REVIEW & SUBMIT

1. Review the information below carefully and use the tabs on the left to make any corrections. Changes cannot be made after filing is submitted.
2. If information below is accurate, review, complete, and submit the form below.
3. Click the Submit Assessment Sheet to Assessor button.

Name On Account:
Mailing Address: ,
Polk County Physical Address:

All fields below ARE required.
Name of Individual Completing Filing (Last, First):
Contact Phone (999-999-9999):
Email:
Retype Email:
By Clicking on the 'Submit Assessment Sheet to Assessor' button below, I do solemnlyswear, or affirm, that the foregoing list contains a true and correct statement of all the tangible personal property, made taxable by the laws of the state of Missouri, which I owned or which I had under my charge or management on the first day of January, 2026. I further solemnly swear, or affirm, that I have not sent or taken, or caused to be sent or taken, any property out of this state to avoid taxation. So help me God.