Tax Form 921 - Ohio Balance Sheet - 1999
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1Tax Form
1999
921
O
B
S
HIO
ALANCE
HEET
Prescribed by the
Tax Commissioner
Name __________________________________ FEIN/Social Security No. _________________
Balance Sheet as of ________________________ 1998
Total
Within Ohio
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 & Equipment (Merchandise) ....................
G) Exempted Inventory ......................................................................
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 & Equipment
A) Taxed as Real Estate .........................................
B) Taxed as Personal Property ...............................
9. Furniture & Fixtures ................................................
10. Personal Property Leased to Others
A) Taxable ................................................................
B) Non-Taxable ........................................................
11. Capitalized Leases ..................................................
12. Exempt Personal Property located in an:
Enterprise Zone (Attach Form 913EX), or
Hazardous Substance Reclamation Area ............
13. Certified Exempt Facilities .....................................
14. Patterns, Jigs, Dies & 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 & 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 & Net Worth .....................................................................................................
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