SCHEDULE D-3—QUALIFYING TANGIBLE PERSONAL PROPERTY PURCHASED BY A CERTIFIED QHTC AND USED
OR HELD FOR USE BY THE QHTC (OR LEASED UNDER A CAPITAL LEASE) TO A CERTIFIED QHTC.
SCHEDULE D-4—QUALIFYING TANGIBLE PERSONAL PROPERTY PURCHASED BY A NON QHTC AND LEASED
TO A CERTIFIED QHTC UNDER A CAPITAL LEASE.
PROPERTY PURCHASE QHTC ORIGINAL REMAINING LESSOR’S NAME MONTHLY DATE
TYPE DATE CERTIFICATION COST COST AND ADDRESS RENT LEASE
DATE BEGAN
$ $ $
TOTAL: TOTAL:
$ $
TOTAL: TOTAL:
$ $
PROPERTY PURCHASE LESSEE’S ORIGINAL REMAINING LESSOR’S NAME MONTHLY DATE
TYPE DATE CERTIFICATION COST COST AND ADDRESS RENT LEASE
DATE BEGAN
$ $ $
Form FP-31 Personal Property
Schedules D-3 and D-4
, 20 and ending , 20
Tax Return Year Beginning
Name
TIN
Rev. 07/19
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