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STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 002
TOWN OF
ACCT NO
1374Check if this is an Amended Return
AKAN FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
150 147 150 1,460,300 10,875,700 12,336,000
7 5 19 117,500 364,900 482,400
615 13,252 1,904,300 1,904,300
337 1,646 1,882,500 1,882,500
146 2,004 2,708,600 2,708,600
85 886 2,393,500 2,393,500
120 120 1,093,400 8,824,100 122 9,917,500
1,460 272 11,560,100 20,064,700 18,079 31,624,800
13
0
22,200
3,600
23,000
48,800
31,673,600
05/22/2015 WORTH SERVICES - WILLIAM HANSON (608) 476-2262
0 0 0 0 0 0
0 0
0 22,200
0 3,600
0 23,000
0 48,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.042330184 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 002 1374
$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 75 202,500
7 115 239,100 137 3,081.18 6,536,000
76 1,675.13 3,509,800
57.5 51.65 47.18
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
002
ACCT NO
1374
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
122016
223850
524851
0077
0140
0314
SCH D OF NORTH CRAWFORD
SCH D OF RIVERDALE (MUSCODA)
SCH D OF RICHLAND
349,800
2,512,600
28,811,200
31,673,600
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 31,673,600
31,673,600
349,800
2,512,600
28,811,200
31,673,600
31,673,600
31,673,600
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 004
TOWN OF
ACCT NO
1375Check if this is an Amended Return
BLOOM FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
181 160 166 1,416,600 11,241,400 12,658,000
9 6 6 52,700 32,400 85,100
702 16,225 2,296,900 2,296,900
383 749 386,900 386,900
309 3,677 4,777,200 4,777,200
23 237 585,600 585,600
169 164 1,621,500 10,907,600 228 12,529,100
1,777 330 11,195,000 22,181,400 21,328 33,376,400
11
0
0
200
12,100
12,300
33,388,700
05/14/2015 WORTH SERVICES (608) 476-2262
1 0 40 57,600 0 57,600
0 0
0 0
0 200
0 12,100
0 12,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .992245085 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 004 1375
$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 92.5 222,300 70 1,441.65 2,318,800
11 260 440,700
30.73 28.24
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
004
ACCT NO
1375
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
524851
622541
625960
0314
0366
0368
SCH D OF RICHLAND
SCH D OF HILLSBORO
SCH D OF KICKAPOO AREA (VIOLA)
8,217,600
4,142,300
20,971,200
33,331,100
000200
000300
0002
0003
WESTERN TECHNICAL COLLEGE LACR
SOUTHWEST WISCONSIN TECH COLLEGE FENN
4,142,300
29,188,800
33,331,100
57,600
8,217,600
4,142,300
21,028,800
57,600 33,388,700
57,600
4,142,300
29,246,400
57,600 33,388,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 006
TOWN OF
ACCT NO
1376Check if this is an Amended Return
BUENA VISTA FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
820 656 1,384 13,138,700 66,778,000 79,916,700
31 29 78 496,000 5,178,300 5,674,300
624 13,421 2,350,400 2,350,400
266 1,824 526,800 526,800
203 2,831 3,652,200 3,652,200
70 1,011 2,629,500 2,629,500
93 93 1,209,800 9,396,400 170 10,606,200
2,111 781 24,187,000 82,163,400 20,736 106,350,400
59
0
297,200
244,700
216,900
758,800
107,198,500
06/30/2015 HUGH HARPER (608) 629-5432
4 3 17 183,600 810,700 994,300
0 0
74,800 372,000
5,700 250,400
8,800 225,700
89,300 848,100
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.023130494 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 006 1376
$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 15 39,000 75 1,816.12 3,963,000
44 1,112.03 2,513,900
2,066.29 133.4 313.68
SEXTONVILLE SANITARY DISTRICT527020 0326 16,430,600
16,430,600
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
006
ACCT NO
1376
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
522660
524851
565523
0313
0314
0336
SCH D OF ITHACA
SCH D OF RICHLAND
SCH D OF RIVER VALLEY (SPRING GREEN)
20,553,700
41,977,400
43,583,800
106,114,900
000300
000400
0003
0004
SOUTHWEST WISCONSIN TECH COLLEGE FENN
MADISON AREA TECHNICAL COLLEGE MADN
62,532,500
43,582,400
106,114,900
1,083,600
20,553,700
43,061,000
43,583,800
1,083,600 107,198,500
1,083,600
63,616,100
43,582,400
1,083,600 107,198,500
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 008
TOWN OF
ACCT NO
1377Check if this is an Amended Return
DAYTON FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
260 240 385 3,185,600 24,797,400 27,983,000
14 11 21 122,400 773,900 896,300
594 10,714 1,561,800 1,561,800
290 1,119 1,232,800 1,232,800
242 3,103 4,032,800 4,032,800
137 1,636 4,269,235 4,269,235
109 104 982,100 7,241,300 150 8,223,400
1,646 355 15,386,735 32,812,600 17,128 48,199,335
26
0
48,400
188,440
148,800
385,640
48,584,975
07/22/2015 HEATHER WOLF (608) 797-9431
0 0 0 0 0 0
0 0
0 48,400
0 188,440
0 148,800
0 385,640
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.023156065 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 008 1377
$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
10 194.25 507,800 148 3,232.42 7,263,000
2 45 78,600 62 1,337.36 2,785,500
5.16 240.02 186.31
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
008
ACCT NO
1377
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
524851 0314 SCH D OF RICHLAND 48,584,975
48,584,975
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 48,584,975
48,584,975
48,584,975
48,584,975
48,584,975
48,584,975
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: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 010
TOWN OF
ACCT NO
1378Check if this is an Amended Return
EAGLE FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
184 169 198 2,865,000 14,019,100 16,884,100
14 6 76 316,500 456,500 773,000
676 15,883 2,425,700 2,425,700
307 1,589 389,200 389,200
83 990 1,140,500 1,140,500
42 661 1,490,000 1,490,000
146 144 1,951,800 13,972,700 243 15,924,500
1,455 321 10,607,200 28,702,900 19,654 39,310,100
20
0
24,500
18,500
10,800
53,800
39,391,800
05/26/2015 WORTH SERVICES (608) 476-2262
3 2 14 28,500 254,600 283,100
0 0
26,500 51,000
900 19,400
500 11,300
27,900 81,700
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.016424226 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 010 1378
$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
57 1,177 2,060,200
44 909.65 1,511,000
716.47 12.63 138.45
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
010
ACCT NO
1378
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
223850
524851
0140
0314
SCH D OF RIVERDALE (MUSCODA)
SCH D OF RICHLAND
31,020,100
8,060,700
39,080,800
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 39,080,800
39,080,800
311,000
31,331,100
8,060,700
311,000 39,391,800
311,000 39,391,800
311,000 39,391,800
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 012
TOWN OF
ACCT NO
1379Check if this is an Amended Return
FOREST FOR
Town - Village - City Municipality Name County Name
RICHLAND COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
79 77 94 568,700 6,984,100 7,552,800
0 0 0 0 0 0
572 12,913 1,630,300 1,630,300
149 1,119 1,334,500 1,334,500
210 2,666 3,603,600 3,603,600
87 986 2,663,000 2,663,000
162 159 1,136,000 11,249,900 184 12,385,900
1,263 237 11,037,800 20,058,800 18,011 31,096,600
12
0
1,700
1,900
64,400
68,000
31,906,000
05/23/2015 WORTH SERVICES (608) 476-2262
4 1 49 101,700 1,824,800 1,926,500
0 0
608,100 609,800
117,700 119,600
15,600 80,000
741,400 809,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.032134511 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 012 1379
$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
13 251 545,700 114 2,658.41 5,407,200
1 40 108,000 61 1,519.32 3,468,900
415.39 34.21 61.21
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
012
ACCT NO
1379
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
622863
625960
0367
0368
SCH D OF LA FARGE
SCH D OF KICKAPOO AREA (VIOLA)
1,391,300
27,846,800
29,238,100
000200
000300
0002
0003
WESTERN TECHNICAL COLLEGE LACR
SOUTHWEST WISCONSIN TECH COLLEGE FENN
1,391,300
27,846,800
29,238,100
2,667,900
1,391,300
30,514,700
2,667,900 31,906,000
2,667,900
1,391,300
30,514,700
2,667,900 31,906,000
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 014
TOWN OF
ACCT NO
1380Check if this is an Amended Return
HENRIETTA FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
222 190 295 2,548,200 11,801,600 14,349,800
3 2 1 8,200 126,700 134,900
577 11,090 1,550,200 1,550,200
335 1,593 1,438,900 1,438,900
200 2,361 2,958,000 2,958,000
70 776 1,921,500 1,921,500
150 149 1,990,500 8,582,500 208 10,573,000
1,557 341 12,415,500 20,510,800 16,324 32,926,300
14
0
1,600
14,700
88,300
104,600
33,030,900
05/11/2015 GARDINER APPRAISAL SERVICE, LLC (608) 943-8009
0 0 0 0 0 0
0 0
0 1,600
0 14,700
0 88,300
0 104,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.040559612 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 014 1380
$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
15 283.38 633,500 152 3,837.14 9,058,900
85 2,096.05 5,072,900
394.82 28.34 95.33
HUB-ROCK TOWN SANITARY DISTRICT #1527050 0328 1,672,600
1,672,600
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
014
ACCT NO
1380
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
524851
566354
622541
0314
0337
0366
SCH D OF RICHLAND
SCH D OF WESTON (IRONTON)
SCH D OF HILLSBORO
24,161,200
4,886,200
3,983,500
33,030,900
000200
000300
0002
0003
WESTERN TECHNICAL COLLEGE LACR
SOUTHWEST WISCONSIN TECH COLLEGE FENN
3,983,500
29,047,400
33,030,900
24,161,200
4,886,200
3,983,500
33,030,900
3,983,500
29,047,400
33,030,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 016
TOWN OF
ACCT NO
1381Check if this is an Amended Return
ITHACA FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
239 215 339 2,430,900 19,611,800 22,042,700
6 6 2 33,600 871,200 904,800
644 12,918 2,040,500 2,040,500
373 1,468 1,298,000 1,298,000
218 2,857 3,716,300 3,716,300
61 715 1,857,700 1,857,700
119 118 1,417,500 10,679,900 211 12,097,400
1,661 339 12,833,700 31,162,900 18,538 43,996,600
20
0
47,300
46,700
91,900
185,900
44,182,500
05/28/2015 GARDINER APPRAISAL SERVICE, LLC (608) 943-8009
1 0 28 39,200 0 39,200
0 0
0 47,300
0 46,700
0 91,900
0 185,900
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .975822888 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 016 1381
$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 80 180,700 93 2,455.06 4,955,300
3 55 97,500 62 1,316.04 2,762,500
431.01 53.61 84.44
ITHACA SANITARY DISTRICT #1527060 0329 4,433,200
4,433,200
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
016
ACCT NO
1381
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
522660
524851
565523
0313
0314
0336
SCH D OF ITHACA
SCH D OF RICHLAND
SCH D OF RIVER VALLEY (SPRING GREEN)
43,119,700
1,023,600
44,143,300
000300
000400
0003
0004
SOUTHWEST WISCONSIN TECH COLLEGE FENN
MADISON AREA TECHNICAL COLLEGE MADN
43,119,700
1,023,600
44,143,300
39,200
43,158,900
1,023,600
39,200 44,182,500
39,200
43,158,900
1,023,600
39,200 44,182,500
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 018
TOWN OF
ACCT NO
1382Check if this is an Amended Return
MARSHALL FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
212 198 428 2,058,800 18,521,800 20,580,600
3 2 4 19,600 144,200 163,800
550 9,620 1,540,600 1,540,600
405 1,497 1,061,000 1,061,000
268 3,066 3,988,000 3,988,000
114 1,460 3,786,400 3,786,400
119 118 858,400 8,634,700 159 9,493,100
1,672 318 13,490,200 27,300,700 16,275 40,790,900
14
0
386,300
5,100
181,400
572,800
41,363,700
05/26/2015 GARDINER APPRAISAL SERVICE, LLC (608) 943-8009
1 0 41 177,400 0 177,400
0 0
0 386,300
0 5,100
0 181,400
0 572,800
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.019988014 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 018 1382
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
12 352 807,300 195 4,100.96 7,558,600
102 2,377.07 4,666,200
5.61 27.32 30.7
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
018
ACCT NO
1382
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
524851 0314 SCH D OF RICHLAND 41,186,300
41,186,300
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 41,186,300
41,186,300
177,400 41,363,700
177,400 41,363,700
177,400 41,363,700
177,400 41,363,700
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 020
TOWN OF
ACCT NO
1383Check if this is an Amended Return
ORION FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
291 253 312 6,673,100 22,435,300 29,108,400
8 8 11 156,300 2,273,000 2,429,300
606 11,471 1,901,500 1,901,500
225 731 479,000 479,000
245 3,513 3,695,500 3,695,500
85 1,069 2,245,000 2,245,000
120 116 1,316,700 12,836,800 156 14,153,500
1,583 378 16,532,400 37,940,200 17,305 54,472,600
16
9,000
43,400
50,100
22,400
124,900
54,883,600
10/01/2015 WORTH SERVICES (608) 476-2262
3 1 42 65,300 395,100 460,400
0 9,000
284,200 327,600
0 50,100
1,900 24,300
286,100 411,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .980760556 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 020 1383
$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 48 92,500 108 2,695.29 4,453,700
57 1,640.83 2,455,300
1,010.98 66.44 57.03
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
020
ACCT NO
1383
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
223850
522660
524851
0140
0313
0314
SCH D OF RIVERDALE (MUSCODA)
SCH D OF ITHACA
SCH D OF RICHLAND
23,108,600
3,399,400
27,629,100
54,137,100
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 54,137,100
54,137,100
42,300
704,200
23,150,900
3,399,400
28,333,300
746,500 54,883,600
746,500 54,883,600
746,500 54,883,600
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 022
TOWN OF
ACCT NO
1384Check if this is an Amended Return
RICHLAND FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
465 433 792 8,172,000 49,832,700 58,004,700
44 35 150 2,028,900 3,554,000 5,582,900
499 8,258 1,285,200 1,285,200
378 1,226 1,014,900 1,014,900
212 2,481 2,972,600 2,972,600
220 1,865 4,464,200 4,464,200
99 99 990,100 5,569,300 127 6,559,400
1,919 568 21,054,200 59,114,700 14,969 80,168,900
52
0
461,790
177,615
89,797
729,202
80,917,302
07/13/2015 GRETCHEN JELINEK (608) 647-8481
2 1 70 126,300 158,700 285,000
0 0
15,000 476,790
2,100 179,715
2,100 91,897
19,200 748,402
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .941507569 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 022 1384
$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
8 110.46 164,300 136 2,885.79 5,787,300
2 15.6 37,400 69 1,444.64 3,092,900
49.98 386.47 135.96
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
022
ACCT NO
1384
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
522660
524851
0313
0314
SCH D OF ITHACA
SCH D OF RICHLAND
7,997,950
72,615,152
80,613,102
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 80,613,102
80,613,102
304,200
7,997,950
72,919,352
304,200 80,917,302
304,200 80,917,302
304,200 80,917,302
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: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 024
TOWN OF
ACCT NO
1385Check if this is an Amended Return
RICHWOOD FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
274 238 297 2,004,400 17,229,800 19,234,200
6 5 20 45,800 332,900 378,700
662 15,502 2,235,100 2,235,100
319 884 268,200 268,200
198 2,892 2,891,900 2,891,900
55 645 1,289,600 1,289,600
128 127 1,387,400 8,690,700 205 10,078,100
1,645 370 10,197,900 26,253,400 20,500 36,451,300
8
0
19,600
17,200
2,000
38,800
36,490,200
07/06/2015 DON MCGUIRE (608) 875-7327
3 0 55 75,500 0 75,500
0 0
0 19,600
0 17,200
100 2,100
100 38,900
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.001116182 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 024 1385
$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
6 172 344,000 65 1,742.48 3,485,000
43 1,150.4 2,300,800
3,094.88 23.88 41.96
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
024
ACCT NO
1385
Page 3
SCHOOL DISTRICTS
LineNo.
Enter 6-digitSchool DistrictCode (Col. A)
AccountNumber(Col. B)
School District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
A. SCHOOL DISTRICTS (K-8 and K-12)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50 TOTAL ASSESSED VALUE OF SCHOOL DISTRICTS (K-8 and K-12)
B. UNION HIGH SCHOOL DISTRICTS
51
52
53
54
55
C. TECHNICAL COLLEGE DISTRICTS
56
57
58
59 TOTAL ASSESSED VALUE OF TECHNICAL COLLEGES
I hereby certify, to the best of my knowledge and belief, this form is complete and correct.
Print name of preparer
Signature of preparer
Title
Contact Telephone Number
( ) -
Date (MM / DD / CCYY)
E-mail address
LGSSOA101WI -PA-521C (R. 9-10) (Sec. 70.53)
TOTAL ASSESSED VALUE OF UNION HIGH SCHOOLS
220609
223850
524851
0134
0140
0314
SCH D OF BOSCOBEL AREA
SCH D OF RIVERDALE (MUSCODA)
SCH D OF RICHLAND
1,810,400
34,143,300
460,900
36,414,600
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 36,414,600
36,414,600
75,600
1,810,400
34,218,900
460,900
75,600 36,490,200
75,600 36,490,200
75,600 36,490,200
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
NO
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 026
TOWN OF
ACCT NO
1386Check if this is an Amended Return
ROCKBRIDGE FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
229 222 436 3,013,800 23,164,200 26,178,000
13 12 6 72,800 284,700 357,500
708 13,721 1,851,100 1,851,100
290 863 223,700 223,700
236 2,869 4,305,000 4,305,000
67 547 1,641,100 1,641,100
158 152 1,538,200 13,976,700 196 15,514,900
1,702 387 12,705,700 37,773,900 18,656 50,479,600
17
0
42,700
4,400
152,900
200,000
50,747,600
05/18/2015 WORTH SERVICES (608) 476-2262
1 1 18 60,000 348,300 408,300
0 0
58,400 101,100
9,400 13,800
200 153,100
68,000 268,000
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.064449738 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 026 1386
$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 54.43 83,800 91 2,108.33 4,719,900
4 55 132,000 74 1,765.23 4,333,000
291.48 79.92 87.73
HUB-ROCK TOWN SANITARY DISTRICT #1527050 0328 4,117,100
4,117,100
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
026
ACCT NO
1386
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
522660
524851
0313
0314
SCH D OF ITHACA
SCH D OF RICHLAND
1,834,900
48,436,400
50,271,300
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 50,271,300
50,271,300
476,300
1,834,900
48,912,700
476,300 50,747,600
476,300 50,747,600
476,300 50,747,600
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 028
TOWN OF
ACCT NO
1387Check if this is an Amended Return
SYLVAN FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
138 132 161 1,422,500 9,477,500 10,900,000
13 12 18 129,300 1,425,700 1,555,000
644 13,812 2,039,500 2,039,500
336 1,017 981,700 981,700
262 2,539 3,555,200 3,555,200
93 833 2,332,200 2,332,200
162 158 1,704,000 10,302,500 245 12,006,500
1,649 302 12,229,300 21,205,700 18,677 33,435,000
15
0
30,900
0
97,200
128,100
33,622,900
05/12/2015 WORTH SERVICES (608) 476-2262
1 0 52 64,900 0 64,900
0 0
41,300 72,200
17,700 17,700
800 98,000
59,800 187,900
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.051158062 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 028 1387
$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 69 158,200 115 2,710.65 5,247,700
5 126 330,400 67 1,357.07 2,838,000
190.63 14.29 14.99
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
028
ACCT NO
1387
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
524851
625960
0314
0368
SCH D OF RICHLAND
SCH D OF KICKAPOO AREA (VIOLA)
21,121,300
12,376,900
33,498,200
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 33,498,200
33,498,200
64,900
59,800
21,186,200
12,436,700
124,700 33,622,900
124,700 33,622,900
124,700 33,622,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 030
TOWN OF
ACCT NO
1388Check if this is an Amended Return
WESTFORD FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
174 171 347 2,825,000 13,399,800 16,224,800
5 4 13 58,700 216,000 274,700
574 13,094 2,047,500 2,047,500
420 2,110 1,815,800 1,815,800
249 2,771 4,018,100 4,018,100
42 398 1,148,800 1,148,800
118 116 1,522,400 8,318,600 201 9,841,000
1,582 291 13,436,300 21,934,400 18,934 35,370,700
18
0
2,100
6,100
158,200
166,400
35,537,100
06/03/2015 ASSOCIATED APPRAISAL CONSULTANTS, INC. (920) 749-1995
0 0 0 0 0 0
0 0
0 2,100
0 6,100
0 158,200
0 166,400
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.057799752 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 030 1388
$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 62 181,300 88 2,010.67 5,816,400
1 12 34,800 57 1,142.52 3,034,200
.19 5.49 154.24
GERMANTOWN SANITARY DISTRICT527040 0327 1,494,400
1,494,400
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
030
ACCT NO
1388
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
296713
522660
566354
0175
0313
0337
SCH D OF WONEWOC-UNION CENTER
SCH D OF ITHACA
SCH D OF WESTON (IRONTON)
815,800
97,600
34,623,700
35,537,100
000300
000400
0003
0004
SOUTHWEST WISCONSIN TECH COLLEGE FENN
MADISON AREA TECHNICAL COLLEGE MADN
34,721,300
815,800
35,537,100
815,800
97,600
34,623,700
35,537,100
34,721,300
815,800
35,537,100
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 032
TOWN OF
ACCT NO
1389Check if this is an Amended Return
WILLOW FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
163 153 218 1,637,800 11,711,300 13,349,100
2 2 1 13,000 65,300 78,300
607 13,812 2,283,200 2,283,200
83 1,020 842,600 842,600
177 1,928 1,736,300 1,736,300
109 846 1,523,800 1,523,800
145 142 1,256,400 10,581,600 153 11,838,000
1,286 297 9,293,100 22,358,200 17,978 31,651,300
5
0
0
0
37,300
37,300
31,688,600
05/27/2015 WORTH SERVICES (608) 476-2262
0 0 0 0 0 0
0 0
0 0
0 0
0 37,300
0 37,300
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .948294849 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 032 1389
$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 52 64,800 112 2,735.08 4,189,600
1 42.48 76,500 59 1,300.4 2,012,500
470.41 380.85
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
032
ACCT NO
1389
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
522660
524851
566354
0313
0314
0337
SCH D OF ITHACA
SCH D OF RICHLAND
SCH D OF WESTON (IRONTON)
27,390,900
200,100
4,097,600
31,688,600
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 31,688,600
31,688,600
27,390,900
200,100
4,097,600
31,688,600
31,688,600
31,688,600
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 106
VILLAGE OF
ACCT NO
1390Check if this is an Amended Return
BOAZ FOR
Town - Village - City Municipality Name County Name
RICHLAND COUNTY
REMARKS
OF
Page 1
WHEN COMPLETING THIS DOCUMENTDO NOT WRITE OVER X's OR IN SHADED AREAS
LineNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
AGRICULTURAL FOREST - Class 5m
TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14)
NO. OF ACRESWHOLE
NUMBERS ONLY
TOTAL VALUE OF LANDAND IMPROVEMENTS
LOCALLY ASSESSED MANUFACTURING MERGED
REAL ESTATE(See Lines 18 - 22 for
other Real Estate)
PARCEL COUNT
RESIDENTIAL - Class 1
COMMERCIAL - Class 2
MANUFACTURING - Class 3
AGRICULTURAL - Class 4
UNDEVELOPED - Class 5
FOREST LANDS - Class 6
OTHER - Class 7
TOTAL - ALL COLUMNS
NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL
BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1
MACHINERY,TOOLS AND PATTERNS - Code 2
FURNITURE, FIXTURES AND EQUIPMENT - Code 3
ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C
AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F)MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F
BOARD OF REVIEWDATE OF FINAL ADJOURNMENT
Name of Assessor Telephone #
TOTAL LAND
Col. A
IMPROVEMENTS
Col. B Col. C
VALUE OFLAND
Col. D
VALUE OFIMPROVEMENTS
Col. E Col. F
64 58 53 312,100 2,555,300 2,867,400
9 8 9 68,000 592,600 660,600
11 73 12,400 12,400
6 30 41,800 41,800
0 0 0 0
2 12 36,500 36,500
3 3 37,200 189,300 4 226,500
95 69 508,000 3,337,200 181 3,845,200
10
0
2,800
20,200
1,600
24,600
3,869,800
10/06/2015 WORTH SERVICES (608) 476-2262
0 0 0 0 0 0
0 0
0 2,800
0 20,200
0 1,600
0 24,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .993351644 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 106 1390
$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 3.51 10,500
3.28 15.61
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
YEAR
2015CO
52MUN
106
ACCT NO
1390
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
524851 0314 SCH D OF RICHLAND 3,869,800
3,869,800
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 3,869,800
3,869,800
3,869,800
3,869,800
3,869,800
3,869,800
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 111
VILLAGE OF
ACCT NO
1391Check if this is an Amended Return
CAZENOVIA FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
166 144 105 2,796,400 9,065,000 11,861,400
23 19 6 203,800 1,126,700 1,330,500
28 249 53,900 53,900
11 32 22,500 22,500
12 110 107,100 107,100
2 14 27,400 27,400
1 1 5,000 6,000 1 11,000
243 164 3,216,100 10,197,700 517 13,413,800
21
0
38,000
72,000
3,100
113,100
13,526,900
06/29/2015 ASSOCIATED APPRAISAL CONSULTANTS INC (920) 749-1995
0 0 0 0 0 0
0 0
0 38,000
0 72,000
0 3,100
0 113,100
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.004000594 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 111 1391
$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
.36 .91 90.06
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
111
ACCT NO
1391
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
566354 0337 SCH D OF WESTON (IRONTON) 13,526,900
13,526,900
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 13,526,900
13,526,900
13,526,900
13,526,900
13,526,900
13,526,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 146
VILLAGE OF
ACCT NO
1392Check if this is an Amended Return
LONE ROCK FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
323 287 198 3,596,600 21,338,800 24,935,400
68 50 128 1,988,600 5,005,800 6,994,400
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0 0
392 338 5,621,700 26,595,700 336 32,217,400
34
2,200
375,900
120,000
122,500
620,600
32,838,000
09/21/2015 GARDINER APPRAISAL SERVICE, LLC (608) 943-8009
1 1 10 36,500 251,100 287,600
0 2,200
0 375,900
0 120,000
0 122,500
0 620,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .999119067 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 146 1392
$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 39.87 160,000
30.2 79.71
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
146
ACCT NO
1392
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
565523 0336 SCH D OF RIVER VALLEY (SPRING GREEN) 32,550,400
32,550,400
000400 0004 MADISON AREA TECHNICAL COLLEGE MADN 32,550,400
32,550,400
287,600 32,838,000
287,600 32,838,000
287,600 32,838,000
287,600 32,838,000
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 186
VILLAGE OF
ACCT NO
1393Check if this is an Amended Return
VIOLA FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
200 186 83 1,559,700 12,404,100 13,963,800
31 21 10 157,800 1,094,200 1,252,000
3 51 5,000 5,000
1 5 2,800 2,800
0 0 0 0
1 5 10,000 10,000
2 1 13,800 15,700 2 29,500
239 209 1,753,100 13,546,300 156 15,299,400
26
0
27,469
119,577
5,931
152,977
15,453,277
05/28/2015 JERRY KINS (715) 713-0081
1 1 0 4,000 32,300 36,300
0 0
400 27,869
400 119,977
100 6,031
900 153,877
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.063808673 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 186 1393
$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
2.04 72.04
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
186
ACCT NO
1393
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
625960 0368 SCH D OF KICKAPOO AREA (VIOLA) 15,416,077
15,416,077
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 15,416,077
15,416,077
37,200 15,453,277
37,200 15,453,277
37,200 15,453,277
37,200 15,453,277
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: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 196
VILLAGE OF
ACCT NO
1394Check if this is an Amended Return
YUBA FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
31 28 17 230,400 1,339,200 1,569,600
9 8 2 35,100 330,800 365,900
7 118 14,200 14,200
4 6 700 700
0 0 0 0
5 1 3,200 3,200
4 4 40,800 153,900 6 194,700
60 40 324,400 1,823,900 150 2,148,300
7
0
14,900
11,800
900
27,600
2,175,900
05/14/2015 WORTH SERVICES (608) 476-2262
0 0 0 0 0 0
0 0
0 14,900
0 11,800
0 900
0 27,600
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .978636323 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 196 1394
$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
6.61
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
YEAR
2015CO
52MUN
196
ACCT NO
1394
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
622541 0366 SCH D OF HILLSBORO 2,175,900
2,175,900
000200 0002 WESTERN TECHNICAL COLLEGE LACR 2,175,900
2,175,900
2,175,900
2,175,900
2,175,900
2,175,900
INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART
HIGHLIGHTS
1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on
lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.
Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.
Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.
Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.
This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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Page 4
LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
STATEMENT OF ASSESSMENT FOR 2015 CO MUN
LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53)
52 276
CITY OF
ACCT NO
1395Check if this is an Amended Return
RICHLAND CENTER FOR
Town - Village - City Municipality Name County Name
RICHLAND 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
1,758 1,659 630 22,549,600 123,776,700 146,326,300
287 256 331 18,510,000 67,763,000 86,273,000
7 79 10,650 10,650
7 73 21,200 21,200
2 51 45,900 45,900
3 80 184,100 184,100
0 0 0 0 0 0
2,082 1,931 44,032,750 211,783,500 1,322 255,816,250
340
0
1,548,338
5,938,115
1,091,646
8,578,099
277,724,249
07/16/2015 GRETCHEN JELINEK (608) 647-8481
18 16 78 2,711,300 20,243,800 22,955,100
0 0
10,672,400 12,220,738
880,300 6,818,415
1,777,200 2,868,846
13,329,900 21,907,999
The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is .998058563 This ratio should be used to convert assessed values to "Calculate Equalized Values" in Step 1 of the Lottery and Gaming Credit Calculations. This ratio should be used in the "Computation of Tax Equivalent" schedule of the Annual Reports filed by the municipal electric, gas and water utilities with the Public Service
Commission
FINAL - EQUATED
LGSSOA101WI-PA - 521C (R. 9-10) (Sec. 70.53)
FOREST CROP AND OTHER EXEMPT LAND
Do not confuse FOREST LANDS (Line 7) with FOREST CROPS (in this section) - They are NOT the sameYEAR CO MUN ACCT NO
2015 52 276 1395
$1.87
$8.27
18
19
20
21
22
23
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
(a) PARCELS (b) ACRES (c) ASSESSED VALUE
Page 2
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
(a) County Forest Cropland Acres (b) Federal Acres (c) State Acres (d) County (NOT FOREST CROP) Acres (e) Other Acres
Assessed Value of Omitted Property From Prior Years (Sec. 70.44)
(a) REAL ESTATE (b) PERSONAL
Assessed Value of Sec. 70.43 Corrections of Errors by Assessors(c1) REAL ESTATE (c2) PERSONAL
Manufacturing Equated Value of Omitted Property From Prior Years (Sec. 70.995)(d) REAL ESTATE (e) PERSONAL
Mfg. Equated Value of Sec.70.43 Corrections of Errors by Assessors(f1) REAL ESTATE (f2) PERSONAL
SPECIAL DISTRICTS
LineNo.
Enter 6-digitSpecial DistrictCode (Col. A)
AccountNumber(Col. B)
Special District Name
(Col. C)
Locally Assessed Valueof Real Estate and
Personal Property (Col. D)
Mfg Value of Real Estateand Personal Property
(Col. E)
Merged Value ofReal Estate and
Personal Property (Col. F)
24
25
26
27
28
29
30
31
32
33
34
35
.27 45.81 193.73 1,100.82
338,140
PARFREY MILL POND DISTRICT528020 0330 241,439,249
36,285,000 277,724,249
Private Forest Crop - Reg Class @ 10¢ per acre Private Forest Crop - Reg Class @
Private Forest Crop - Special Class @ 20¢ per acre
Entered Before 2005 Managed Forest - OPEN @ Entered Before 2005 Managed Forest - CLOSED @
Entered After 2004 Managed Forest - OPEN @ Entered After 2004 Managed Forest - CLOSED @
$2.52 per acre
$.79 per acre per acre
$2.14 $10.68per acre per acre
(d) PARCELS (e) ACRES (f) ASSESSED VALUE
Entered Before 2005 Managed Forest - Ferrous Mining CLOSED @ per acre
YEAR
2015CO
52MUN
276
ACCT NO
1395
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
524851 0314 SCH D OF RICHLAND 241,439,249
241,439,249
000300 0003 SOUTHWEST WISCONSIN TECH COLLEGE FENN 241,439,249
241,439,249
36,285,000 277,724,249
36,285,000 277,724,249
36,285,000 277,724,249
36,285,000 277,724,249
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: lgs@revenue.wi.gov Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971
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LGSSOA101WI - PA-521C (R. 9-10) (Sec. 70.53) IPAS
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