Form 980 - Dealer In Intangibles Tax Return - 2002 Page 4
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5Form 980
Ohio Department of Taxation
Taxpayer
2002
Dealers in Intangibles
Summary Worksheet for Exhibit A, Line 2
Instructions
This worksheet is a tool to be used to capture all adjustments to fair value at December 31st. It is a
gathering worksheet to list the financial book value for all accounts that have an adjustment to bring it to
its fair value at December 31st. Compare the financial book value to the fair market value and place the
increase or decrease in the difference column. This total is the value which is placed on line 2 of Exhibit
A, as a company-wide increase or decrease to arrive at a fair value.
A
B
S
V
F
M
V
D
CCOUNT
ALANCE
HEET
ALUE
AIR
ARKET
ALUE
IFFERENCE
Investments
Accounts Receivable
Real Estate
Total Fixed Assets
Memberships
Net Worth
Other FMV Adjustments
Total
Carry Total to Line 2, Exhibit A.
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Parent category: Financial