Tax Form 920 - County Return Of Taxable Business Property - 2001
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1
2_____________ County
Tax Form
920
C
R
T
B
P
OUNTY
ETURN OF
AXABLE
USINESS
ROPERTY
2001
Prescribed by the
Tax Commissioner
For Accounting Period _____________ to _____________ 2000
File No. ____________
Taxpayer Name __________________________________________________
(If Corporation, as recorded with the Ohio Secretary of State.)
Address ________________________________________________________
County Auditor's
City ___________________________ State __________ Zip_____________
Received Stamp
Business Name ___________________________________________________
Physical Location of Taxable Property _________________________________
Date Business Started in Ohio _______________________________________
Description of Business ____________________________________________
Taxpayer who Reported this Property for 2000 __________________________
Federal Employer Identification Number
Federal Industry Code Number
Ohio Charter Number
Ohio Vendor's License Number
Date Incorporated or Qualified in Ohio
Social Security Number
q
q
Type of Business: Corporation
Other
______________________
Filing Includes:
Form 902 _________
Form 913 EX _________
1. Taxing District --
(Township, City and School District)
2. Schedule 2
(Nearest $10)
3. Schedule 3
(Nearest $10)
4. Schedule 3-A (Nearest $10)
5. Schedule 4
(Nearest $10)
6. Total Listed Value
7. $10,000 Exemption
8. Taxable Value
9. Tax Rate
10. Tax
11. Amount Paid with Return
12. Balance
ECLARATION
I/we declare under penalties of perjury that this return (including any accompanying schedules and statements) has been examined by
me/us and to the best of my/our knowledge and belief is a true, correct and complete return and report.
Person, other than taxpayer, preparing this return
Date
Signature of Taxpayer
Title
Date
Address
Name of Taxpayer
(Please Print)
Date
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