_____________ County
Tax Form
State of Ohio
920
C
R
T
B
P
OUNTY
ETURN OF
AXABLE
USINESS
ROPERTY
1999
Prescribed by the
Tax Commissioner
For Accounting Period _____________ to _____________ 1998
File No. ____________
Taxpayer Name __________________________________________________
(If Corporation, as recorded with the Ohio Secretary of State.)
Address ________________________________________________________
County Auditor's
Received Stamp
City ___________________________ State __________ Zip_____________
Business Name ___________________________________________________
Physical Location of Taxable Property _________________________________
Date Business Started in Ohio _______________________________________
Description of Business ____________________________________________
Taxpayer who Reported this Property for 1998 __________________________
Time Extension
Permit
Federal Employer Identification Number
Ohio Charter Number
Federal Industry Code Number
No._________ granted
Social Security Number
Ohio Vendor's License Number
Date Incorporated or Qualified in Ohio
q
q
Type of Business: Corporation
Other
______________________
to ___________ 1999
Filing Includes:
Form 902 _________
Form 913 EX _________
1. Taxing District --
(Township, City and School District)
2. Schedule 2
(Nearest $10)
3. Schedule 3
(Nearest $10)
4. Schedule 3-A (Nearest $10)
5. Schedule 4
(Nearest $10)
6. Total Listed Value
7. $10,000 Exemption
8. Taxable Value
9. Tax Rate
10. Tax
11. Amount Paid with Return
12. Balance
File this return in duplicate with your County Auditor at the County Court House, with check attached, made payable
to your County Treasurer for at least one-half of tax, between February 15 and April 30. This return must be filed
even though no tax is due. No payment is required if the total tax due is under $2.00.
D
ECLARATION
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
Name of Taxpayer
(Please Print)
Date
Phone Number (
) -
Phone Number (
) -