Form 921-Ez - Ohio Balance Sheet - 2001
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12001
921-EZ
Ohio Balance Sheet
(Required to be filed with Tax Form 920-EZ)
Name _________________________________________ FEIN/Social Security No. ______________________________
Balance Sheet as of _________________________ 2000
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.)
Exempt
___________________________________
d.)
Other Inventory (Supplies and Consigned)
4.
Investments
_____________________________________________________
5.
Buildings and Land
_____________________________________________________
6.
Leasehold Improvements
_____________________________________________________
7.
Machinery and Equipment
_____________________________________________________
8.
Furniture and Fixtures
_____________________________________________________
9.
Exempt Personal Property
located in an Enterprise Zone
_____________________________________________________
10.
Certified Exempt Facilities
_____________________________________________________
11.
Patterns, Jigs, Dies and Drawings
_____________________________________________________
12.
Construction in Progress
_____________________________________________________
13.
Small Tools
_____________________________________________________
14.
Vehicles and Aircraft
_____________________________________________________
15.
Other Assets
_____________________________________________________
16.
Total Assets
Liabilities and Net Worth
__________________
17.
Current Liabilities
__________________
18.
Long Term Liabilities
__________________
19.
Stock (Common and Preferred)
__________________
20.
Retained Earnings
__________________
21.
Other
22.
Total Liabilities and Net Worth
Exhibit A
Reconciliation of Balance Sheet Lines 3, 7, 8, 9 and 15.
Where Values on the Balance Sheet do not reconcile to the Schedules in the Return
Line
Book Value
Value Returned
Difference
Reconcile Difference
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Parent category: Financial