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OMB No. 0607-0782: Approval Expires 01/31/2011

 

 

 

FORM ACE-2

U.S. DEPARTMENT OF COMMERCE

YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code,

(2-12-2008)

Economics and Statistics Administration

requires businesses and other organizations that receive this questionnaire

U.S. CENSUS BUREAU

 

to answer the questions and return the report to the U.S. Census Bureau.

2007 ANNUAL CAPITAL

by persons sworn to uphold the confidentiality of Census Bureau

EXPENDITURES SURVEY

By the same law, YOUR REPORT IS CONFIDENTIAL. It may be seen only

information and may be used only for statistical purposes. Further, copies

 

 

 

 

retained in respondents’ files are immune from legal process.

 

 

 

This questionnaire collects capital expenditures information from nonfarm businesses including but not limited to:

Small employer companies

Self employed persons

Independent salespersons (e.g., cosmetic representatives)

Independent commission workers (e.g., real estate and life insurance salespersons)

Independent contractors (truckers, private duty nurses, construction contractors)

Doctors, lawyers, investors, accountants

Even if this questionnaire

 

 

was mailed to your home

 

 

address and the business is

 

 

not located at this address,

(Please correct any errors in name, address, and ZIP Code.)

the form is applicable and

must be completed.

Respondents are not required to respond to any information collection unless it displays a valid approval

 

 

number from the Office of Management and Budget. This 8-digit number appears at the top of this page.

Electronic Reporting

 

Username:

To complete this survey online go to: www.census.gov/econhelp/acesict.

Password:

Click on "CENSUS TAKER" and use your username and password to login.

 

 

PLEASE REFER TO THE ENCLOSED INSTRUCTIONS AND DEFINITIONS PAGE

 

 

BEFORE COMPLETING THIS SURVEY.

 

ITEM 1

Report the following capital expenditures data for the entire business. Report dollar values rounded

to thousands. Exclude land.

 

 

 

 

 

 

 

Report capital expenditures your business made during the 2007 reporting

 

Capital Expenditures

period. If your business did not make any capital expenditures enter

 

for 2007

 

"0" on the appropriate line(s).

Example: If figure is

Thou.

Dol.

Thousands

Dollars

 

 

3

000

a.

Total Capital Expenditures

$2,600.00 report

224

 

 

 

 

 

 

(The sum of lines b, c, d, and e should equal the value reported in line a.)

 

 

 

 

b.

New Structures (Include major additions, alterations, and capitalized

201

 

 

repairs to existing structures)

 

 

 

 

 

 

 

 

 

 

211

 

c.

Used Structures

 

 

 

 

 

 

 

 

 

 

202

 

d.

New Equipment

 

 

 

 

 

 

 

 

 

 

212

 

e.

Used Equipment

 

 

 

 

 

ITEM 2 Report the following capital lease data for the entire business. Report in thousands of dollars.

 

 

Capital Lease

 

 

Arrangements

 

 

for 2007

 

Report the estimated cost of assets acquired under capital lease arrangements entered

 

 

 

 

Thousands

Dollars

into during the year. Exclude the value of structures and equipment which you rent and

 

 

 

 

periodic payments made for leased structures and equipment. (For additional

411

 

 

information see Item 2 on page 2 of the Instructions and Definitions sheet.)

 

 

 

 

 

 

 

U S C E N S U S B U R E A U

Page 1

REPORTING PERIOD COVERED

a. Do the reported data cover the calendar year 2007?

95

1

YES

3

 

 

2

NO – Specify period covered

 

 

 

 

FROM

Month Day Year

4

TO

Month Day Year

OWNERSHIP INFORMATION

a. Was this business in operation on December 31, 2007?

96

1

2

YES

3

NO – Give date operations ceased

 

 

 

 

Month

Day

Year

b. Did the ownership of this business change during the year ending December 31, 2007?

97

1

2

YES – Specify date of change

 

3

 

AND fill in c, below

NO

Month

Day

Year

c. Name of new operator/ business

Contact name at new company

Contact telephone number (Include Area Code)

 

 

 

 

Number and street

City

State

ZIP Code

 

 

 

 

BRIEFLY DESCRIBE THE CAPITAL EXPENDITURES

Federal Employer Identification Number – If applicable, please list the EIN of the business you are reporting for in the box provided

EIN

CERTIFICATION – This report is substantially accurate and has been prepared in accordance with instructions.

Name of person to contact regarding this report

 

Telephone number

(Please print or type)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Area code

 

Number

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Printed name of person completing this report

Telephone number

E-mail address

Date

Please be sure to correct any name, address, and ZIP Code errors to the imprinted address on

the front of this survey form.

PLEASE RETURN YOUR

U.S. Census Bureau

 

FAX THE FORM TO

1201 East 10th Street

OR

COMPLETED FORM TO

1–800–438–8040

Jeffersonville, IN 47132-0001

 

 

 

 

FORM ACE-2 (2-12-2008)

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