Tax Form 921 - Ohio Balance Sheet - 2001
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1
2Tax Form
2001
921
O
B
S
HIO
ALANCE
HEET
Prescribed by the
Tax Commissioner
Name __________________________________ FEIN/Social Security No. _________________
Total
Within Ohio
Assets
Net Book Values
Net Book Values
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A) Manufacturing ............................................................................
B) Merchandising ...........................................................................
C) Supplies--Manufacturing ............................................................
D) Supplies--Other .........................................................................
E) Consigned .................................................................................
F) Agricultural Machinery & Equipment (Merchandise) ..................
G) Exempted Inventory ...................................................................
H) Other Inventory ..........................................................................
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Ohio Cost
A) Taxed as Real Estate .........................................
B) Taxed as Personal Property ...............................
A) Taxed as Real Estate .........................................
B) Taxed as Personal Property ...............................
A) Taxed as Real Estate .........................................
B) Taxed as Personal Property ...............................
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A) Taxable ..............................................................
B) Non-Taxable ......................................................
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A) Real Property .....................................................
B) Personal Property Capable of Use .....................
C) Personal Property Not Capable of Use ..............
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A) Registered or Licensed ......................................
B) Other .................................................................
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Liabilities and Net Worth
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