Tax Forms 920-Nt Examples - County Return Of Taxable Business Property, 921-Nt - Ohio Balance Sheet - 2002 Page 5
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5Tax Form
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– O
B
S
2002
921-NT
XAMPLE
HIO
ALANCE
HEET
(Required to be Filed with Tax Form 920-NT)
Prescribed by the
Tax Commissioner
Queen’s Specialty Shops, Inc.
32-0756971
Name __________________________________ FEIN/Social Security No. _________________
August 13,
Balance Sheet as of First Day of Business ________________________ 2002
Within Ohio
Total
Assets
Net Book Values
Net Book Values
1. Cash and Deposits .........................................................................
525
2. Notes and Accounts Receivable ...................................................
3. Inventories
A) Manufacturing ............................................................................
16,500
B) Merchandising ...........................................................................
C) Supplies–Manufacturing ............................................................
D) Supplies–Other ..........................................................................
E) Consigned .................................................................................
F) Agricultural Machinery & Equipment (Merchandise) ..................
G) Exempted Inventory ...................................................................
H) Other Inventory ..........................................................................
4. Investments ....................................................................................
5. Land ................................................................................................
Ohio Cost
6. Buildings
A) Taxed as Real Estate .........................................
B) Taxed as Personal Property ...............................
7. Leasehold Improvements
A) Taxed as Real Estate .........................................
B) Taxed as Personal Property ...............................
8. Machinery & Equipment
A) Taxed as Real Estate .........................................
B) Taxed as Personal Property ...............................
51,140
51,140
9. Furniture & Fixtures ...............................................
10. Personal Property Leased to Others
A) Taxable ..............................................................
B) Non-Taxable ......................................................
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 & Drawings ...........................
15. Construction in Progress
A) Real Property .....................................................
B) Personal Property Capable of Use .....................
C) Personal Property Not Capable of Use ..............
16. Small Tools .............................................................
17. Vehicles & Aircraft
A) Registered or Licensed ......................................
B) Other .................................................................
Prepaid Expenses
143
18. Other Assets _____________________________ ....................
Deferred Charges
_____________________________ ....................
228
19. Total Assets ....................................................................................
68,536
Liabilities and Net Worth
20,000
20. Notes, Accounts Payable, Bonds and Mortgages ...............................................................
9,011
21. Accrued Expenses .................................................................................................................
525
22. Other Liabilities, Deferred Credits ........................................................................................
23. Preferred Stock ......................................................................................................................
3,000
24. Common Stock ......................................................................................................................
36,000
25. Additional Paid-In Capital ......................................................................................................
26. Retained Earnings .................................................................................................................
27. Appropriated Earnings ..........................................................................................................
28. Owner's Capital ......................................................................................................................
29. Other .......................................................................................................................................
68,536
30. Total Liabilities & Net Worth .................................................................................................
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