Annual Statement Of Gross Receipts Form - 2002
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5Telephone Company
2002 Annual Statement of Gross Receipts
From July 1, 2001 Through June 30, 2002
Ohio Department of Taxation
Public Utility Tax Division
P. O. Box 530
Columbus, Ohio 43216 - 0530
The Public Utility Tax Division is located at 30 East Broad Street, 21st Floor, Columbus, Ohio 43215
Telephone (614) 466-7371
Fax (614) 752-2496
Public Utility Information
Telephone Company
Name:
Utility Class:
Address:
FEIN:
Due Date
City:
State of Inc.
State:
Date of Inc.
This statement and
Zip:
schedules are due on
Ohio Charter #
or before
Entity Type:
August 1, 2002
For Department Use Only
Contact:
Initial
Date Received
If additional time is
Phone:
Audit Completed
needed you may apply
Audit Reviewed
for an extension of up
to 60 days
Fax:
Assessment Mailed
Gross Receipts Tax Calculation and Credits
1
OHIO TAXABLE GROSS RECEIPTS (Page 5, line 57, Column L)
1
(25,000)
2
2
LESS 25,000 DEDUCTION
(25,000)
3
3
TAXABLE GROSS RECEIPTS (line 1 less line 2)
4.75%
4
4
TAX RATE
50.00
5
5
TAX BEFORE CREDITS (line 3 x line 4)
6
6
TELEPHONE 911 CREDIT
7
7
TELEPHONE COMMUNICATIVELY IMPAIRED CREDIT
8
CARRYOVER CREDIT FROM TAX YEAR 2000
8
9
9
TOTAL CREDITS
50.00
10 TOTAL TAX (line 5 less line 9)
10
Minimum Tax is $ 50.00
(IF LINE 9 IS GREATER THAN LINE 5, Subtract line 5 from
11 CARRYOVER CREDIT TO TAX YEAR 2002
11
line 9 and enter AMOUNT TO CARRYOVER)
Tax Payments
Date
Amount
12
12
OCTOBER PAYMENT
13
MARCH PAYMENT
13
14
14
JUNE PAYMENT
15
15
TOTAL of Lines 12 through 14
Refund or Amount Owed
IF LINE 15 IS GREATER THAN LINE 10, Subtract line 10 from
16
16
line 15 and enter AMOUNT TO BE REFUNDED
IF LINE 15 IS LESS THAN LINE 10, Subtract line 15 from line 10 and enter
17
17
AMOUNT OWED
50.00
The Treasurer of State will bill you. Do not send payment at this time.
I declare under penalties of perjury that this report, including any accompanying schedules or statements, has been examined by me and to the best of my knowledge and belief is
a true, correct and complete report. This public utility has not, during the preceding year, except as permitted by sections 3517.082, 3599.03, and 3599.031 of the Revised Code,
directly or indirectly used any of its money or property for or in aid of or opposition to a political party, a candidate for election or nomination to a public office, or a political action
committee, legislative campaign fund, or organization that supports or opposes any such candidate or in any manner used any of its money or property for any partisan political
purpose whatever, or for the reimbursement or indemnification of any person for money or property so used.
Date
Signature
Title
Page 1
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