Annual Statement Of Gross Receipts - Ohio Department Of Taxation - 2000

2000 Annual Statement of Gross Receipts

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

Name:

Utility Class:

Address:

FEIN:

Due Date

City:

State of Inc.

State:

Date of Inc.

This statement and

schedules are due on

Zip:

Ohio Charter #

or before

Entity Type:

August 1, 2000

Contact:

For Department Use Only

Initial

Date Received

If additional time is

Phone:

Audit Completed

needed you may apply

Audit Reviewed

for an extension of up

Fax:

Assessment Mailed

to 60 days

Summary of Gross Receipts Schedules

1

SCHEDULE A - TELEPHONE COMPANY

1

2

SCHEDULE B - WATER TRANSPORTATION

2

3

SCHEDULE C - WATER WORKS

3

4

SCHEDULE D - ELECTRIC & RURAL ELECTRIC

4

5

SCHEDULE E - NATURAL GAS

5

6

SCHEDULE F - HEATING

6

7

SCHEDULE G - OIL PIPELINE

7

8

SCHEDULE H - NATURAL GAS PIPELINE

8

9

SCHEDULE I - NONUTILITY

9

(if zero, indicate none)

10 TOTAL GROSS RECEIPTS (add lines 1 through 9)

10

LESS 25,000 DEDUCTION

11

11

12 TAXABLE GROSS RECEIPTS (line 10 less line 11)

12

Tax Calculation

TAX RATE (Pipeline 6.75%, all others 4.75%)

13

13

Minimum Tax is $ 10.00

14 TAX BEFORE CREDITS (line 12 x line 13)

14

15 TELEPHONE 911 CREDIT

15

16 TELEPHONE LIFELINE CREDIT

16

17

17

TELEPHONE COMMUNICATIVELY IMPAIRED CREDIT

18 ELECTRIC COMPANY COAL CREDIT

18

19 CARRYOVER CREDIT FROM TAX YEAR 1999

19

20 TOTAL CREDITS

20

Minimum Tax is $ 10.00

21 TOTAL TAX (line 14 less line 20)

21

(IF LINE 20 IS GREATER THAN LINE 14, Subtract line 14 from

22 CARRYOVER CREDIT FOR TAX YEAR 2001

22

line 20 and enter AMOUNT TO CARRYOVER)

Tax Payments

Date

23 OCTOBER PAYMENT

23

24 MARCH PAYMENT

24

25 JUNE PAYMENT

25

26 TOTAL TAX PAYMENTS

26

Refund or Amount Owed

IF LINE 26 IS GREATER THAN LINE 21, Subtract line 21 from line

27

27

26 and enter AMOUNT TO BE REFUNDED

IF LINE 26 IS LESS THAN LINE 21, Subtract line 26 from line 21 and enter

28

28

AMOUNT OWED

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