Tax Form 921 - Ohio Balance Sheet - 2002 Page 2
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2Page 18
2002 E
B
S
R
XHIBITS FOR
ALANCE
HEET
ECONCILIATION AND
L
P
/C
I
EASED
ROPERTY
ONSIGNED
NVENTORY
E
A – R
B
S
L
N
3, 8B, 9, 10, 13, 15B,
16.
XHIBIT
ECONCILIATION OF
ALANCE
HEET
INE
UMBERS
AND
B/S
Book
Value
Reconcile
Line No.
Value
Returned
Difference
Differences
E
B –
Please provide a brief description of Leasehold Improvements and Machinery & Equipment taxed
XHIBIT
as real (Lines 7A and 8A).
B/S
Line No.
Itemization
Amount
E
C – L
P
XHIBIT
EASED
ROPERTY
List all Tangible Personal Property held under Lease on Tax Listing Day.
Lease:
Lease:
Type of
Gross
Name and Address of Property Owner
Ending Date
Property
Annual Rental
Start Date
E
D – I
B
, C
, C
A
XHIBIT
NVENTORY HELD UNDER
AILMENT
ONSIGNMENT
ONTRACT
GREEMENT
List all Inventories held on Consignment, or as Bailment, or Under Contract, and in your possession during the
reporting period and not listed in this return.
Inventory Type
Inventory Location
Estimated
(Mfg or Mer)
Address
Average Value
Name and Address of Inventory Owner
Mer
Mer
Mer
Mer
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