Form 921nt - Ohio Balance Sheet - 2007

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Form 921NT
2007
Rev. 11/06
Ohio Balance Sheet
(Required to be filed with tax form 920NT)
Name
FEIN/Social Security number
Balance sheet as of
2007
Within Ohio
Total
Assets
Net Book Values
Net Book Values
1. Cash and deposits ..........................................................................
2. Notes and accounts receivable .....................................................
3. Inventories
A) Manufacturing ..............................................................................
B) Merchandising .............................................................................
C) Supplies – manufacturing ............................................................
D) Supplies – other ..........................................................................
E) Consigned ...................................................................................
F) Agricultural machinery and equipment (merchandise) ..................
G) Exempted inventory (including foreign trade zone) .......................
H) Other inventory ............................................................................
4. Investments ....................................................................................
5. Land ................................................................................................
Ohio Cost
6. Buildings
A) Taxed as real estate ...........................................
B) Taxed as personal property .................................
7. Leasehold improvements
A) Taxed as real estate ...........................................
B) Taxed as personal property .................................
8. Machinery and equipment
A) Taxed as real estate ...........................................
B) Taxed as personal property .................................
C) Exempt manufacturing equipment H.B. 66 ..........
9. Furniture and fixtures ...........................................
10. Personal property leased to others
A) Taxable...............................................................
B) Nontaxable .........................................................
11. Capitalized leases ................................................
12. Exempt personal property located in an
enterprise zone (attach form 913EX) or a
hazardous substance reclamation area ..............
13. Certified exempt facilities ....................................
14. Patterns, jigs, dies and drawings ........................
15. Construction in progress
A) Real property ......................................................
B) Personal property capable of use .......................
C) Personal property not capable of use ..................
16. Small tools ............................................................
17. Vehicles and aircraft
A) Registered or licensed ........................................
B) Other ..................................................................
18. Other assets
................................................
................................................
19. Total assets .....................................................................................
Liabilities and Net Worth
20. Notes, accounts payable, bonds and mortgages ...............................................................
21. Accrued expenses ................................................................................................................
22. Other liabilities, deferred credits .........................................................................................
23. Preferred stock ......................................................................................................................
24. Common stock .......................................................................................................................
25. Additional paid-in capital .....................................................................................................
26. Retained earnings ................................................................................................................
27. Appropriated earnings .........................................................................................................
28. Owner's capital .....................................................................................................................
29. Other ......................................................................................................................................
30. Total liabilities and net worth ..............................................................................................
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