Sales Tax Form St 10-D - Ohio Delivery Vendor'S License Sales Tax Return Page 2
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1
2Sales Tax Form
ST 10-D (Rev. 12/00)
Page 2 of 2
Account Number: ______________________
Supporting Schedule must be completed showing Taxable Sales and the Combined State,
County and Transit Authority Taxes on a county-by-county basis.
County
County
(5)
(6)
County
County
(5)
(6)
Name
Number
Taxable Sales
Tax Liability
Name
Number
Taxable Sales
Tax Liability
Adams
01
Lorain
47
Allen
02
Lucas
48
Ashland
03
Madison
49
Ashtabula
04
Mahoning
50
Athens
05
Marion
51
Auglaize
06
Medina
52
Belmont
07
Meigs
53
Brown
08
Mercer
54
Butler
09
Miami
55
Carroll
10
Monroe
56
Champaign
11
Montgomery
57
Clark
12
Morgan
58
Clermont
13
Morrow
59
Clinton
14
Muskingum
60
Columbian
15
Noble
61
Coshocton
16
Ottawa
62
Crawford
17
Paulding
63
Cuyahoga
18
Perry
64
Darke
19
Pickaway
65
Defiance
20
Pike
66
Delaware
21
Portage
67
Erie
22
Preble
68
Fairfield
23
Putnam
69
Fayette
24
Richland
70
Franklin
25
Ross
71
Fulton
26
Sandusky
72
Gallia
27
Scioto
73
Geauga
28
Seneca
74
Greene
29
Shelby
75
Guernsey
30
Stark
76
Hamilton
31
Summit
77
Hancock
32
Trumbull
78
Hardin
33
Tuscarawas
79
Harrison
34
Union
80
Henry
35
Van Wert
81
Highland
36
Vinton
82
Hocking
37
Warren
83
Holmes
38
Washington
84
Huron
39
Wayne
85
Jackson
40
Williams
86
Jefferson
41
Wood
87
Knox
42
Wyandot
88
Lake
43
Lawrence
44
Licking
45
Logan
46
Totals
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.
Enter Totals on Lines 5 and 6 above.
Signature
Title
Date
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