Form Kwh-2 - Electric Distribution Company Tax Return - 2001
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1Prescribed Tax Form
KWH-2 (05/01)
State of Ohio
Department of Taxation
ELECTRIC DISTRIBUTION COMPANY TAX RETURN
Account Number:
Period:
Name:
Address:
(Street)
(City)
(State)
(Zip)
COLUMN A
COLUMN B
COLUMN C
Number of KWHs
Tax
Distributed
1.) 0 – 2000 KWHs
$
.00
2.) 2001 – 15,000 KWHs
$
.00
3.) Over 15,000 KWHs
$
.00
4.) Tax Due
$
.00
(Total of lines 1 + 2 + 3)
5.) Interest
$
.00
(see instructions)
6.) Total Paid
$
.00
(Total of lines 4 + 5)
By the twentieth day of each month, the return and schedule, shall be filed with the Department of Taxation along
with payment of the total amount due for the preceding month. Make checks payable to Treasurer of State of
Ohio and write the account number on your check. Failure to timely file and pay the tax may result in an
additional charge up to fifty dollars ($50.00) or 10% of the tax due, whichever is greater.
_______________________
__________________
_____________
____________
Signature:
Title:
Phone:
Date:
I DECLARE UNDER PENALTIES OF PERJURY THAT THIS RETURN INCLUDING ANY ACCOMPANYING SCHEDULES AND
STATEMENTS HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND
COMPLETE RETURN AND REPORT.
Internal Use Only
Excise and Motor Fuel Tax Division
Excise Tax Unit
P.O. Box 530, Columbus, Ohio 43216-0530
Phone: (614) 466-7026
Fax:
(614) 752-8644
E-Mail:
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