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Form BOE-529-I Fillable Schedule of Intangible Information
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)N/A box on the front of the BOE 517 indicating nothing to be reported (checkbox) Unchecked (CLEAR) CLEAR (if applicable) (PRINT) PRINT (Sticky Note comment SBE NO (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 1 Organization 1/12/2001 12:54:06 PM 10 Covenant Not To Compete 11 Favorable Contracts 12 Others please list: 2 Franchises and Consents 3 Misc Intangible Plant 4 Plant Acquisition Adjustment 5 Radio Station Authorizations i e FCC License 6 Customer Base 7 Trade Name 8 Working Capital 9 Distribution Agreement A B C D E F G H and/or studies If you have no intangibles please check the box below to indicate this schedule is not applicable to you (Detailed instructions are listed on the back of this form ) Attach supporting data analyses etc for intangible value(s) reported under the cost income sale and/or other bases BASIS OF VALUE BOE 529 I (BACK) REV 2 (10 99) BOE 529 I (FRONT) REV 2 (10 99) STATE OF CALIFORNIA Column C COMMENTS COMPANY NAME SBE NO LIEN DATE (year) COST INCOME SALE OTHER DESCRIBE (attach additional sheets if needed) DESCRIPTION OF INTANGIBLE G/L ACCOUNT NO Enter individual values for intangibles other than the ones listed in the appropriate boxes on lines 13 through 20 Columns D through G Describe Enter the company name the State Board of Equalization assessee number (SBE No ) and the lien date year in the appropriate spaces provided Enter the value for each listed intangible if applicable in the boxes on lines 1 through 11 Columns D through G For any value entry made under Column G describe the basis of each value in the corresponding box under Column H If any value is derived from your accounting records enter the corresponding general ledger account number in the appropriate box under If you have no intangibles to report (no entries are made on lines 1 through 20) check the box indicating no reportable intangibles or mark the INSTRUCTIONS FOR REPORTING INTANGIBLE INFORMATION No Reportable Intangibles NOTE: Please read the instruction page before completing this form ) Please enter your four digit SBE Number here If you do not know your SBE Number or wish to verify it refer to the State Assessed Property Program State Assessee SBE Number Listing that is located on this web site Please provide intangible value(s) if applicable in the appropriate space(s) below As with other claimed deductions such claimed intangible value(s) must be supported by independent data analyses Provide any additional explanation and clarification in the Comments section SCHEDULE OF INTANGIBLE INFORMATION BOARD OF EQUALIZATION such intangibles under Column B Note:You may attach additional sheets if more space is needed