Dealer In Intangibles Tax Return Form - Ohio Department Of Taxation - 2013 Page 8
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162013
Form 980-2
Rev. 11/12
Balance Sheet as of Dec. 31, 2012
Line
Assets
No.
1.
Cash on hand and in banks ............................................................................................... $
2.
Investments (complete enclosed Ohio form 984)
a) Taxable .........................................................................................................................
b) Nontaxable ....................................................................................................................
3.
Accounts and notes receivable
a) Accounts receivable .................................................... Gross $
Less allowance for bad debts ..................................................
b) Installment loans.......................................................... Gross $
Less allowance for bad debts ..................................................
c) Lease receivables ....................................................... Gross $
Less allowance for bad debts ..................................................
d) Real estate loans ......................................................... Gross $
Less allowance for bad debts ..................................................
e) Other receivables ........................................................ Gross $
Less allowance for bad debts ..................................................
4.
Customers’ debit balances ...............................................................................................
5.
Due from other brokers ......................................................................................................
6.
Real estate....................................................................... Cost $
Less accumulated depreciation ...................................................
7.
Leasehold improvements (enclose Ohio form 937DI) ..... Cost $
Less accumulated depreciation ...................................................
8.
Furniture, fi xtures and equipment (enclose Ohio form 937DI) .. Cost $
Less accumulated depreciation ...................................................
9.
Leased equipment (see Exhibit E) .....................................................................................
10.
Commissions receivable ....................................................................................................
11.
Memberships (specify).......................................................................................................
12.
Deferred charges
a) Prepaid expenses ..........................................................................................................
b) Other .............................................................................................................................
13.
Accrued earnings ...............................................................................................................
14.
Other assets (specify) ........................................................................................................
15.
Total assets (lines 1 through 14) ........................................................................................ $
Line
Liabilities
No.
16.
Notes and accounts payable ............................................................................................. $
17.
Due to other brokers ..........................................................................................................
18.
Customers’ credit balances ...............................................................................................
19.
Commissions payable........................................................................................................
20.
Accrued expenses .............................................................................................................
21.
Deferred credits .................................................................................................................
22.
Other liabilities ...................................................................................................................
23.
Total liabilities (lines 16 through 22)................................................................................... $
Line
Capital
No.
24.
Capital stock (less Treasury shares).................................................................................. $
25.
Capital investment (if not incorporated) .............................................................................
26.
Surplus and undivided profi ts ............................................................................................
27.
Partners’ credit balances ...................................................................................................
28.
General reserves (without defi nite evidence of imminent loss or liability) .........................
29.
Book value of shares or invested capital (lines 24 through 28)
..........
(Carry amount to applicable Exhibit: Exhibit A, line 1; Exhibit B, line 3; or Exhibit C, line 3)
30.
Total liabilities and capital .................................................................................................. $
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