Correspondence - Corporate Tax Consulting -7°4 777: Atrett=4" 7c-,7AtZIF44
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CORPORATE TAX
) x CONSULTING
Your Property Tax Resource Partner
Sunday, February 10, 2019
Dwight E. Brock
Collier Co Clerk of Circuit Courts
3301 Tamiami Trl E FL 4
Bldg F
Naples, FL 34112
RE: AGS LLC ACCOUNT#:
Dear Dwight:
Enclosed you will find the current years'personal property return(s)for each lease for American Gaming Systems
(AGS LLC). As I am sure you are aware,gaming assets move around often,are refurbished and placed
back in service,often in other casinos,etc. Consequently,the list of assets change,sometimes dramatically,
as assets move into and out of different casinos/jurisdictions. Please note that all assets have been assigned
new asset numbers and as such,disposal reports are very difficult to generate. Regardlesss,THE
ENCLOSED FILING(S)ACCOUNT FOR ALL ACTIVE PERSONAL PROPERTY OWNED BY AGS IN
YOUR JURISDICTIONS AS OF THE CURRENT YEAR'S LIEN DATE.
Please ensure that either the account/parcel number is listed on any and all correspondence with AGS,especially tax returns
and tax bills.This designation is imperative for distinction. Please send all correspondence to AGS at:
AGS LLC
ATTN: Tax Dept
5475 S.Decatur Blvd; Ste 100
Las Vegas,NV 89119
** PLEASE DO NOT SEND ANY INFORMATION TO THE LESSEE. All correspondence, most
importantly tax bills and assessments, should be forwarded to the mailing address indicated above.
Additionally,all items should be addressed to the attention of the Tax Department (not William
Zelibor), so that all mail may be directed to the appropriate party and subsequently processed in a
timely manner. Thank you in advance for your cooperation.
Corporate Tax Consulting requests that the assessed value be reported to Corporate Tax Consulting or AGS for each
lease filed after the rendition has been processed--even if not required by law. Corporate Tax Consulting needs to verify
every assessment for every lease. If the deadline for filing any appeal or protest of assessed value is less than 30 days from
the date the assessed value is determined by your office,please fax the assessed value(s)to 866-678-6206.
Please contact me with any questions at 317-348-1331. Your time and consideration are greatly appreciated.
Sincerely,
William Zelibor
www.corp-tax.net
317-348-1338 866-678-6206(f)
7202"N h.deland'Ave tet ridrana o 46256..,3 ,,:
LETTER OF AUTHORIZATION
American Gaming Systems does hereby appoint and authorize Corporate Tax Consulting, Inc. (CTC) as its ad
valorem/property tax agent.
CTC and/or its designee has the right to receive confidential ad valorem/property tax assessment information;
file property tax returns, renditions, outstanding bills, and applications; examine property records; meet, discuss
and/or appeal any tax assessments with the appropriate officials; as it pertains to property and equipment in all
jurisdictions within the United States of America that are owned or leased by the undersigned taxpayer, or in
which the undersigned taxpayer has an ownership interest.
This authorization shall remain in force and effect for all property tax filings made in calendar years 2018 and
2019 unless revoked in writing.
Signed this day of fedV\)a.\/ ,205.
By:
Title: • ,„
State of VAT
County of
-• ,/
This instrument was acknowledged and signed before me this < day of 4:--bW0-1 20 \
•
\\ \
(f),4441WAI, .111,4/1
Notary Public
(SEAL) (print name) YVAN) VOV,i
••• ••
Benjamin John Doyle
Notary Public - State of Nevada
My commission expires: bS 10 ticaoc,
Appt. No. 17-4143-1
My Commission Expires 08/01/2021
*MUST BE COMPLETED AND RETURNED BY 4/1/19 TO RECEIVE YOUR$25,000 EXEMPTION*
FOLIO#: 85000720842 TANGIBLE PERSONAL PROPERTY TAX RETURN STATE OF FLORIDA
COUNTY OF
506 S 1ST ST
Confidential 193.074 F.S.
LEASED EQUIPMENTQ As Required by 193.052& 193.062 F.S. COLLIER
MILL CODE 0067 Return To County Property Appraiser 2019
LOCATION: 8888 By April 1 To Avoid Penalties
PHONE NUMBER: (239)252-8145 FEDERAL EMPLOYER ID NO. OCCUPATION LIC,NO. NAICS NUMBER
FAX NUMBER: (239)252-8196 ..
www.collierappraiser.com 20 2746691 532420
Email:tpp@collierappraiser.com — Please Provide Numbers when not Present:
MAIL COMPLETED RETURN TO: BUSINESS NAME(DBA)AND MAILING ADDRESS:
II IIO VIII VIII IIll VIII VIII
85000720842 A G S LLC
ATTN:TAX DEPT
ABE SKINNER, CFA 5475 S DECATUR BLVD STE 100
COLLIER COUNTY LAS VEGAS,NV 89119
PROPERTY APPRAISER
3950 RADIO ROAD
NAPLES, FL 34104-3750
If name or address is incorrect, please make necessary corrections
THIS RETURN IS SUBJECT TO AUDIT WITH ALL RECORDS KEPT BY YOU,INCOMPLETE ENTRIES ARE SUBJECT TO PENALTIES.
1. Please Give Name and Telephone Number of Owner or Person in Charge. 5. Date You Began Business In This County:
Name: Fiscal Year:From to
Tel.#: Fax#: 6. Describe Type or Nature of Your Business
Corp Name/DBA:
2. Actual Physical Location of This Property(Street Address-NOT PO BOX)as of 7. Trade Level:(Circle as many as apply) Retail Wholesale Manufacturing
January 1st: Professional Service Agriculture Leasing/Rental Other
8.Is Your Business or Farm Located Within the Incorporated Limits of a City?
3. Did You File a Tangible Personal Property Return in This County last Year?
Yes No If Yes,what City?
Yes No_ If Yes,Under what Name and Address?
9.If Business Closed,Sold,or Moved(Circle one) Date:
4. Do You File a Tangible Personal Property Return Under Any Other Name? If sold;Name,Address and Phone of New Owner
Yes No If Yes,Please Show Name Exactly as it Appeared on your If moved;Moved from
Most Recent Personal Property Tax Bill or Current Return To
SCHEDULE#1
LEASED,LOANED,AND RENTED EQUIPMENT(PLEASE COMPLETE IF YOU HOLD EQUIPMENT BELONGING TO OTHERS.)
YEAR YEAR RENT PER RETAIL INSTALLED
NAME,ADDRESS,PHONE OF OWNER OR LESSOR DESCRIPTION ACQUIRED OF MFG MONTH COST NEW
SCHEDULE#2
EQUIPMENT OWNED BY YOU BUT RENTED,LEASED,OR HELD BY OTHERS I TAXPAYER'S ESTIMATE OF
CONDITION
FAIR (GOOD)
NAME/ADDRESS OF LESSEE YEAR RENT PER MARKET (AVG.) RETAIL INSTALLED
LEASE NO. ACTUAL PHYSICAL LOCATION DESCRIPTION AGE PURCHASED MONTH TERM VALUE (POOR) COST NEW
Under penalties of perjury,I declare that I have read the foregoing tax
return and that the facts stated in it are true. If prepared by someone
other than the taxpayer,the preparer signing this return certifies that [ ]WIDOWED [ ]BLIND [ ]$25,000
his/her declaration is based on all information of which he/she has any [ ]TOTAL DISABILITY [ ]OTHER,SPECIFY
knowledge. TAXABLE VALUE
DATE: '020'.' . TITLE: ` ' DEPUTY PENALTY
SIGNED �__ Oji► _ TAXPAYER SIGN AND DATE YOUR RETURN. SEND THIS ORIGINAL TO THE
:1' ":91
COUNTY APPRAISER'S OFFICE BY APRIL 1ST UNSIGNED RETURNS
SIGNED: rte= CANNOT BE ACCEPTED BY THE APPRAISER'S OFFICE.
rt-'k PARER)
ADDRESS: NOTICE:IF YOU ARE ENTITLED TO A WIDOW'S,WIDOWER'S,OR DISABILITY EXEMPTION ON
PHONE NO: PREPARER'S ID: PERSONAL PROPERTY(NOT ALREADY CLAIMED ON REAL ESTATE),PLEASE CONSULT APPRAISER.
ALL INFORMATION ON BOTH SIDES MUST BE COMPLETED IN FULL TO BEA VALID RETURN
Important Note: Be sure to include all new acquisitions as well as all expensed and fully depreciated assets on this return.
Failure to include all assets physically present on January 1st may result in penalties.
TANGIBLE PERSONAL PROPERTY ASSET SCHEDULE#3
FOLIO#: 85000720842 P c R
IIII VIII IIID IIH II II VIII VIII III 111 II II III I IIII IIII E HA TESTIMATE S TAXPAYEREST MATES S NA M
0 EXPLANATION OF
A OF CONDITION OF FAIR A G V ADJUSTED ADJUSTED
R g (GOOD) ORIGINAL MARKET M E E ORIGINAL ORIGINAL
LINE DEPT E (AVG.) INSTALLED VALUE E INSTALLED INSTALLED COST
CODE DESCRIPTION D AGE (POOR) COST >$0 (S)(C) (R) COST OR REMOVAL
00010 2000 MONITOR-EDP EQUIPMENT-SEMINOLE INDIAN CASINO 2013 05 4,010
TOTAL ORIGINAL INSTALLED COST 4,010
CONTINUE ON SEPARATE SHEET IF NECESSARY
Collier County Appraiser TANGIBLE PERSONAL PROPERTY TAX RETURN
Attn.Appraiser's Office DR-405, R. 01/18
3950 Radio Rd CONFIDENTIAL Rule 12D-16.002, F.A.C.
Naples, FL 34104-3750 Effective 01/18
Return to property appraiser by April 1 to avoid penalty.
Enter your account number,name,and address below. Mail this form to your County Property Appraiser. Collier County Tax Year 2019
Account number 85000720842 Business name(DBA-Doing Business As)and mailing address:
Name and address DBA:AGS LLC
AGS LLC 5475 S.Decatur Blvd., Ste 100
5475 S.Decatur Blvd., Ste 100 Las Vegas,NV 89119
Las Vegas,NV 89119 Federal Employer 2 0 — 2 7 4 6 6 9 1
Identification Number
NAICS 7 1 3 2 9 0
If name and address is incorrect, please make needed corrections
1. Owner or person in charge Tammie Leary Phone (702)724-1114 6. Type or nature of your business Commercial
Business/corporate name American Gamine Systems
Trade levels(check all that apply) El Retail 0 Wholesale
2. Physical Location
(no PO Bcxes) 0 Manufacturing 0 Professional 0 Service 0 Agricultural
Seminole Casino Immokalee 506 S First St,Immokalee,FL 34142 0 Leasing/rental 0 Other,specify:
3. Do you file a TPP tax return under any other name? I 1 Yes 1-,71 No 7. Did you file a TPP return in this county last year? V Yes No
Name on most recent retum or tax bill
Name and Same
location
4. Date you began business in this county
5. Fiscal year If before 12/31 last year,does this return reflect 8. Former owner of business
end date December 31 additions/deletions through Dec 31? Yes No 9. If sold,to whom? Date sold
Personal Property Summary Schedule -Enter totals from page 2 or from Taxpayer's Estimate Original Installed For Property
an attached itemized list or depreciation schedule with original cost and date of acquisition. of Fair Market Value Cost Appraiser Use Only
10. Office furniture,office machines,and library
11. EDP equipment,computers,and word processors
12. Store,bar and lounge,and restaurant furniture,equipment,etc.
13. Machinery and manufacturing equipment
14. Farm,grove,and dairy equipment
15. Professional,medical,dental,and laboratory equipment
16. Hotel,motel,and apartment complex
16a Rental units(stove,refrigerator,furniture,drapes,and appliances)
17. Mobile home attachments(carport,utility building,cabana,porch,etc.)
18. Service station and bulk plant equipment(underground tanks,lifts,tools)
19. Signs(billboard,pole,wall,portable,directional,etc.)
20. Leasehold improvements-grouped by type,year of installation,and description
21. Pollution control equipment
22. Equipment owned by you but rented,leased or held by others 722 4,010
23. Supplies not held for resale
24. Renewable energy source devices
25. Other,specify:
TOTAL PERSONAL PROPERTY 722 4,010
I declare that I have read this tax return and the accompanying schedules and statements.The facts in Less
them are true.If prepared by someone other than the taxpayer,the preparer signing this return certifies I $25,000
that this declaration is based on all information he or she has knowledge of. I 1 Widowed Exemptions
Taxable
Signature Agent for AGS n Blind
taxpayer Print name Title Date Value
n Total disability
Signature
William Zelibor 03/16/2019
SI
g n Other,specify Penalties
preparer Print name Preparer ID Date
Address PO Box 56012,Indpls,IN 46256-0012 (317)348-133
Phone Signature,deputy Date
Sign and date your return,send the original to the county property appraiser's office by April 1. Unsigned returns cannot be accepted by the appraiser's office.
If you are entitled to a widow's,widower's,or disability exemption on personal property(not already claimed on real estate),consult your appraiser.
AGS LLC-Collier County Appraiser(Assr Acct 85000720842)
TANGIBLE PERSONAL PROPERTY DR-405,R.01/18,Page 2
Report all property owned by you including fully depreciated items still in use.
ASSETS PHYSICALLY REMOVED DURING THE LAST YEAR
Description Age Year Taxpayer's Estimate Original Installed Acquired of Fair Market Value Disposed,sold,or traded and to whom?
Cost
N/A
LEASED, LOANED, OR RENTED EQUIPMENT Complete if you hold equipment belonging to others. Lease
Purchase
Name and Address of Owner or Lessor Description Year Year of Monthly Original Installed Option
Acquired Manufacture Rent Cost Yes No
N/A ❑ ❑
❑ ❑
❑ ❑
SCHEDULE FOR LINE 22, PAGE 1 Equipment owned by you but rented, leased, or held by others. Enter total on page 1.
Taxpayer's Original
Lease Name/address of lesseeYear Monthly
Description Age Term Estimate of Fair Cond* Installed Cost
Number Actual physical location Acquired Rent Market Value New
See Attached 722 4,010
SCHEDULE FOR PAGE 1, LINES 10 -21, and 23-25 APPRAISER'S USE ONLY
Enter line number from page 1. A e Year Taxpayer's Estimate Cond* Original Installed
Description g Acquired of Fair Market Value Cost Cond* Value
N/A
Enter totals on page 1. TOTAL TOTAL TOTAL
Enter line number from page 1. A e Year Taxpayer's Estimate Cond* Original Installed
Description g Acquired of Fair Market Value Cost Cond* Value
Enter totals on page 1. TOTAL TOTAL TOTAL
Enter line number from page 1. Year Taxpayer's Estimate Original Installed
Description Age Acquired of Fair Market Value COnd' Cost Cond* Value
Enter totals on page 1. TOTAL TOTAL TOTAL
*Condition: enter good, avg(average), or poor. Add pages, if needed. See instructions on pages 3 and 4.
AGS LLC-Collier County Appraiser(Assr Acct 85000720842)
EQUIPMENT OWNED BY YOU BUT RENTED, LEASED, OR HELD BY OTHERS
Tax is the Responsibility of the Taxpayer(Lessor)
TAXPAYERS ORIGINAL
ACTUAL PHYSICAL LOCATION LEASE# YEAR MONTHLY ESTIMATE OF FAIR INSTALLED COST
NAME/ADDRESS OF LESSEE ASSET# DESCRIPTION AGE ACQUIRED RENT TERM MARKET VALUE NEW
Seminole Casino Immokalee,506 S First St,Immokalee,FL 34142
Seminole Indian Casino- Slim Line,EDP Equip., 6 2013 86.40 480.00
Immokalee 003099 Computers,Word Proc.,,
506 S First St,Immokalee,FL Gaming Equipment-
34142 Computerized
Slim Line,EDP Equip., 6 2013 109.80 610.00
003153 Computers,Word Proc.,,
Gaming Equipment-
Computerized
Slim Line,EDP Equip., 6 2013 86.40 480.00
003155 Computers,Word Proc.,,
Gaming Equipment-
Computerized
Slim Line,EDP Equip., 6 2013 86.40 480.00
003165 Computers,Word Proc.,,
Gaming Equipment-
Computerized
Slim Line,EDP Equip., 6 2013 61.20 340.00
003186 Computers,Word Proc.,,
Gaming Equipment-
Computerized
Slim Line,EDP Equip., 6 2013 118.80 660.00
003217 Computers,Word Proc.,,
Gaming Equipment-
Computerized
Slim Line,EDP Equip., 6 2013 86.40 480.00
003612 Computers,Word Proc.,,
Gaming Equipment-
Computerized
Slim Line,EDP Equip., 6 2013 86.40 480.00
004307 Computers,Word Proc.,,
Gaming Equipment-
Computerized
Total 721.80 4,010.00
AGS LLC-Collier County Appraiser(Assr Acct 85000720842)
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