Form 925 - Return Of Grains Handled
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1State of Ohio
________________ County
Tax Form
925
Return Year
Return of Grains Handled
__________
(Rev. 5/02)
Important
Notice
Belonging to ________________________________________________________________
This form to be made in duplicate,
Street No.,
ONLY grains in their natural state, or
R.F.D. _____________________________________________________________________
to accompany and cover same
those hulled, cleaned, dried, graded or
fiscal period as the personal prop-
polished, shall be included in this form.
Post Office __________________________________________________________________
Grains which have been otherwise pro-
erty tax return.
Taxing District of
cessed, or the products of such other
Principal Elevator ____________________________________________________________
See detailed instructions
processing, shall be listed in Schedule
Taxing District of
3 of the Personal Property Tax Return.
on reverse side.
Principal Office ______________________________________________________________
Include here only transfers of grain “received” during
Schedule A – Record of Grains Transferred
the calendar or fiscal year covered by the return.
Wheat and Flax
All Other Grains
Total transferred during year.
Bushels
Total transferred during year.
Bushels
Taxing District
Taxing District
Taxing District
Taxing District
From __________________ To _________________
______________
From __________________ To _________________
______________
From __________________ To _________________
______________
From __________________ To _________________
______________
______________
From __________________ To _________________
______________
From __________________ To _________________
List here each kind of grain included in Schedule B. __________________________________________________________________________
__________________________________________________________________________________________________________________________
Schedule B – Record of Grains Purchased and Received
If operating in more taxing districts than
given below, attach additional schedule.
Wheat and Flax – Bushels
All Other Grains – Bushels
Purchased
Received
Received
Purchased
Received
Received
Taxing District
Taxing District
Taxing District
Taxing District
Taxing District
Taxing District
Months in
Business
January
February
March
April
May
June
July
August
September
October
November
December
Total Bushels
* * * * * *
* * * * * *
* * * * * *
* * * * * *
Transferred From (Deduct ½)
* * * * * *
* * * * * *
Total
* * * * * *
* * * * * *
Transferred To (Deduct ½)
Total
Computation of Tax
Amount Paid
Taxing District
Grains Handled
Bushels
Rate of Tax
Amount of Tax
with Return
Wheat and Flax
.0005
$
$
All Other Grain
.00025
$
$
Total Tax
$
$
Declaration
I/we declare under penalties of perjury that this return, including any accompanying schedules and statements, has been examined by me/us and, to
the best of my/our knowledge and belief, is a true, correct and complete return and report.
Person, other than taxpayer, preparing this return
Date
Signature of Taxpayer
Title
Date
Address
Signature of Taxpayer
Title
Date
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