Tax Form 921-Nt - Ohio Balance Sheet

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Tax Form
O
B
S
921-NT
HIO
ALANCE
HEET
____________
(Required to be Filed with Tax Form 920-NT)
Prescribed by the
Return Year
Tax Commissioner
Name __________________________________ FEIN/Social Security No. _________________
Balance Sheet as of First Day of Business ________________________ 20__
Within Ohio
Total
Assets
Net Book Values
Net Book Values
1. Cash and deposits
2. Notes and accounts receivable
3. Inventories
4. Investments
5. Land
Ohio Cost
6. Buildings
7. Leasehold improvements
8. Machinery and equipment
9. Furniture and fixtures
10. Personal property leased to others
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 and drawings
15. Construction in progress
16. Small tools
17. Vehicles and aircraft
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 and net worth

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