Dealer In Intangibles Tax Return - 2011 Page 11
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202011
Form 980-5
Rev. 11/10
Exhibit E – Leased Equipment
Dealers owning and leasing or holding for lease tangible
county where the property is physically located and used in
personal property shall enter a description of the property,
business on Dec. 31, 2010.
including book value, the name of the lessee, and the Ohio
Lessee
Ohio County Location
Description
Book Value
Taxpayer Identifi cation
Please type or print the name, address and telephone number of the person to be contacted during our examination of this
return.
Name
Title
Address
Telephone
This tax return, and accompanying exhibits, should be received no later than March 14, 2011 by the Department of Taxation.
(Do NOT send payment.)
Mail to:
Ohio Department of Taxation
Excise, Motor Fuel and Public Utility Tax Division
P.O. Box 530
Columbus, OH 43216-0530
– OR –
Deliver to:
Rhodes State Offi ce Tower
30 E. Broad Street
19th Floor
Columbus, OH 43215
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