2014 statement of assessment for washington county of assessment for co mun lgssoa101wi - pa-521c...

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STATEMENT OF ASSESSMENT FOR CO MUN LGSSOA101WI - PA-521C (R.9-10) (Sec. 70.53) 66 002 TOWN OF 2014 ACCT NO 1787 Check if this is an Amended Return ADDISON FOR Town - Village - City Municipality Name County Name WASHINGTON COUNTY REMARKS OF Page 1 WHEN COMPLETING THIS DOCUMENT DO NOT WRITE OVER X's OR IN SHADED AREAS Line No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 AGRICULTURAL FOREST - Class 5m TOTAL OF PERSONAL PROPERTY NOT EXEMPT (Total of Lines 11-14) NO. OF ACRES WHOLE NUMBERS ONLY TOTAL VALUE OF LAND AND IMPROVEMENTS LOCALLY ASSESSED MANUFACTURING MERGED REAL ESTATE (See Lines 18 - 22 for other Real Estate) PARCEL COUNT RESIDENTIAL - Class 1 COMMERCIAL - Class 2 MANUFACTURING - Class 3 AGRICULTURAL - Class 4 UNDEVELOPED - Class 5 FOREST LANDS - Class 6 OTHER - Class 7 TOTAL - ALL COLUMNS NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1 MACHINERY,TOOLS AND PATTERNS - Code 2 FURNITURE, FIXTURES AND EQUIPMENT - Code 3 ALL OTHER PERSONAL PROPERTY NOT EXEMPT - Codes 4A, 4B, 4C AGGREGATE ASSESSED VALUE OF ALL PROPERTY SUBJECT TO THE GENERAL PROPERTY TAX (Total of Lines 9F and 15F) MUST EQUAL TOTAL VALUE OF THE SCHOOL DISTRICTS (K-12 PLUS K-8) - Line 50, Col. F BOARD OF REVIEW DATE OF FINAL ADJOURNMENT Name of Assessor Telephone # TOTAL LAND Col. A IMPROVEMENTS Col. B Col. C VALUE OF LAND Col. D VALUE OF IMPROVEMENTS Col. E Col. F 1,142 1,103 2,126 70,417,600 189,962,800 260,380,400 96 82 285 6,180,500 25,356,000 31,536,500 674 13,990 3,688,700 3,688,700 543 2,405 2,097,100 2,097,100 147 867 2,346,300 2,346,300 2 14 66,100 66,100 126 123 5,950,200 20,534,600 252 26,484,800 2,744 1,319 91,626,400 242,381,200 20,100 334,007,600 272 0 2,579,100 698,400 931,100 4,208,600 339,943,300 05/12/2014 ASSOCIATED APPRAISAL CONSULTAN (920) 749-1995 14 11 161 879,900 6,527,800 7,407,700 0 0 1,058,100 3,637,200 237,100 935,500 431,900 1,363,000 1,727,100 5,935,700 The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.091315130 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

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STATEMENT OF ASSESSMENT FOR CO MUN

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

66 002

TOWN OF

2014ACCT NO

1787Check if this is an Amended Return

ADDISON FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,142 1,103 2,126 70,417,600 189,962,800 260,380,400

96 82 285 6,180,500 25,356,000 31,536,500

674 13,990 3,688,700 3,688,700

543 2,405 2,097,100 2,097,100

147 867 2,346,300 2,346,300

2 14 66,100 66,100

126 123 5,950,200 20,534,600 252 26,484,800

2,744 1,319 91,626,400 242,381,200 20,100 334,007,600

272

0

2,579,100

698,400

931,100

4,208,600

339,943,300

05/12/2014 ASSOCIATED APPRAISAL CONSULTAN (920) 749-1995

14 11 161 879,900 6,527,800 7,407,700

0 0

1,058,100 3,637,200

237,100 935,500

431,900 1,363,000

1,727,100 5,935,700

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.091315130 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

2014 66 002 1787

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

12 167 918,500

3 53.5 258,200

106.31 1,959.65 .21 186.17

ALLENTON SANITARY DISTRICT #1667020 0427 53,153,100

5,626,700 58,779,800

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

002ACCT NO

1787

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

665390

666307

662443

0401

0402

0397

SCH D OF SLINGER

SCH D OF WEST BEND

SCH D OF HARTFORD J 1

315,896,400

4,879,000

10,033,100

330,808,500

662436 0396 UHS D OF HARTFORD UNION HIGH 10,033,100

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 330,808,500

10,033,100

330,808,500

9,134,800

325,031,200

4,879,000

10,033,100

9,134,800 339,943,300

10,033,100

10,033,100

9,134,800 339,943,300

9,134,800 339,943,300

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 004

TOWN OF

2014ACCT NO

1788Check if this is an Amended Return

BARTON FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,087 958 2,923 73,023,700 185,225,600 258,249,300

55 47 292 4,971,900 23,125,500 28,097,400

297 5,022 1,147,100 1,147,100

205 1,565 972,500 972,500

64 418 418,500 418,500

20 221 441,400 441,400

70 70 4,040,400 10,347,800 152 14,388,200

1,804 1,080 86,089,600 221,829,800 10,709 307,919,400

146

0

1,841,093

471,288

247,663

2,560,044

312,712,744

05/21/2014 GROTA APPRAISALS (262) 242-1608

6 5 116 1,074,100 3,130,900 4,205,000

0 0

1,886,400 3,727,493

253,200 724,488

93,700 341,363

2,233,300 4,793,344

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.154183800 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

2014 66 004 1788

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

18 305 610,000

7 139.03 278,100

15.55 6.93 51.16

WALLACE LAKE SANITARY DISTRICT667060 0429 6,890,200

6,890,200

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

004ACCT NO

1788

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

662800

666307

0398

0402

SCH D OF KEWASKUM

SCH D OF WEST BEND

59,995,333

246,279,111

306,274,444

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 306,274,444

306,274,444

3,034,800

3,403,500

63,030,133

249,682,611

6,438,300 312,712,744

6,438,300 312,712,744

6,438,300 312,712,744

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 006

TOWN OF

2014ACCT NO

1789Check if this is an Amended Return

ERIN FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,643 1,505 6,774 220,031,400 308,559,800 528,591,200

25 16 417 3,736,200 12,603,900 16,340,100

437 5,811 1,387,700 1,387,700

482 3,842 9,165,900 9,165,900

147 951 2,936,600 2,936,600

53 589 3,507,000 3,507,000

20 20 1,739,200 2,789,200 50 4,528,400

2,807 1,541 242,504,000 323,952,900 18,434 566,456,900

72

0

1,223,058

1,112,825

37,088

2,372,971

568,829,871

04/28/2014 GROTA APPRAISALS (262) 253-1142

0 0 0 0 0 0

0 0

0 1,223,058

0 1,112,825

0 37,088

0 2,372,971

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.054809713 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

2014 66 006 1789

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

58 1,233.25 7,545,000

4 86 773,300

1,352.4 20.5 1,115.14

DRUID LAKE DISTRICT668070 0439 36,747,400

36,747,400

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

006ACCT NO

1789

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

661687

662443

664820

664843

0394

0397

0399

0400

SCH D OF ERIN

SCH D OF HARTFORD J 1

SCH D OF RICHFIELD J 1

SCH D OF FRIESS LAKE

401,297,481

115,057,129

20,796,000

31,679,261

568,829,871

662436 0396 UHS D OF HARTFORD UNION HIGH 568,829,871

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 568,829,871

568,829,871

568,829,871

401,297,481

115,057,129

20,796,000

31,679,261

568,829,871

568,829,871

568,829,871

568,829,871

568,829,871

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 008

TOWN OF

2014ACCT NO

1790Check if this is an Amended Return

FARMINGTON FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,450 1,307 4,539 108,618,000 261,921,000 370,539,000

36 31 407 3,815,900 5,420,500 9,236,400

637 11,463 2,479,300 2,479,300

458 3,245 1,334,100 1,334,100

215 1,140 1,140,700 1,140,700

31 362 624,000 624,000

141 140 7,682,400 25,327,100 271 33,009,500

2,970 1,480 126,072,600 293,208,800 21,476 419,281,400

67

0

1,949,100

188,800

44,700

2,182,600

421,490,500

05/28/2014

2 2 49 378,200 540,200 918,400

0 0

5,600 1,954,700

4,200 193,000

16,700 61,400

26,500 2,209,100

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.127159563 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

2014 66 008 1790

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 43 86,000 36 506.2 1,010,200

40 49.62 97.07

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

008ACCT NO

1790

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

662800 0398 SCH D OF KEWASKUM 420,545,600

420,545,600

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 420,545,600

420,545,600

944,900 421,490,500

944,900 421,490,500

944,900 421,490,500

944,900 421,490,500

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: [email protected] 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 CO MUN

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

66 010

TOWN OF

2014ACCT NO

1791Check if this is an Amended Return

GERMANTOWN FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

99 86 237 5,818,500 15,396,500 21,215,000

8 7 32 569,000 1,099,500 1,668,500

30 550 117,000 117,000

24 188 146,000 146,000

2 11 17,000 17,000

2 20 17,500 17,500

6 6 355,000 773,500 12 1,128,500

171 99 7,040,000 17,269,500 1,050 24,309,500

31

0

212,643

140,479

26,411

379,533

24,689,033

04/22/2014

0 0 0 0 0 0

0 0

0 212,643

0 140,479

0 26,411

0 379,533

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.114432809 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

2014 66 010 1791

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

16.2 60.24

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

010ACCT NO

1791

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

662058 0395 SCH D OF GERMANTOWN 24,689,033

24,689,033

000900 0008 MILWAUKEE AREA TECHNICAL COLLEGE MILW 24,689,033

24,689,033

24,689,033

24,689,033

24,689,033

24,689,033

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 012

TOWN OF

2014ACCT NO

1792Check if this is an Amended Return

HARTFORD FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,374 1,327 1,547 114,268,200 216,757,300 331,025,500

45 35 392 6,312,800 8,143,300 14,456,100

471 10,037 2,227,100 2,227,100

461 2,666 4,430,900 4,430,900

101 784 1,804,100 1,804,100

17 207 635,600 635,600

88 86 5,720,800 11,980,700 198 17,701,500

2,559 1,450 135,461,700 238,186,700 15,836 373,648,400

100

35,388

209,655

411,991

564,877

1,221,911

375,148,611

05/29/2014 GROTA APPRAISALS

2 2 5 62,200 1,305,400 1,367,600

0 35,388

233,800 443,455

41,800 453,791

2,700 567,577

278,300 1,500,211

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.037964812 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

2014 66 012 1792

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

5 134.9 440,800

594.96 336.28 101.58

HILLDALE SANITARY DISTRICT

PIKE LAKE PROTECTION DISTRICT

667090

668060

0432

0438

39,339,200

50,772,530

39,339,200

50,772,530

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

012ACCT NO

1792

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

662443

144998

665390

0397

0105

0401

SCH D OF HARTFORD J 1

SCH D OF RUBICON J 6

SCH D OF SLINGER

258,626,538

1,284,200

113,591,973

373,502,711

662436 0396 UHS D OF HARTFORD UNION HIGH 259,910,738

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 373,502,711

259,910,738

373,502,711

1,645,900

260,272,438

1,284,200

113,591,973

1,645,900 375,148,611

1,645,900 261,556,638

1,645,900 261,556,638

1,645,900 375,148,611

1,645,900 375,148,611

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 014

TOWN OF

2014ACCT NO

1793Check if this is an Amended Return

JACKSON FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,671 1,522 3,336 108,401,200 301,962,900 410,364,100

40 35 520 3,199,000 9,754,400 12,953,400

650 9,966 1,810,000 1,810,000

537 2,837 3,602,600 3,602,600

121 621 812,300 812,300

17 113 148,500 148,500

104 102 4,120,400 13,911,400 192 18,031,800

3,147 1,666 123,060,200 329,270,700 17,697 452,330,900

171

0

1,639,099

392,611

528,652

2,560,362

456,008,862

05/21/2014 GROTA APPRAISALS (262) 253-1142

7 7 112 966,200 3,642,000 4,608,200

0 0

951,700 2,590,799

142,300 534,911

23,600 552,252

1,117,600 3,677,962

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.017480999 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

2014 66 014 1793

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

13 211.29 549,000

2 28 100,500

2,584.1 45.54 516.39

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

014ACCT NO

1793

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

451015

662058

666307

0273

0395

0402

SCH D OF CEDARBURG

SCH D OF GERMANTOWN

SCH D OF WEST BEND

48,905,600

141,275,337

260,102,125

450,283,062

000900

001000

0008

0009

MILWAUKEE AREA TECHNICAL COLLEGE MILW

MORAINE PARK TECHNICAL COLLEGE FDLC

190,180,937

260,102,125

450,283,062

1,531,000

4,194,800

48,905,600

142,806,337

264,296,925

5,725,800 456,008,862

1,531,000

4,194,800

191,711,937

264,296,925

5,725,800 456,008,862

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 016

TOWN OF

2014ACCT NO

1794Check if this is an Amended Return

KEWASKUM FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

412 382 1,599 27,603,100 71,288,400 98,891,500

12 10 293 2,850,500 4,549,600 7,400,100

337 5,746 1,254,300 1,254,300

296 1,445 2,371,800 2,371,800

109 866 1,445,100 1,445,100

13 208 751,500 751,500

47 47 2,408,400 7,243,900 105 9,652,300

1,226 439 38,684,700 83,081,900 10,262 121,766,600

50

0

2,120,387

239,812

76,604

2,436,803

124,203,403

05/14/2014 GROTA APPRAISALS (262) 253-1142

0 0 0 0 0 0

0 0

0 2,120,387

0 239,812

0 76,604

0 2,436,803

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.037340764 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

2014 66 016 1794

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 10 10,000 16 233.94 386,900

3 27 116,400

3,084.45 13.99 144.38

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

016ACCT NO

1794

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

662800 0398 SCH D OF KEWASKUM 124,203,403

124,203,403

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 124,203,403

124,203,403

124,203,403

124,203,403

124,203,403

124,203,403

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 018

TOWN OF

2014ACCT NO

1795Check if this is an Amended Return

POLK FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,619 1,478 4,701 196,349,900 310,128,100 506,478,000

98 70 552 16,919,100 45,184,000 62,103,100

567 8,043 1,803,200 1,803,200

464 1,893 4,165,800 4,165,800

151 765 1,410,400 1,410,400

15 136 498,000 498,000

61 59 3,424,600 8,865,000 141 12,289,600

2,986 1,613 226,219,300 368,351,400 16,467 594,570,700

319

8,842

2,358,094

899,487

1,119,707

4,386,130

600,890,030

06/06/2014 GROTA APPRAISALS (262) 253-1142

11 6 236 1,648,300 4,174,300 5,822,600

0 8,842

1,439,500 3,797,594

198,600 1,098,087

295,100 1,414,807

1,933,200 6,319,330

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.062917139 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

2014 66 018 1795

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

20 308.44 1,829,700

2 24 115,400

54.81 854.85 485.23 527.33

BIG CEDAR LAKE PRO & REHAB DISTRICT

LITTLE CEDAR LAKE PRO & REHAB DISTRICT

668030

668040

0435

0436

114,884,535

13,770,800

114,884,535

13,770,800

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

018ACCT NO

1795

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

662058

665390

666307

0395

0401

0402

SCH D OF GERMANTOWN

SCH D OF SLINGER

SCH D OF WEST BEND

58,161,694

481,092,961

53,879,575

593,134,230

000900

001000

0008

0009

MILWAUKEE AREA TECHNICAL COLLEGE MILW

MORAINE PARK TECHNICAL COLLEGE FDLC

58,161,694

534,972,536

593,134,230

1,706,900

6,048,900

59,868,594

487,141,861

53,879,575

7,755,800 600,890,030

1,706,900

6,048,900

59,868,594

541,021,436

7,755,800 600,890,030

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 022

TOWN OF

2014ACCT NO

1797Check if this is an Amended Return

TRENTON FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,947 1,778 4,497 118,604,400 310,491,300 429,095,700

45 30 254 3,910,600 9,407,300 13,317,900

507 8,868 2,115,700 2,115,700

525 2,646 4,140,100 4,140,100

234 1,837 3,827,600 3,827,600

17 220 826,600 826,600

35 35 1,879,700 6,122,000 79 8,001,700

3,311 1,844 135,356,500 326,575,600 18,402 461,932,100

125

0

1,736,579

519,227

392,562

2,648,368

464,606,768

05/28/2014 GROTA APPRAISALS (262) 253-1142

1 1 1 51,800 555,000 606,800

0 0

6,000 1,742,579

2,000 521,227

18,300 410,862

26,300 2,674,668

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.035827993 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

2014 66 022 1797

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

27 508.49 1,620,000

4 42 235,300

24.79 261.95 402

WALLACE LAKE SANITARY DISTRICT

SCENIC DRIVE SANITARY DISTRICT

667060

667070

0429

0430

18,103,180

7,182,376

18,103,180

7,182,376

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

022ACCT NO

1797

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

666307 0402 SCH D OF WEST BEND 463,973,668

463,973,668

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 463,973,668

463,973,668

633,100 464,606,768

633,100 464,606,768

633,100 464,606,768

633,100 464,606,768

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 024

TOWN OF

2014ACCT NO

1798Check if this is an Amended Return

WAYNE FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

722 670 1,713 31,966,600 129,117,200 161,083,800

30 24 65 949,200 3,061,100 4,010,300

693 12,222 3,388,500 3,388,500

451 1,865 2,410,800 2,410,800

151 1,360 2,000,700 2,000,700

71 629 1,879,500 1,879,500

143 141 4,340,300 19,004,000 251 23,344,300

2,264 838 47,145,900 152,932,800 18,125 200,078,700

105

0

341,248

171,002

383,627

895,877

201,091,177

05/02/2014 GROTA APPRAISALS (262) 253-1142

3 3 20 210,300 1,750,500 1,960,800

0 0

41,700 382,948

47,000 218,002

27,900 411,527

116,600 1,012,477

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.035679968 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

2014 66 024 1798

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 51 153,000

6 83 249,000 35 415.56 1,184,900

2 23 34,500 7 129 293,400

2,959.94 38.37 421.46

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

024ACCT NO

1798

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

143171

662800

0102

0398

SCH D OF LOMIRA

SCH D OF KEWASKUM

234,400

198,779,377

199,013,777

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 199,013,777

199,013,777

2,077,400

234,400

200,856,777

2,077,400 201,091,177

2,077,400 201,091,177

2,077,400 201,091,177

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 026

TOWN OF

2014ACCT NO

1799Check if this is an Amended Return

WEST BEND FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

2,152 1,923 2,902 392,023,200 381,517,400 773,540,600

48 36 452 11,170,300 15,970,600 27,140,900

139 1,708 456,700 456,700

97 460 1,180,900 1,180,900

45 371 1,171,100 1,171,100

11 144 631,000 631,000

15 15 910,400 1,590,700 26 2,501,100

2,511 1,978 408,308,200 400,497,900 6,135 808,806,100

182

16,275

1,125,419

531,377

1,682,038

3,355,109

812,413,809

05/19/2014 GROTA APPRAISALS (262) 253-1142

4 4 72 764,600 1,419,200 2,183,800

0 16,275

238,700 1,364,119

9,400 540,777

4,500 1,686,538

252,600 3,607,709

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.003202297 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

2014 66 026 1799

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

30 525.46 4,533,900

2 43 295,400

140.18 11.32 1,266.16

SILVER LAKE SANITARY DISTRICT (WASHINGTON)

BIG CEDAR LAKE PRO & REHAB DISTRICT

LITTLE CEDAR LAKE PRO & REHAB DISTRICT

SILVER LAKE PRO & REHAB DISTRICT

667050

668030

668040

668050

0428

0435

0436

0437

96,044,713

328,005,675

93,610,300

96,044,713

96,044,713

328,005,675

93,610,300

96,044,713

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

026ACCT NO

1799

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

665390

666307

0401

0402

SCH D OF SLINGER

SCH D OF WEST BEND

300,385,338

509,592,071

809,977,409

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 809,977,409

809,977,409

2,436,400

300,385,338

512,028,471

2,436,400 812,413,809

2,436,400 812,413,809

2,436,400 812,413,809

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 131

VILLAGE OF

2014ACCT NO

1800Check if this is an Amended Return

GERMANTOWN FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

7,170 6,831 5,126 461,472,800 1,112,629,400 1,574,102,200

467 394 1,853 139,299,100 320,122,300 459,421,400

436 6,451 1,426,200 1,426,200

449 2,128 3,240,100 3,240,100

149 919 3,623,100 3,623,100

35 338 1,953,000 1,953,000

44 42 3,088,200 5,259,000 111 8,347,200

8,858 7,372 644,552,000 1,608,691,300 17,543 2,253,243,300

1,470

4,500

18,454,800

18,310,100

4,697,400

41,466,800

2,314,113,000

09/17/2014 ACCURATE APPRAISALS (800) 770-3927

108 105 617 30,449,500 170,680,600 201,130,100

0 4,500

9,480,300 27,935,100

8,476,600 26,786,700

1,446,000 6,143,400

19,402,900 60,869,700

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.011853873 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

2014 66 131 1800

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 41.75 334,000 5 104.75 838,000

282.95 124.26 1,791.84

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

131ACCT NO

1800

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

662058 0395 SCH D OF GERMANTOWN 2,093,580,000

2,093,580,000

000900 0008 MILWAUKEE AREA TECHNICAL COLLEGE MILW 2,093,580,000

2,093,580,000

220,533,000 2,314,113,000

220,533,000 2,314,113,000

220,533,000 2,314,113,000

220,533,000 2,314,113,000

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: [email protected] 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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0337

Page 4

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

STATEMENT OF ASSESSMENT FOR CO MUN

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

66 141

VILLAGE OF

2014ACCT NO

1801Check if this is an Amended Return

JACKSON FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

2,300 2,116 388 86,250,600 286,229,900 372,480,500

155 129 361 28,601,600 95,253,400 123,855,000

49 206 48,900 48,900

8 60 306,700 306,700

2 5 5,800 5,800

0 0 0 0

2 2 56,800 140,200 2 197,000

2,546 2,277 124,155,900 421,356,400 1,193 545,512,300

515

0

2,427,735

3,500,132

962,392

6,890,259

556,309,659

05/15/2014 GROTA APPRAISALS (262) 253-1142

30 30 171 8,885,500 39,732,900 48,618,400

1,900 1,900

1,570,500 3,998,235

1,257,100 4,757,232

1,077,600 2,039,992

3,907,100 10,797,359

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.004493163 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

2014 66 141 1801

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

3.9 214.1

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

141ACCT NO

1801

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

665390

666307

0401

0402

SCH D OF SLINGER

SCH D OF WEST BEND

35,574,538

468,209,621

503,784,159

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 503,784,159

503,784,159

10,196,400

42,329,100

45,770,938

510,538,721

52,525,500 556,309,659

52,525,500 556,309,659

52,525,500 556,309,659

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 261-5341 Local Government Services Section 6-97 Fax number: (608) 264-6887 PO Box 8971 Madison WI 53708-8971

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0637

Page 4

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

STATEMENT OF ASSESSMENT FOR CO MUN

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

66 142

VILLAGE OF

2014ACCT NO

1802Check if this is an Amended Return

KEWASKUM FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,584 1,286 510 57,274,000 176,308,200 233,582,200

127 114 170 12,792,100 44,141,400 56,933,500

22 115 27,900 27,900

25 103 160,600 160,600

2 14 28,000 28,000

3 58 231,000 231,000

1 1 85,000 74,600 3 159,600

1,766 1,403 70,820,600 223,403,800 986 294,224,400

308

15,302

1,292,499

1,905,441

682,584

3,895,826

298,410,626

05/21/2014 GROTA APPRAISALS (262) 253-1142

2 2 13 222,000 2,879,600 3,101,600

0 15,302

138,100 1,430,599

133,700 2,039,141

18,600 701,184

290,400 4,186,226

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.067622663 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

2014 66 142 1802

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

3.1 64.57

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

142ACCT NO

1802

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

662800 0398 SCH D OF KEWASKUM 295,018,626

295,018,626

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 295,018,626

295,018,626

3,392,000 298,410,626

3,392,000 298,410,626

3,392,000 298,410,626

3,392,000 298,410,626

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 161

VILLAGE OF

2014ACCT NO

1803Check if this is an Amended Return

NEWBURG FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

370 355 129 16,205,000 52,012,100 68,217,100

28 26 51 1,225,700 4,251,100 5,476,800

10 119 25,800 25,800

3 1 3,300 3,300

0 0 0 0

0 0 0 0

2 2 75,000 196,000 2 271,000

415 385 17,619,600 57,035,600 304 74,655,200

65

0

383,056

282,146

193,836

859,038

75,535,538

06/10/2014 GROTA APPRAISALS (262) 253-1142

2 2 2 84,800 576,400 661,200

0 0

16,800 399,856

2,200 284,346

2,300 196,136

21,300 880,338

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.131259085 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

2014 66 161 1803

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

1.15 18.72

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

161ACCT NO

1803

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

666307 0402 SCH D OF WEST BEND 74,853,038

74,853,038

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 74,853,038

74,853,038

682,500 75,535,538

682,500 75,535,538

682,500 75,535,538

682,500 75,535,538

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 166

VILLAGE OF

2014ACCT NO

1796Check if this is an Amended Return

RICHFIELD FOR

Town - Village - City Municipality Name County Name

WASHINGTON COUNTY

REMARKS

OF

Page 1

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

LineNo.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

AGRICULTURAL FOREST - Class 5m

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

NO. OF ACRESWHOLE

NUMBERS ONLY

TOTAL VALUE OF LANDAND IMPROVEMENTS

LOCALLY ASSESSED MANUFACTURING MERGED

REAL ESTATE(See Lines 18 - 22 for

other Real Estate)

PARCEL COUNT

RESIDENTIAL - Class 1

COMMERCIAL - Class 2

MANUFACTURING - Class 3

AGRICULTURAL - Class 4

UNDEVELOPED - Class 5

FOREST LANDS - Class 6

OTHER - Class 7

TOTAL - ALL COLUMNS

NUMBER OF PERSONAL PROPERTY ACCOUNTS IN ROLL

BOATS AND OTHER WATERCRAFT NOT EXEMPT - Code 1

MACHINERY,TOOLS AND PATTERNS - Code 2

FURNITURE, FIXTURES AND EQUIPMENT - Code 3

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

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

BOARD OF REVIEWDATE OF FINAL ADJOURNMENT

Name of Assessor Telephone #

TOTAL LAND

Col. A

IMPROVEMENTS

Col. B Col. C

VALUE OFLAND

Col. D

VALUE OFIMPROVEMENTS

Col. E Col. F

4,762 4,354 8,936 457,634,900 884,318,000 1,341,952,900

114 89 890 24,695,200 62,062,800 86,758,000

499 5,861 1,408,400 1,408,400

289 2,120 2,431,600 2,431,600

121 908 2,569,000 2,569,000

28 306 1,566,300 1,566,300

48 47 6,395,800 5,826,400 121 12,222,200

5,883 4,511 499,257,600 970,514,800 19,246 1,469,772,400

593

400

5,981,900

4,742,800

1,758,800

12,483,900

1,483,305,600

08/07/2014 GROTA APPRAISALS (262) 253-1142

22 21 104 2,556,400 18,307,600 20,864,000

0 400

552,900 6,534,800

412,600 5,155,400

83,800 1,842,600

1,049,300 13,533,200

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.022465034 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

2014 66 166 1796

18

19

20

21

22

23

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

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

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

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

Page 2

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

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

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

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

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

(a) REAL ESTATE (b) PERSONAL

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

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

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

SPECIAL DISTRICTS

LineNo.

Enter 6-digitSpecial DistrictCode (Col. A)

AccountNumber(Col. B)

Special District Name

(Col. C)

Locally Assessed Valueof Real Estate and

Personal Property (Col. D)

Mfg Value of Real Estateand Personal Property

(Col. E)

Merged Value ofReal Estate and

Personal Property (Col. F)

24

25

26

27

28

29

30

31

32

33

34

35

17 398.31 2,105,100

4 76.28 638,700

164.36 165.81 1,825.19

209,300

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

166ACCT NO

1796

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

664843

662058

665390

664820

0400

0395

0401

0399

SCH D OF FRIESS LAKE

SCH D OF GERMANTOWN

SCH D OF SLINGER

SCH D OF RICHFIELD J 1

284,533,200

549,930,100

68,082,200

558,846,800

1,461,392,300

662436 0396 UHS D OF HARTFORD UNION HIGH 843,380,000

000900

001000

0008

0009

MILWAUKEE AREA TECHNICAL COLLEGE MILW

MORAINE PARK TECHNICAL COLLEGE FDLC

549,930,100

911,462,200

843,380,000

1,461,392,300

10,281,000

1,400

11,630,900

284,533,200

560,211,100

68,083,600

570,477,700

21,913,300 1,483,305,600

11,630,900 855,010,900

11,630,900 855,010,900

10,281,000

11,632,300

560,211,100

923,094,500

21,913,300 1,483,305,600

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: [email protected] 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 CO MUN

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

66 181

VILLAGE OF

2014ACCT NO

1804Check if this is an Amended Return

SLINGER FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

1,972 1,697 925 85,465,800 247,930,900 333,396,700

200 157 462 36,047,200 69,512,600 105,559,800

84 346 85,400 85,400

46 201 881,400 881,400

6 43 165,700 165,700

2 8 24,000 24,000

2 2 85,200 154,600 3 239,800

2,322 1,866 124,307,100 322,824,900 2,039 447,132,000

530

0

3,287,081

3,441,465

815,163

7,543,709

455,119,209

06/05/2014 GROTA APPRAISALS (262) 253-1142

10 10 51 1,552,400 5,226,800 6,779,200

0 0

151,600 3,438,681

120,900 3,562,365

171,000 986,163

443,500 7,987,209

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.038589763 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

2014 66 181 1804

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

2.38 30.68 548.11

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

181ACCT NO

1804

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

665390 0401 SCH D OF SLINGER 447,896,509

447,896,509

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 447,896,509

447,896,509

7,222,700 455,119,209

7,222,700 455,119,209

7,222,700 455,119,209

7,222,700 455,119,209

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 236

CITY OF

2014ACCT NO

1805Check if this is an Amended Return

HARTFORD FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

5,224 4,619 1,396 187,844,900 572,220,410 760,065,310

356 319 490 54,076,800 160,520,800 214,597,600

7 59 15,100 15,100

10 111 135,900 135,900

0 0 0 0

1 2 6,000 6,000

1 1 120,000 78,500 3 198,500

5,645 4,984 248,240,300 790,632,810 2,358 1,038,873,110

752

14,400

4,708,800

9,581,000

4,256,500

18,560,700

1,064,296,410

08/26/2014

46 45 297 6,041,600 57,813,100 63,854,700

0 14,400

4,653,800 9,362,600

1,848,700 11,429,700

360,100 4,616,600

6,862,600 25,423,300

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.000122814 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

2014 66 236 1805

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

210.85 9.49 1,206.47

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

236ACCT NO

1805

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

665390

662443

0401

0397

SCH D OF SLINGER

SCH D OF HARTFORD J 1

19,029,910

974,549,200

993,579,110

662436 0396 UHS D OF HARTFORD UNION HIGH 974,549,200

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 993,579,110

974,549,200

993,579,110

70,717,300

19,029,910

1,045,266,500

70,717,300 1,064,296,410

70,717,300 1,045,266,500

70,717,300 1,045,266,500

70,717,300 1,064,296,410

70,717,300 1,064,296,410

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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 CO MUN

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

66 251

CITY OF

2014ACCT NO

1806Check if this is an Amended Return

MILWAUKEE FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

0 0 0 0 0 0

1 1 0 215,000 878,000 1,093,000

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0

0 0 0 0 0 0

1 1 215,000 878,000 0 1,093,000

1

0

0

0

0

0

1,093,000

12/15/2014 MARY REAVEY (414) 286-3101

0 0 0 0 0 0

0 0

0 0

0 0

0 0

0 0

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 0.944847856 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

2014 66 251 1806

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

MILWAUKEE COUNTY METRO SEWER DISTRICT405020 0248 1,093,000

1,093,000

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

Private Forest Crop - Special Class @ 20¢ per acre

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

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

$2.52 per acre

$.79 per acre $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

251ACCT NO

1806

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

403619 0242 SCH D OF MILWAUKEE 1,093,000

1,093,000

000900 0008 MILWAUKEE AREA TECHNICAL COLLEGE MILW 1,093,000

1,093,000

1,093,000

1,093,000

1,093,000

1,093,000

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: [email protected] 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 CO MUN

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

66 291

CITY OF

2014ACCT NO

1807Check if this is an Amended Return

WEST BEND FOR

Town - Village - City Municipality Name County Name

WASHINGTON 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

10,460 9,879 2,186 380,280,000 1,222,670,200 1,602,950,200

925 782 1,463 153,790,700 522,826,100 676,616,800

25 382 89,400 89,400

19 60 123,600 123,600

0 0 0 0

7 32 90,200 90,200

2 2 95,000 205,200 6 300,200

11,496 10,720 546,215,700 1,799,459,300 4,439 2,345,675,000

1,298

0

12,472,700

33,281,000

7,717,000

53,470,700

2,402,808,300

07/07/2014 SHANNON L KRAUSE (262) 335-5125

58 57 310 11,746,800 53,757,800 65,504,600

0 0

1,684,900 14,157,600

1,260,200 34,541,200

717,500 8,434,500

3,662,600 57,133,300

The Assessment Ratio to be used in calculating the estimated Fair Market Value on tax bills for this tax district is 1.005317197 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

2014 66 291 1807

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

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 $1.87 per acre

$2.14 $10.68per acre per acre

YEAR

2014CO

66MUN

291ACCT NO

1807

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

666307 0402 SCH D OF WEST BEND 2,333,641,100

2,333,641,100

001000 0009 MORAINE PARK TECHNICAL COLLEGE FDLC 2,333,641,100

2,333,641,100

69,167,200 2,402,808,300

69,167,200 2,402,808,300

69,167,200 2,402,808,300

69,167,200 2,402,808,300

INSTRUCTIONS FOR STATEMENT OF ASSESSMENT INCLUDING SPECIAL DISTRICT PART

HIGHLIGHTS

1. Complete the Statement of Assessment after the Board of Review. Reflect any changes made there.2. Use black ink to complete.3. Line 16 must equal Line 50, Col D.4. Line 55 must equal the total of K-8 schools listed on lines 36-49. Do not include K-12 schools in this comparision.5. Line 59, Col. D must equal Line 16.6. Special District, School District and Technical College District values must include both real estate and personal property. Examples of Special districts are: town sanitary districts, public inland lake protection and rehabilitation districts, and metropolitan sewerage districts.7. DO NOT INCLUDE Manufacturing property values.DOR will print these values on the final SOA.8. Accuracy of this form is very important. The values reported directly affect the equalized value DOR calculates for school and special districts.

Page 1:If not prefilled, enter the tax year,county and municipal code,municipal type, municipal name and county name on the top of form.Check the Amended box, if filing an amended / corrected SOA.Report the parcel count, acres and assessed value of taxable general property, total parcel count, (real and personal), total acres, and values from final figures set by the Board of Review.A. Real Estate - land and improvements (buildings, etc.) is reported on lines 1 - 8, total line 9.B. Personal Property is reported on lines 11 - 14, Column D, total line 15.C. To complete this report, use the computer produced summary of the assessment roll that shows these amounts.D. Use whole numbers only.E. Add each line across and each column down to verify entries.

Page 2:A. Report Special Items (not subject to general property tax). 1. Private Forest Croplands and Managed Forest Lands are reported on lines 18,19, 20 and 21. Be sure to report assessed values NOT taxes. 2. You should have copies of the orders of entry, orders of withdrawal, etc., to update your assessment roll. 3. Show hundredths of acres (e.g. 39.75). 4. Tax exempt lands are reported on line 22. 5. Omitted property and sec. 70.43, Wis. Stats., corrections of errors by assessor are reported on line 23. Report real estate and personal property separately. These should be for prior years, not something found on the current assessment roll after the board of review.B. Special District (Lines 24-35) Include the value of both real and personal property. The Department of Revenue (DOR) preprints much of the information regarding names and codes for schools, special districts,etc. If a district is not listed, enter the name and value only, DOR will enter the proper code.

Page 3 School Districts:Include the value of both real and personal property.Report School District (regular, elementary, union high school, and technical college). 1. Regular (K-12) and Elementary (K-8) school values are reported on lines 36-49, total on line 50. 2. Union High School (UHS) (use only if elementary schools are listed on lines 36-49) are reported on lines 51-54. UHS total value (line 55) must equal to the total elementary school values reported on lines 36-49. Do not include K-12 schools in this comparison. 3. Technical College values are reported on lines 56-58, total on line 59. 4. Use the computer summary that shows these amounts to complete this report.

This form is due the second Monday in June. File this report only after your Board of Review is complete. If you have questions: Return forms to: Email: [email protected] Wisconsin Department of Revenue Call: (608) 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