ACE-2 Worksheet Annual Capital Expenditures Survey

U.S. DEPARTMENT OF COMMERCE

ACE-2

Worksheet
(01-27-2020)

Economics and Statistics Administration

U.S. CENSUS BUREAU

2019 ANNUAL CAPITAL
EXPENDITURES SURVEY

YOUR RESPONSE IS REQUIRED BY LAW. Title 13 United States Code (U.S.C.), Sections 131
and 182 authorizes this collection. Sections 224 and 225 require your response. The U.S. Census
Bureau is required by Section 9 of the same law to keep your information CONFIDENTIAL and
can use your responses only to produce statistics. The Census Bureau is not permitted to publicly
release your responses in a way that could identify your business, organization, or institution. Per
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity
risks through screening of the systems that transmit your data.

Report Online - Do Not Return

This survey collects capital
expenditures information
from nonfarm businesses
including but not limited to:
• Small employer companies
• Self employed persons
(e.g., doctors, lawyers,
investors, accountants)
• Independent sales persons
(e.g., cosmetic
representatives)
• Independent commission
workers (e.g., real estate
and life insurance
salespersons)
• Independent contractors
(truckers, private duty
nurses, construction
contractors)

Even if this survey request
was mailed to your home
address and the business is
not located at this address,
the form is applicable and
must be completed.

PLEASE REFER TO THE INSTRUCTIONS AND DEFINITIONS PAGE BEFORE
COMPLETING THIS SURVEY.
ITEM 1

Report the following capital expenditures data for the entire business. Exclude land.

Report capital expenditures your business made during calendar year 2019. If your business ceased operations
during 2019, complete the survey for the period of time that the business was in operation.
Report dollar values rounded to thousands. Enter "0 in the thousands’ column if expenditures are less than one
thousand after rounding. If your business did not make any capital expenditures during 2019, report "0" on
applicable line.

Example: If figure
is $600.00 report

Mil. Thou.

1

Example: If figure
is $2,600.00 report

Mil. Thou.

3

Capital
Expenditures
for 2019
Mil.

Thou.

a. Total Capital Expenditures (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 repairs to existing structures)
c. Used Structures
d. New Equipment
e. Used Equipment

ITEM 2 Report the following capital lease data for the entire business for calendar year 2019.
Report dollar values rounded to thousands. Enter "0" in the thousands’ column if the value is less than one thousand
after rounding. If your business did not have any capital lease arrangements during 2019, report "0".

Capital Lease
Arrangements
for 2019
Mil.

Thou.

Report this same value in ITEM 1 as a new capital expenditure since the purchase of a structure and/
or equipment has essentially taken place.
Report the estimated cost of assets acquired under capital lease arrangements entered 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 information see Item 2 on page 2 of the Instructions and Definitions
sheet.)
Page 1

REPORTING PERIOD COVERED
a. Do the reported data cover the calendar year 2019?

FROM

YES

Month

Day

TO
Year

Month

Day

Year

Month

Day

Year

Month

Day

Year

➤

NO – Specify period covered

a. Was this business in operation on December 31, 2019?
YES
➤

NO – Give date operations ceased

b. Did the ownership of this business change during the
year ending December 31, 2019?
➤

YES – Specify date of change
AND fill in c. below

➤

NO

c. Name of new operator/business

Number and street address

Contact name at new company

Contact area code & phone number

City

State

ZIP Code

REMARKS – BRIEFLY DESCRIBE THE CAPITAL EXPENDITURES REPORTED IN ITEM 1

Federal Employer Identification Number – If applicable, please provide the EIN of the
business you are reporting for.

EIN

CERTIFICATION – This report is substantially accurate and has been prepared in accordance with instructions.
Name of person to contact regarding this report

Printed name of person completing this report

Telephone
number
Telephone
number

Area code

Number

Area code

Number

E-mail address

Month

Day

Year

Date

For more information, refer to: portal.census.gov or call 1-800-528-3049

THANK YOU FOR YOUR COOPERATION AND ASSISTANCE IN THIS SURVEY.
Worksheet ACE-2

Page 2

Report Online - Do Not Return

OWNERSHIP INFORMATION