Form Ft 1120fi - Corporation Franchise Tax Report For Financial Institutions

Name

Franchise tax I.D. number

2005

Schedule B – Balance Sheet

Attach to this report a balance sheet that reflects the books of the taxpayer as of the beginning and the end of the taxable year.

Schedule C – Exempted Assets (Net Book Value)

1. Goodwill (attach explanation) ....................................................................................................................... 1. ________________

2. Abandoned property (attach explanation) .................................................................................................... 2. ________________

3. Appreciation (attach explanation) ................................................................................................................. 3. ________________

4. Investments in production credit associations ............................................................................................ 4. ________________

5. Other (attach explanation) ............................................................................................................................ 5. ________________

6. Total exempted assets (enter here and on Schedule E, line 6) .................................................................. 6.

Schedule D – Apportionment Ratio (Carry to Six Decimal Places)

(1)

(2)

(3)

Sales Factor – O.R.C. section 5733.056(F)

Ohio

Everywhere

Ratio

1. Receipts from the lease, sublease, or rental of real property ..............

2. Receipts from the lease or rental of tangible personal property ..........

3. Interest from loans secured by real property ........................................

4. Interest from loans not secured by real property ..................................

5. Net gains from the sale of loans secured by real property ..................

6. Net gains from the sale of loans not secured by real property ............

7. Interest and fees charged to credit card holders ..................................

8. Net gains from the sale of credit card receivables ...............................

9. Credit card issuer’s reimbursement fees ............................................

10. Receipts from merchant discount ........................................................

11. Loan servicing fees from loans secured by real property ....................

12. Loan servicing fees from loans not secured by real property ..............

13. Loan servicing fees for servicing the loans of others ...........................

14. Receipts from services not otherwise apportioned .............................

15. Interest, dividends, net gains, and other income from both

investment assets and activities and trading assets and activities ....

Check method:

Avg. value method

Gross income method

16. Certain other receipts ............................................................................

17. Total – Enter ratio here and on Schedule D-1, line 1, column 1 ..........

(Ratio)

Property Factor – O.R.C. section 5733.056(D)

Ohio

Everywhere

18. Real property and tangible personal property owned ..........................

19. Real property and tangible personal property rented x 8 .....................

20. Loans and credit card receivables .......................................................

21. Total – Enter ratio here and on Schedule D-1, line 2, column 1 ..........

(Ratio)

Note: If the property factor is less than 1.00, please attach to this report a schedule that separately lists the taxpayer’s Ohio and

everywhere cost values at the beginning and the end of the taxpayer’s taxable year for the following assets: (1) buildings and other

depreciable assets, (2) land, (3) credit card receivables, (4) loans to subsidiaries and (5) loans other than loans to subsidiaries.

Payroll Factor – O.R.C. section 5733.056(E)

Ohio

Everywhere

22. Compensation paid to employees – Enter ratio here and on

Schedule D-1, line 3, column 1 .............................................................

(Ratio)

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Form Ft 1120fi - Corporation Franchise Tax Report For Financial Institutions - 2005 Page 2

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