Long Term Rental/Lease/Loan Reporting Form

* = required field.

Use this form to report long term (i.e., 6 months or more) rentals, leases, and loans acquired through Departmental Purchase Orders (DPOs) or loan agreements. Due to property tax implications, the university must report these to the appropriate county.
* Check one:
* DPO/Loan Number:
* Account Number:
COA	Account
* Beginning and End dates of Rental/Lease/Loan:
* Value of Item:
Vendor Name:
Manufacturer:
Serial Number:
* Property Tax Clause:	Lessor will pay assessed personal property taxes. The University, as a tax exempt lessee, will file directly with the county for refund of taxes paid. Section 202.2 and 206.2 Revenue and Taxation Code. Lessor will claim personal property tax exemption. As a matter of practice, assessed personal property tax bills are collected from the lessee. The University, as a tax exempt lessee, is entitled to the tax exemption. Section 202.2 and 206.2 Revenue and Taxation Code.
* Item Location:
* Item Description (model number, property number, etc.):

*Department:
*Contact Name:
* Phone Number:
* E-mail:

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