEW DATE OF FINAL ADJOURNMENT Name of Assessor Telephone # TOTAL LAND Col. A IMPROVEMENTS Col. B Col. C VALUE OF LAND Col. D VALUE OF IMPROVEMENTS Col. E Col. F 739 606 1,656 13,291,700 82,103,700 95,395,400 34 24 158 947,600 9,817,400 10,765,000 839 15,589 2,863,200 2,863,200 474 1,290 698,600 698,600 170 1,573 2,043,800 2,043,800 57 546 1,323,100 1,323,100 114 114 1,268,800 15,248,800 250 16,517,600 2,437 754 22,960,400 110,096,700 21,182 133,057,100 34 0 305,700 43,440 20,910 370,050 134,765,750 05/08/2017 ACTION APPRAISERS (920) 766-7323 10 10 120 523,600 2,926,800 3,450,400 0 0 1,276,500 1,582,200 54,400 97,840 7,700 28,610 1,338,600 1,708,650 The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .902584353 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

Transcript of 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI...

Page 1: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 002

TOWN OF

ACCT NO

0932Check if this is an Amended Return

CATO FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

739 606 1,656 13,291,700 82,103,700 95,395,400

34 24 158 947,600 9,817,400 10,765,000

839 15,589 2,863,200 2,863,200

474 1,290 698,600 698,600

170 1,573 2,043,800 2,043,800

57 546 1,323,100 1,323,100

114 114 1,268,800 15,248,800 250 16,517,600

2,437 754 22,960,400 110,096,700 21,182 133,057,100

34

0

305,700

43,440

20,910

370,050

134,765,750

05/08/2017 ACTION APPRAISERS (920) 766-7323

10 10 120 523,600 2,926,800 3,450,400

0 0

1,276,500 1,582,200

54,400 97,840

7,700 28,610

1,338,600 1,708,650

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .902584353 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

Page 2: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 002 0932

$1.87

$8.27

18

19

20

21

22

23

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

Page 2

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres

Assessed Value of Omitted Property From Prior Years (Sec. 70.44)

(a) REAL ESTATE (b) PERSONAL

Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL

Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL

Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

15 364.19 946,900

12 169.54 440,800

4.29 156.48 102.62

CLARK MILLS SANITARY DISTRICT367020 0212 7,219,680

7,219,680

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

Page 3: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

002

ACCT NO

0932

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

364760

365866

0212

0214

SCH D OF REEDSVILLE

SCH D OF VALDERS AREA

13,711,060

116,265,690

129,976,750

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 129,976,750

129,976,750

4,789,000

13,711,060

121,054,690

4,789,000 134,765,750

4,789,000 134,765,750

4,789,000 134,765,750

Page 4: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 5: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 004

TOWN OF

ACCT NO

0933Check if this is an Amended Return

CENTERVILLE FOR

Town - Village - City Municipality Name County Name

MANITOWOC COUNTY

REMARKS

OF

Page 1

WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS

LineNo.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

AGRICULTURAL FOREST - Class 5m

TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)

NO. OF ACRESWHOLE

NUMBERS ONLY

TOTAL VALUE OF LANDAND IMPROVEMENTS

LOCALLY ASSESSED MANUFACTURING MERGED

REAL ESTATE(See Lines 18 - 22 for

other Real Estate)

PARCEL COUNT

RESIDENTIAL - Class 1

COMMERCIAL - Class 2

MANUFACTURING - Class 3

AGRICULTURAL - Class 4

UNDEVELOPED - Class 5

FOREST LANDS - Class 6

OTHER - Class 7

TOTAL - ALL COLUMNS

NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL

BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1

MACHINERY,TOOLS AND PATTERNS - Code 2

FURNITURE, FIXTURES AND EQUIPMENT - Code 3

ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C

AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F

BOARD OF REVIEWDATE OF FINAL ADJOURNMENT

Name of Assessor Telephone #

TOTAL LAND

Col. A

IMPROVEMENTS

Col. B Col. C

VALUE OFLAND

Col. D

VALUE OFIMPROVEMENTS

Col. E Col. F

315 264 749 12,527,500 36,766,500 49,294,000

9 8 33 153,700 790,600 944,300

577 10,945 1,931,400 1,931,400

356 908 815,800 815,800

103 675 1,140,400 1,140,400

54 437 1,267,100 1,267,100

55 53 1,138,700 18,047,300 182 19,186,000

1,470 326 18,991,900 55,604,900 13,933 74,596,800

7

0

252,900

17,600

5,900

276,400

74,873,200

05/17/2017 JOSEPH DENOR (800) 236-1638

1 1 4 17,300 500 17,800

0 0

0 252,900

0 17,600

0 5,900

0 276,400

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.048302461 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

Page 6: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 004 0933

$1.87

$8.27

18

19

20

21

22

23

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

Page 2

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres

Assessed Value of Omitted Property From Prior Years (Sec. 70.44)

(a) REAL ESTATE (b) PERSONAL

Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL

Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL

Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

1 40 140,000

27 329.44 984,500

2 11 38,500

12 14 29

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

Page 7: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

004

ACCT NO

0933

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

362828

363290

595271

0209

0210

0353

SCH D OF KIEL AREA

SCH D OF MANITOWOC

SCH D OF SHEBOYGAN AREA

13,237,900

32,307,700

29,309,800

74,855,400

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 74,855,400

74,855,400

17,800

13,237,900

32,307,700

29,327,600

17,800 74,873,200

17,800 74,873,200

17,800 74,873,200

Page 8: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 9: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 006

TOWN OF

ACCT NO

0934Check if this is an Amended Return

COOPERSTOWN FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

519 452 1,443 12,757,300 58,792,500 71,549,800

32 16 242 708,300 1,076,600 1,784,900

573 11,222 1,920,500 1,920,500

590 3,714 4,164,000 4,164,000

190 1,850 2,080,100 2,080,100

101 1,269 2,755,100 2,755,100

148 148 3,055,400 14,185,300 242 17,240,700

2,156 617 27,589,400 74,185,200 20,097 101,774,600

30

0

166,200

5,700

46,100

218,000

102,002,900

06/26/2017 SCOTT TENNESSEN (920) 423-3502

3 1 115 148,700 130,800 279,500

0 0

7,200 173,400

2,100 7,800

1,000 47,100

10,300 228,300

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .933382336 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

Page 10: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 006 0934

$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

25 497.33 1,094,600

38 777.06 1,578,200

140.91 77.01 87.44

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 11: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

006

ACCT NO

0934

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

051407

363661

364760

0034

0211

0212

SCH D OF DENMARK

SCH D OF MISHICOT

SCH D OF REEDSVILLE

95,215,200

1,181,400

5,316,500

101,713,100

001100

001300

0010

0012

LAKESHORE TECHNICAL COLLEGE CLEV

NORTHEAST WISCONSIN TECH COLLEGE GNBY

6,497,900

95,215,200

101,713,100

289,800

95,505,000

1,181,400

5,316,500

289,800 102,002,900

289,800

6,497,900

95,505,000

289,800 102,002,900

Page 12: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 13: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 008

TOWN OF

ACCT NO

0935Check if this is an Amended Return

EATON FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

392 366 854 7,771,300 46,052,600 53,823,900

19 10 71 443,600 2,499,200 2,942,800

623 9,936 1,691,600 1,691,600

639 5,672 3,458,900 3,458,900

171 1,294 2,101,400 2,101,400

86 732 2,238,100 2,238,100

47 46 1,100,300 6,055,200 152 7,155,500

1,979 424 18,875,200 55,333,600 18,738 74,208,800

26

0

531,100

22,600

36,600

590,300

75,083,400

05/15/2017 LUKE MACK (920) 749-1995

2 2 27 70,000 726,600 796,600

0 0

270,800 801,900

13,200 35,800

300 36,900

284,300 874,600

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .968307325 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

Page 14: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 008 0935

$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

65 1,341.65 4,002,400

31 640.53 1,860,300

1,700.13 15.84

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 15: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

008

ACCT NO

0935

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

081085

362828

365866

0049

0209

0214

SCH D OF CHILTON

SCH D OF KIEL AREA

SCH D OF VALDERS AREA

656,200

25,274,300

48,072,000

74,002,500

001100

001200

0010

0011

LAKESHORE TECHNICAL COLLEGE CLEV

FOX VALLEY TECHNICAL COLLEGE APPL

73,346,500

656,000

74,002,500

1,080,900

656,200

25,274,300

49,152,900

1,080,900 75,083,400

1,080,900

74,427,400

656,000

1,080,900 75,083,400

Page 16: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 17: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 010

TOWN OF

ACCT NO

0936Check if this is an Amended Return

FRANKLIN FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

565 521 1,930 12,781,100 61,109,100 73,890,200

36 24 163 3,659,300 2,201,800 5,861,100

709 13,791 2,573,300 2,573,300

639 3,216 3,761,500 3,761,500

217 1,676 2,281,800 2,281,800

118 1,109 2,986,100 2,986,100

101 97 1,137,100 10,390,400 196 11,527,500

2,386 643 29,190,000 73,835,800 22,083 103,025,800

28

0

939,500

213,500

53,000

1,206,000

104,252,200

05/31/2017 JOSEPH DENOR (920) 468-9698

1 1 2 9,800 134,500 144,300

0 0

15,100 954,600

3,700 217,200

1,600 54,600

20,400 1,226,400

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .971639832 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

Page 18: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 010 0936

$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 32 44,800 37 754.21 1,768,000

13 176 413,700

23.1

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 19: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

010

ACCT NO

0936

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

364760 0212 SCH D OF REEDSVILLE 104,087,500

104,087,500

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 104,087,500

104,087,500

164,700 104,252,200

164,700 104,252,200

164,700 104,252,200

164,700 104,252,200

Page 20: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 21: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 012

TOWN OF

ACCT NO

0937Check if this is an Amended Return

GIBSON FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

634 513 1,700 15,556,700 65,378,600 80,935,300

28 14 264 862,200 1,137,100 1,999,300

640 12,591 2,330,500 2,330,500

413 1,288 1,176,300 1,176,300

241 2,226 2,640,800 2,640,800

113 1,383 3,205,900 3,205,900

139 138 3,220,500 13,950,500 242 17,171,000

2,219 669 29,556,200 80,684,000 20,017 110,240,200

29

0

176,200

62,800

347,500

586,500

111,073,400

07/24/2017 SCOTT TENNESSEN (920) 423-3502

11 4 323 563,300 217,800 781,100

0 0

245,300 421,500

700 63,500

700 348,200

246,700 833,200

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .980000249 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

Page 22: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 012 0937

$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 53.67 128,800 75 1,345.94 2,823,800

3 57.81 138,700 20 520.8 1,102,000

50.59 93.78 66.47

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

Page 23: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

012

ACCT NO

0937

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

051407

363661

0034

0211

SCH D OF DENMARK

SCH D OF MISHICOT

12,775,900

97,269,700

110,045,600

001100

001300

0010

0012

LAKESHORE TECHNICAL COLLEGE CLEV

NORTHEAST WISCONSIN TECH COLLEGE GNBY

97,269,700

12,775,900

110,045,600

113,200

914,600

12,889,100

98,184,300

1,027,800 111,073,400

914,600

113,200

98,184,300

12,889,100

1,027,800 111,073,400

Page 24: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971

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28

Page 4

LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS

Page 25: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 014

TOWN OF

ACCT NO

0938Check if this is an Amended Return

KOSSUTH FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

929 830 2,217 26,649,500 105,550,800 132,200,300

34 23 156 753,200 2,408,100 3,161,300

851 14,914 2,881,500 2,881,500

630 2,567 1,299,200 1,299,200

231 1,713 2,115,000 2,115,000

93 821 1,875,000 1,875,000

171 170 3,451,800 16,083,800 338 19,535,600

2,948 1,030 39,526,300 127,041,600 22,882 166,567,900

38

0

326,783

54,067

43,804

424,654

168,407,554

05/08/2017 ACTION APPRAISERS (920) 766-7323

9 7 156 501,100 2,998,900 3,500,000

0 0

862,700 1,189,483

100,300 154,367

452,000 495,804

1,415,000 1,839,654

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.047010371 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

Page 26: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 014 0938

$1.87

$8.27

18

19

20

21

22

23

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

Page 2

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres

Assessed Value of Omitted Property From Prior Years (Sec. 70.44)

(a) REAL ESTATE (b) PERSONAL

Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL

Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL

Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

59 889.98 2,197,000

3 79.85 199,700

66.03 63.28 223.34

KOSSUTH SANITARY DISTRICT #2367040 0213 5,538,600

4,056,100 9,594,700

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

Page 27: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

014

ACCT NO

0938

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

363290

363661

364760

0210

0211

0212

SCH D OF MANITOWOC

SCH D OF MISHICOT

SCH D OF REEDSVILLE

69,710,178

83,061,663

10,720,713

163,492,554

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 163,492,554

163,492,554

4,631,900

283,100

74,342,078

83,344,763

10,720,713

4,915,000 168,407,554

4,915,000 168,407,554

4,915,000 168,407,554

Page 28: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 29: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 016

TOWN OF

ACCT NO

0939Check if this is an Amended Return

LIBERTY FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

593 534 1,292 24,137,300 80,738,500 104,875,800

46 20 332 1,093,700 3,635,100 4,728,800

688 12,943 2,545,500 2,545,500

529 2,305 1,874,500 1,874,500

174 1,501 2,332,000 2,332,000

129 1,475 4,278,100 4,278,100

86 83 1,253,000 14,937,200 189 16,190,200

2,249 641 37,655,600 99,729,400 20,066 137,385,000

28

0

380,200

21,900

34,200

436,300

138,105,900

05/23/2017 JOSEPH DENOR (920) 468-9698

4 4 29 141,500 418,600 560,100

0 0

277,100 657,300

7,100 29,000

400 34,600

284,600 720,900

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.003646467 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

Page 30: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 016 0939

$1.87

$8.27

18

19

20

21

22

23

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

Page 2

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres

Assessed Value of Omitted Property From Prior Years (Sec. 70.44)

(a) REAL ESTATE (b) PERSONAL

Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL

Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL

Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

5 73 136,000 55 990.25 2,571,200

7 213 668,800 51 986.19 2,543,900

48.89 197.47

LIBERTY SANITARY DISTRICT #1367120 0220 37,695,900

37,695,900

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

Page 31: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

016

ACCT NO

0939

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

362828

365866

0209

0214

SCH D OF KIEL AREA

SCH D OF VALDERS AREA

4,004,100

133,257,100

137,261,200

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 137,261,200

137,261,200

844,700

4,004,100

134,101,800

844,700 138,105,900

844,700 138,105,900

844,700 138,105,900

Page 32: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 33: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 018

TOWN OF

ACCT NO

0940Check if this is an Amended Return

MANITOWOC FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

589 479 1,098 19,686,200 61,318,300 81,004,500

13 12 41 376,500 1,677,600 2,054,100

103 1,677 332,000 332,000

103 403 504,100 504,100

20 124 82,800 82,800

23 189 248,000 248,000

10 10 142,400 987,200 14 1,129,600

862 502 21,435,700 64,707,000 3,560 86,142,700

19

0

211,754

84,824

21,222

317,800

86,518,000

06/06/2017 GROTA APPRAISALS (262) 253-1142

1 1 14 63,700 723,900 787,600

0 0

19,100 230,854

30,100 114,924

8,300 29,522

57,500 375,300

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .981120343 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

Page 34: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 018 0940

$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

10 141.29 154,300

49.67 40.77

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 35: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

018

ACCT NO

0940

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

363290 0210 SCH D OF MANITOWOC 85,672,900

85,672,900

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 85,672,900

85,672,900

845,100 86,518,000

845,100 86,518,000

845,100 86,518,000

845,100 86,518,000

Page 36: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 37: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 020

TOWN OF

ACCT NO

0941Check if this is an Amended Return

MANITOWOC RAPIDS FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

1,004 872 2,385 27,005,600 140,227,200 167,232,800

73 55 386 2,007,900 7,771,200 9,779,100

570 10,319 1,822,400 1,822,400

395 1,352 1,384,300 1,384,300

144 886 1,049,900 1,049,900

54 399 940,500 940,500

103 102 2,080,500 11,587,400 200 13,667,900

2,343 1,029 36,291,100 159,585,800 15,927 195,876,900

46

0

7,051,100

128,300

61,300

7,240,700

203,125,800

08/01/2017 SCOTT TENNESSEN (920) 423-3502

0 0 0 0 0 0

0 0

5,000 7,056,100

1,800 130,100

1,400 62,700

8,200 7,248,900

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.016407733 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

Page 38: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 020 0941

$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

25 400.33 784,300

3 49.79 119,500

6.82 203.37 212.63

MANITOWOC RAPIDS SANITARY DISTRICT #2

SILVER LAKE DISTRICT

367060

368030

0215

0223

11,033,300

2,793,900

11,033,300

2,793,900

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

Page 39: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

020

ACCT NO

0941

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

363290

365866

0210

0214

SCH D OF MANITOWOC

SCH D OF VALDERS AREA

154,237,400

48,880,200

203,117,600

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 203,117,600

203,117,600

8,200

154,245,600

48,880,200

8,200 203,125,800

8,200 203,125,800

8,200 203,125,800

Page 40: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971

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34

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, W

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42

20

Page 4

LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS

Page 41: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 022

TOWN OF

ACCT NO

0942Check if this is an Amended Return

MAPLE GROVE FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

247 232 588 6,340,400 27,931,900 34,272,300

23 13 92 479,300 1,602,600 2,081,900

624 13,793 2,569,600 2,569,600

489 1,696 1,575,700 1,575,700

209 2,523 3,027,000 3,027,000

86 1,821 4,343,300 4,343,300

132 132 2,898,600 17,693,000 236 20,591,600

1,810 377 21,233,900 47,227,500 20,749 68,461,400

28

0

53,000

153,900

129,900

336,800

68,799,000

05/17/2017 SCOTT TENNESSEN (920) 423-3502

0 0 0 0 0 0

0 0

800 53,800

0 153,900

0 129,900

800 337,600

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.003790576 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

Page 42: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 022 0942

$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 76.06 182,600 26 526.41 970,500

36 895.78 1,784,700

125.72

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 43: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

022

ACCT NO

0942

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

080658

364760

0048

0212

SCH D OF BRILLION

SCH D OF REEDSVILLE

21,349,500

47,448,700

68,798,200

001100

001200

0010

0011

LAKESHORE TECHNICAL COLLEGE CLEV

FOX VALLEY TECHNICAL COLLEGE APPL

47,448,700

21,349,500

68,798,200

800

21,349,500

47,449,500

800 68,799,000

800

47,449,500

21,349,500

800 68,799,000

Page 44: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 45: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 024

TOWN OF

ACCT NO

0943Check if this is an Amended Return

MEEME FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

654 584 1,353 14,006,600 69,051,700 83,058,300

14 10 28 187,000 818,200 1,005,200

848 15,881 2,831,900 2,831,900

665 2,094 2,008,000 2,008,000

249 1,821 1,884,200 1,884,200

101 838 1,774,000 1,774,000

101 97 1,855,300 15,144,400 297 16,999,700

2,640 697 24,827,900 87,131,500 22,425 111,959,400

28

0

175,341

12,126

16,169

203,636

113,253,936

05/08/2017 GROTA APPRAISALS (262) 253-1142

8 6 113 280,900 2,117,200 2,398,100

0 0

1,027,100 1,202,441

55,900 68,026

7,900 24,069

1,090,900 1,294,536

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .95974042 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

Page 46: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 024 0943

$1.87

$8.27

18

19

20

21

22

23

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

Page 2

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres

Assessed Value of Omitted Property From Prior Years (Sec. 70.44)

(a) REAL ESTATE (b) PERSONAL

Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL

Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL

Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

1 40 80,000

1 12 16,800 25 338.9 522,300

5 63 60,400

1.4 20.83 56.33

LIBERTY SANITARY DISTRICT #1367120 0220 718,800

718,800

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

Page 47: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

024

ACCT NO

0943

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

362828

592605

0209

0348

SCH D OF KIEL AREA

SCH D OF HOWARDS GROVE

108,184,436

1,580,500

109,764,936

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 109,764,936

109,764,936

3,489,000

111,673,436

1,580,500

3,489,000 113,253,936

3,489,000 113,253,936

3,489,000 113,253,936

Page 48: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971

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63

Page 4

LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS

Page 49: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 026

TOWN OF

ACCT NO

0944Check if this is an Amended Return

MISHICOT FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

547 453 962 7,309,800 55,537,300 62,847,100

27 18 69 414,100 2,422,000 2,836,100

587 11,279 1,949,400 1,949,400

426 1,539 1,602,800 1,602,800

136 1,308 1,701,100 1,701,100

86 850 2,113,900 2,113,900

144 144 1,901,700 15,815,300 322 17,717,000

1,953 615 16,992,800 73,774,600 16,329 90,767,400

36

0

353,100

81,900

37,100

472,100

91,239,500

06/01/2017 MELISSA DARON (920) 776-1353

0 0 0 0 0 0

0 0

0 353,100

0 81,900

0 37,100

0 472,100

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .965189924 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

Page 50: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 026 0944

$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 14 18,200 42 729.27 1,432,700

4 113.42 294,900

136.13 7.49 67.04

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

Page 51: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

026

ACCT NO

0944

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

363661 0211 SCH D OF MISHICOT 91,239,500

91,239,500

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 91,239,500

91,239,500

91,239,500

91,239,500

91,239,500

91,239,500

Page 52: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 53: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 028

TOWN OF

ACCT NO

0945Check if this is an Amended Return

NEWTON FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

1,088 944 2,370 44,029,400 138,938,500 182,967,900

64 48 190 1,761,000 6,932,900 8,693,900

853 13,863 2,530,700 2,530,700

508 1,600 818,400 818,400

216 1,417 1,288,300 1,288,300

99 842 1,509,000 1,509,000

80 79 1,095,800 14,193,200 169 15,289,000

2,927 1,088 53,596,000 171,632,900 20,640 225,228,900

73

0

1,052,400

370,500

168,600

1,591,500

228,056,200

05/25/2017 JOSEPH DENOR (920) 468-9698

19 17 189 563,400 11,568,300 12,131,700

0 0

878,700 1,931,100

282,600 653,100

74,500 243,100

1,235,800 2,827,300

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .985917673 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

Page 54: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 028 0945

$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

28 388.73 604,600

8 100.22 146,000

34.02 100.53 146.93

SILVER LAKE DISTRICT

ENGLISH LAKE PROT & REHAB DISTRICT

368030

368040

0223

0224

13,174,300

13,174,300

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

Page 55: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

028

ACCT NO

0945

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

363290

365866

0210

0214

SCH D OF MANITOWOC

SCH D OF VALDERS AREA

164,467,900

50,220,800

214,688,700

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 214,688,700

214,688,700

11,753,700

1,613,800

176,221,600

51,834,600

13,367,500 228,056,200

13,367,500 228,056,200

13,367,500 228,056,200

Page 56: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 57: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 030

TOWN OF

ACCT NO

0946Check if this is an Amended Return

ROCKLAND FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

395 344 744 11,337,900 42,531,800 53,869,700

30 24 50 690,200 2,607,700 3,297,900

579 11,537 2,037,100 2,037,100

511 3,278 2,414,200 2,414,200

126 1,423 1,627,600 1,627,600

39 536 1,169,900 1,169,900

109 109 2,402,800 12,876,200 177 15,279,000

1,790 478 21,683,400 58,036,300 17,745 79,719,700

53

0

1,825,300

171,100

333,000

2,329,400

82,067,700

06/28/2017 SCOTT TENNESSEN (920) 423-3502

1 1 0 3,700 20,600 24,300

0 0

17,400 1,842,700

700 171,800

500 333,500

18,600 2,348,000

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .916691253 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

Page 58: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 030 0946

$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 97.33 223,000

1 15 36,000 10 115.28 242,300

4,240.55 15.76 139.7

ROCKLAND SANITARY DISTRICT #1367080 0216 8,780,200

27,200 8,807,400

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

Page 59: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

030

ACCT NO

0946

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

080658

364760

365866

0048

0212

0214

SCH D OF BRILLION

SCH D OF REEDSVILLE

SCH D OF VALDERS AREA

25,566,500

38,077,200

18,381,100

82,024,800

001100

001200

0010

0011

LAKESHORE TECHNICAL COLLEGE CLEV

FOX VALLEY TECHNICAL COLLEGE APPL

56,458,300

25,566,500

82,024,800

42,900

25,566,500

38,077,200

18,424,000

42,900 82,067,700

42,900

56,501,200

25,566,500

42,900 82,067,700

Page 60: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 61: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 032

TOWN OF

ACCT NO

0947Check if this is an Amended Return

SCHLESWIG FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

1,068 974 2,443 60,604,300 141,725,500 202,329,800

36 24 187 1,778,400 3,744,700 5,523,100

620 9,967 1,497,600 1,497,600

504 3,063 3,621,300 3,621,300

180 1,599 2,417,600 2,417,600

101 980 2,977,100 2,977,100

38 38 561,300 3,460,500 67 4,021,800

2,555 1,042 74,179,900 151,437,600 18,496 225,617,500

32

0

418,300

30,700

33,000

482,000

227,027,500

05/08/2017 MICHAEL DENOR (920) 468-9698

8 6 190 722,300 2,506,900 3,229,200

0 0

875,100 1,293,400

40,600 71,300

12,300 45,300

928,000 1,410,000

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.004433346 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

Page 62: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 032 0947

$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 54 145,600 56 1,011.14 2,669,000

31 666.48 1,902,500

200.15 169.32 412.93

SCHLESWIG SANITARY DISTRICT #1

SCHLESWIG SANITARY DISTRICT #2

CEDAR LAKE REHABILITATION DISTRICT

SHEBOYGAN RIVER & ROCKVILLE MILL POND DIST

MILLHOME DAM LAKE DISTRICT

367090

367100

368020

368050

368060

0217

0218

0222

0574

0601

46,372,900

23,339,600

46,416,800

3,994,000

13,229,800

2,100

46,372,900

23,339,600

46,416,800

3,996,100

13,229,800

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

Page 63: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

032

ACCT NO

0947

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

362828 0209 SCH D OF KIEL AREA 222,870,300

222,870,300

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 222,870,300

222,870,300

4,157,200 227,027,500

4,157,200 227,027,500

4,157,200 227,027,500

4,157,200 227,027,500

Page 64: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 65: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 034

TOWN OF

ACCT NO

0948Check if this is an Amended Return

TWO CREEKS FOR

Town - Village - City Municipality Name County Name

MANITOWOC COUNTY

REMARKS

OF

Page 1

WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS

LineNo.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

AGRICULTURAL FOREST - Class 5m

TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)

NO. OF ACRESWHOLE

NUMBERS ONLY

TOTAL VALUE OF LANDAND IMPROVEMENTS

LOCALLY ASSESSED MANUFACTURING MERGED

REAL ESTATE(See Lines 18 - 22 for

other Real Estate)

PARCEL COUNT

RESIDENTIAL - Class 1

COMMERCIAL - Class 2

MANUFACTURING - Class 3

AGRICULTURAL - Class 4

UNDEVELOPED - Class 5

FOREST LANDS - Class 6

OTHER - Class 7

TOTAL - ALL COLUMNS

NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL

BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1

MACHINERY,TOOLS AND PATTERNS - Code 2

FURNITURE, FIXTURES AND EQUIPMENT - Code 3

ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C

AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F

BOARD OF REVIEWDATE OF FINAL ADJOURNMENT

Name of Assessor Telephone #

TOTAL LAND

Col. A

IMPROVEMENTS

Col. B Col. C

VALUE OFLAND

Col. D

VALUE OFIMPROVEMENTS

Col. E Col. F

165 150 539 9,258,300 23,016,800 32,275,100

8 6 16 275,200 459,100 734,300

304 6,961 1,545,400 1,545,400

224 691 759,700 759,700

23 175 350,500 350,500

4 48 193,800 193,800

59 59 1,342,600 9,253,100 198 10,595,700

787 215 13,725,500 32,729,000 8,628 46,454,500

24

0

139,400

9,100

8,600

157,100

46,614,300

05/31/2017 ALFRED KOHNLE (920) 255-4996

0 0 0 0 0 0

0 0

2,000 141,400

100 9,200

600 9,200

2,700 159,800

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.014490987 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

Page 66: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 034 0948

$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 31 124,000

170.37 636.54

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 67: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

034

ACCT NO

0948

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

312814

363661

0190

0211

SCH D OF KEWAUNEE

SCH D OF MISHICOT

19,045,700

27,565,900

46,611,600

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 46,611,600

46,611,600

2,700

19,045,700

27,568,600

2,700 46,614,300

2,700 46,614,300

2,700 46,614,300

Page 68: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 69: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 036

TOWN OF

ACCT NO

0949Check if this is an Amended Return

TWO RIVERS FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

1,004 826 1,981 24,996,700 96,029,600 121,026,300

56 33 206 1,132,700 3,589,500 4,722,200

374 8,098 1,369,200 1,369,200

412 2,894 4,348,500 4,348,500

68 559 838,200 838,200

93 1,250 3,647,900 3,647,900

72 72 1,562,900 6,434,500 121 7,997,400

2,084 936 37,988,100 107,425,400 15,142 145,413,500

21

0

138,700

31,500

16,600

186,800

145,707,700

10/17/2017 SCOTT TENNESSEN (920) 423-3502

5 5 33 92,000 1,371,800 1,463,800

0 0

78,400 217,100

26,900 58,400

2,100 18,700

107,400 294,200

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.045789026 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

Page 70: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 036 0949

$1.87

$8.27

18

19

20

21

22

23

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

Page 2

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres

Assessed Value of Omitted Property From Prior Years (Sec. 70.44)

(a) REAL ESTATE (b) PERSONAL

Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL

Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL

Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

15 226.77 654,800

4 92 276,000

129.56 2,955.82 149.28 1,415.58

TWO RIVERS SANITARY DISTRICT #1367110 0219 41,952,800

317,200 42,270,000

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

Page 71: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

036

ACCT NO

0949

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

363290

363661

365824

0210

0211

0213

SCH D OF MANITOWOC

SCH D OF MISHICOT

SCH D OF TWO RIVERS

20,578,400

18,156,500

105,401,600

144,136,500

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 144,136,500

144,136,500

309,400

1,261,800

20,887,800

18,156,500

106,663,400

1,571,200 145,707,700

1,571,200 145,707,700

1,571,200 145,707,700

Page 72: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 73: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 112

VILLAGE OF

ACCT NO

0950Check if this is an Amended Return

CLEVELAND FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

648 540 424 22,534,300 61,121,600 83,655,900

58 44 105 2,066,400 7,712,900 9,779,300

32 255 48,900 48,900

18 42 22,100 22,100

2 2 3,000 3,000

1 1 200 200

1 1 22,800 130,000 7 152,800

761 586 24,727,000 68,972,200 837 93,699,200

57

0

561,600

325,100

17,100

903,800

94,606,000

07/19/2017 ACCURATE APPRAISAL LLC (800) 770-3927

1 1 1 29,300 7,700 37,000

0 0

3,000 564,600

0 325,100

0 17,100

3,000 906,800

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.027202409 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

Page 74: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 112 0950

$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

7.46 3.09 297.04

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

Page 75: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

112

ACCT NO

0950

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

595271 0353 SCH D OF SHEBOYGAN AREA 94,566,000

94,566,000

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 94,566,000

94,566,000

40,000 94,606,000

40,000 94,606,000

40,000 94,606,000

40,000 94,606,000

Page 76: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 77: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 126

VILLAGE OF

ACCT NO

0951Check if this is an Amended Return

FRANCIS CREEK FOR

Town - Village - City Municipality Name County Name

MANITOWOC COUNTY

REMARKS

OF

Page 1

WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS

LineNo.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

AGRICULTURAL FOREST - Class 5m

TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)

NO. OF ACRESWHOLE

NUMBERS ONLY

TOTAL VALUE OF LANDAND IMPROVEMENTS

LOCALLY ASSESSED MANUFACTURING MERGED

REAL ESTATE(See Lines 18 - 22 for

other Real Estate)

PARCEL COUNT

RESIDENTIAL - Class 1

COMMERCIAL - Class 2

MANUFACTURING - Class 3

AGRICULTURAL - Class 4

UNDEVELOPED - Class 5

FOREST LANDS - Class 6

OTHER - Class 7

TOTAL - ALL COLUMNS

NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL

BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1

MACHINERY,TOOLS AND PATTERNS - Code 2

FURNITURE, FIXTURES AND EQUIPMENT - Code 3

ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C

AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F

BOARD OF REVIEWDATE OF FINAL ADJOURNMENT

Name of Assessor Telephone #

TOTAL LAND

Col. A

IMPROVEMENTS

Col. B Col. C

VALUE OFLAND

Col. D

VALUE OFIMPROVEMENTS

Col. E Col. F

281 252 127 3,530,400 29,519,900 33,050,300

41 33 75 1,169,600 5,471,600 6,641,200

28 307 62,800 62,800

11 49 47,300 47,300

3 12 11,300 11,300

2 18 37,500 37,500

1 1 4,300 14,300 0 18,600

369 287 4,892,200 35,182,000 593 40,074,200

31

0

356,675

130,187

25,326

512,188

40,614,688

06/06/2017 UP NORTH ASSESSMENTS (715) 845-2022

2 1 5 29,000 176,200 205,200

0 0

18,700 375,375

800 130,987

8,800 34,126

28,300 540,488

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.017204508 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

Page 78: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 126 0951

$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

28.53 34.5

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 79: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

126

ACCT NO

0951

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

363661 0211 SCH D OF MISHICOT 40,381,188

40,381,188

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 40,381,188

40,381,188

233,500 40,614,688

233,500 40,614,688

233,500 40,614,688

233,500 40,614,688

Page 80: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 81: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 132

VILLAGE OF

ACCT NO

0952Check if this is an Amended Return

KELLNERSVILLE FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

123 115 63 1,418,800 9,799,400 11,218,200

12 11 24 265,500 1,258,700 1,524,200

20 216 42,300 42,300

1 1 1,400 1,400

0 0 0 0

0 0 0 0

5 5 58,000 328,800 8 386,800

161 131 1,786,000 11,386,900 312 13,172,900

12

0

113,600

57,200

5,800

176,600

13,349,500

05/15/2017 MICHAEL DENOR (920) 468-9698

0 0 0 0 0 0

0 0

0 113,600

0 57,200

0 5,800

0 176,600

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.031941127 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

Page 82: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 132 0952

$1.87

$8.27

18

19

20

21

22

23

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

(a) PARCELS (b) ACRES (c) ASSESSED VALUE

Page 2

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres

Assessed Value of Omitted Property From Prior Years (Sec. 70.44)

(a) REAL ESTATE (b) PERSONAL

Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL

Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL

Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

17.58

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 83: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

132

ACCT NO

0952

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

364760 0212 SCH D OF REEDSVILLE 13,349,500

13,349,500

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 13,349,500

13,349,500

13,349,500

13,349,500

13,349,500

13,349,500

Page 84: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 85: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 147

VILLAGE OF

ACCT NO

0953Check if this is an Amended Return

MARIBEL FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

135 120 84 2,415,500 11,422,000 13,837,500

17 14 31 410,700 2,340,700 2,751,400

28 489 83,400 83,400

14 45 22,900 22,900

1 9 5,200 5,200

0 0 0 0

3 3 22,500 29,800 3 52,300

199 138 2,982,200 14,139,900 662 17,122,100

17

0

440,900

41,800

86,900

569,600

17,722,800

05/08/2017 SCOTT TENNESSEN (920) 423-3502

1 1 1 22,000 347,400 369,400

0 0

15,500 456,400

3,600 45,400

12,000 98,900

31,100 600,700

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.023927885 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

Page 86: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 147 0953

$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

21.94 44.23

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 87: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

147

ACCT NO

0953

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

051407 0034 SCH D OF DENMARK 17,322,300

17,322,300

001300 0012 NORTHEAST WISCONSIN TECH COLLEGE GNBY 17,322,300

17,322,300

400,500 17,722,800

400,500 17,722,800

400,500 17,722,800

400,500 17,722,800

Page 88: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 89: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 151

VILLAGE OF

ACCT NO

0954Check if this is an Amended Return

MISHICOT FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

846 635 327 10,908,000 54,559,600 65,467,600

92 82 406 2,841,300 11,127,800 13,969,100

32 500 88,900 88,900

36 112 92,400 92,400

2 19 25,700 25,700

10 53 143,200 143,200

2 2 18,700 83,000 2 101,700

1,021 720 14,137,900 65,816,300 1,427 79,954,200

75

0

981,900

559,700

51,500

1,593,100

81,548,600

05/11/2017 ASSOC APPR CONSULTANTS INC (800) 721-4157

1 1 8 19,700 45,900 65,600

0 0

900 982,800

300 560,000

100 51,600

1,300 1,594,400

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .964469943 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

Page 90: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 151 0954

$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

7.3 142.35

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 91: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

151

ACCT NO

0954

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

363661 0211 SCH D OF MISHICOT 81,481,700

81,481,700

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 81,481,700

81,481,700

66,900 81,548,600

66,900 81,548,600

66,900 81,548,600

66,900 81,548,600

Page 92: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 93: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 176

VILLAGE OF

ACCT NO

0955Check if this is an Amended Return

REEDSVILLE FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

443 382 144 4,552,700 33,713,700 38,266,400

66 46 59 824,200 6,946,400 7,770,600

29 203 35,200 35,200

12 53 20,500 20,500

1 3 4,200 4,200

3 10 28,800 28,800

1 1 3,200 6,500 1 9,700

557 431 5,566,800 41,269,300 494 46,836,100

44

0

913,000

229,200

31,500

1,173,700

48,214,900

05/10/2017 SCOTT TENNESSEN (920) 423-3502

2 2 21 98,000 602,700 700,700

0 0

200,600 1,113,600

700 229,900

3,800 35,300

205,100 1,378,800

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .934563506 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

Page 94: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 176 0955

$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

3.73 155.84

Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @

Private Forest Crop - Special Class @ 20¢ per acre

Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @

Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @

$2.52 per acre

$.79 per acre per acre

$2.14 $10.68per acre per acre

(d) PARCELS (e) ACRES (f) ASSESSED VALUE

Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre

Page 95: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

176

ACCT NO

0955

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

364760 0212 SCH D OF REEDSVILLE 47,309,100

47,309,100

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 47,309,100

47,309,100

905,800 48,214,900

905,800 48,214,900

905,800 48,214,900

905,800 48,214,900

Page 96: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 97: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 181

VILLAGE OF

ACCT NO

0956Check if this is an Amended Return

SAINT NAZIANZ FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

260 235 163 2,769,000 22,229,200 24,998,200

42 32 54 739,000 4,398,900 5,137,900

20 110 21,100 21,100

4 26 39,000 39,000

0 0 0 0

1 3 8,400 8,400

1 1 17,800 879,900 4 897,700

333 271 3,898,800 32,417,100 408 36,315,900

40

0

897,800

76,500

21,600

995,900

38,020,200

07/06/2017 ACCURATE APPRAISAL LLC (800) 770-3927

5 3 48 304,500 4,909,100 5,213,600

0 0

435,100 1,332,900

180,500 257,000

92,800 114,400

708,400 1,704,300

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.056414375 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

Page 98: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 181 0956

$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 3.95 10,500

3.7 76.94

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

Page 99: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

181

ACCT NO

0956

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

365866 0214 SCH D OF VALDERS AREA 32,098,200

32,098,200

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 32,098,200

32,098,200

5,922,000 38,020,200

5,922,000 38,020,200

5,922,000 38,020,200

5,922,000 38,020,200

Page 100: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 101: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 186

VILLAGE OF

ACCT NO

0957Check if this is an Amended Return

VALDERS FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

333 319 117 7,404,500 29,199,400 36,603,900

63 52 105 2,135,000 7,374,700 9,509,700

17 236 45,200 45,200

4 16 7,600 7,600

0 0 0 0

0 0 0 0

0 0 0 0 0 0

439 381 10,719,000 41,404,100 729 52,123,100

73

0

261,900

521,700

37,300

820,900

54,970,600

05/08/2017 ASSOC APPR CONSULTANTS INC (800) 721-4157

22 10 255 1,126,700 4,830,000 5,956,700

0 0

1,807,700 2,069,600

125,300 647,000

93,600 130,900

2,026,600 2,847,500

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.062589892 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

Page 102: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 186 0957

$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

139.61

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

Page 103: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

186

ACCT NO

0957

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

365866 0214 SCH D OF VALDERS AREA 46,987,300

46,987,300

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 46,987,300

46,987,300

7,983,300 54,970,600

7,983,300 54,970,600

7,983,300 54,970,600

7,983,300 54,970,600

Page 104: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971

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59

Page 4

LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS

Page 105: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 191

VILLAGE OF

ACCT NO

0958Check if this is an Amended Return

WHITELAW FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

323 295 136 5,820,000 28,085,500 33,905,500

35 21 30 690,500 3,230,000 3,920,500

4 20 3,900 3,900

5 37 18,600 18,600

0 0 0 0

1 5 15,000 15,000

0 0 0 0 0 0

368 316 6,548,000 31,315,500 228 37,863,500

30

0

200,700

153,600

50,500

404,800

38,268,300

05/22/2017 ASSOC APPR CONSULTANTS INC (800) 721-4157

0 0 0 0 0 0

0 0

0 200,700

0 153,600

0 50,500

0 404,800

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .955393833 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

Page 106: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 191 0958

$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

83.17

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

Page 107: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

191

ACCT NO

0958

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

365866 0214 SCH D OF VALDERS AREA 38,268,300

38,268,300

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 38,268,300

38,268,300

38,268,300

38,268,300

38,268,300

38,268,300

Page 108: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 109: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 241

CITY OF

ACCT NO

0959Check if this is an Amended Return

KIEL FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

1,287 1,232 387 18,003,600 131,949,900 149,953,500

149 125 178 5,870,400 33,939,500 39,809,900

6 22 3,600 3,600

3 8 7,300 7,300

0 0 0 0

2 4 10,800 10,800

0 0 0 0 0 0

1,463 1,371 24,722,900 193,290,400 707 218,013,300

153

0

1,059,900

1,859,200

123,300

3,042,400

226,136,300

05/08/2017 MICHAEL DENOR (920) 468-9698

16 14 108 827,200 27,401,000 28,228,200

0 0

3,956,400 5,016,300

801,500 2,660,700

322,700 446,000

5,080,600 8,123,000

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .912014072 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

Page 110: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 241 0959

$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

.3 447.3

SHEBOYGAN RIVER & ROCKVILLE MILL POND DIST368050 0574 3,300,100

3,300,100

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

Page 111: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

241

ACCT NO

0959

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

362828 0209 SCH D OF KIEL AREA 192,827,500

192,827,500

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 192,827,500

192,827,500

33,308,800 226,136,300

33,308,800 226,136,300

33,308,800 226,136,300

33,308,800 226,136,300

Page 112: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 113: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 251

CITY OF

ACCT NO

0960Check if this is an Amended Return

MANITOWOC FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

11,808 11,272 3,243 242,076,900 1,085,864,000 1,327,940,900

1,100 967 1,688 113,221,600 342,954,600 456,176,200

73 706 115,400 115,400

43 335 168,800 168,800

2 10 10,000 10,000

0 0 0 0

0 0 0 0 0 0

13,131 12,343 372,086,500 1,569,185,800 6,684 1,941,272,300

1,112

33,000

10,501,700

27,732,100

7,896,300

46,163,100

2,008,054,600

08/29/2017 RYAN WILSON, ACCURATE APPRAISAL (920) 686-6970

105 104 702 16,493,800 140,367,200 156,861,000

0 33,000

8,583,100 19,084,800

9,072,900 36,805,000

2,963,200 10,859,500

20,619,200 66,782,300

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.0723117 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

Page 114: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 251 0960

$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

2,772.99

350,000 482,900 310,200

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

Page 115: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

251

ACCT NO

0960

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

363290 0210 SCH D OF MANITOWOC 1,830,574,400

1,830,574,400

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 1,830,574,400

1,830,574,400

177,480,200 2,008,054,600

177,480,200 2,008,054,600

177,480,200 2,008,054,600

177,480,200 2,008,054,600

Page 116: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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

Page 117: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

STATEMENT OF ASSESSMENT FOR 2017 CO MUN

LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)

36 286

CITY OF

ACCT NO

0961Check if this is an Amended Return

TWO RIVERS FOR

Town - Village - City Municipality Name County Name

MANITOWOC 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

4,659 4,410 1,446 56,023,500 323,522,500 379,546,000

360 296 471 12,661,400 78,426,100 91,087,500

4 98 18,200 18,200

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 0 0

5,053 4,736 71,063,000 422,706,000 2,159 493,769,000

453

1,500

2,446,400

4,440,200

1,166,800

8,054,900

503,679,800

08/30/2017 SALLY A. VANDERVEREN (920) 793-5572

30 30 144 2,359,900 20,757,400 23,117,300

0 1,500

946,700 3,393,100

822,700 5,262,900

86,500 1,253,300

1,855,900 9,910,800

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .984832513 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

Page 118: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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

2017 36 286 0961

$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 3 34 1,130

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

Page 119: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

YEAR

2017CO

36MUN

286

ACCT NO

0961

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

363290

365824

0210

0213

SCH D OF MANITOWOC

SCH D OF TWO RIVERS

16,351,300

462,355,300

478,706,600

001100 0010 LAKESHORE TECHNICAL COLLEGE CLEV 478,706,600

478,706,600

24,973,200

16,351,300

487,328,500

24,973,200 503,679,800

24,973,200 503,679,800

24,973,200 503,679,800

Page 120: 2017 Statement of Assessment for Manitowoc CountySTATEMENT OF ASSESSMENT FOR 2017 CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 36 002 TOWN OF ACCT NO 0932 Check if this is an

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) 266-2569 or (608) 264-6892 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