Form Cat Qdc - Commercial Activity Tax Annual Application For Distribution Center Qualifying Certificate And Ohio Delivery Percentage Certification Page 4

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CAT QDC
Rev. 6/13
The cost of property shipped from the distribution
center to Ohio locations during the qualifying period
The supplier’s 2014
July 1, 2012 through June 30, 2013
receipts from qualified
Qualifying distribution
)
x
( 1 –
property delivered to the
=
center receipts
qualifi ed distribution center
The cost of property shipped from the distribution
center to locations everywhere during the qualifying
period July 1, 2012 through June 30, 2013
distribution center solely for further shipping by the qualified
• Does the operator of the distribution center identifi ed above, or
distribution center to another location in this state or elsewhere
do persons in the same consolidated elected taxpayer group as
or, in the case of gold, silver, platinum or palladium, delivered to a
the operator of the distribution center identifi ed above, operate a
refi ning facility solely for refi ning to a grade and fi neness acceptable
refi ning facility in the same or an adjacent county of the distribution
for delivery to a registered commodities exchange. “Further
center?
shipping” includes storing and repackaging property into smaller
• If the operator or other members of the operator’s consolidated
or larger bundles, so long as the property is not subject to further
elected taxpayer group operate similar distribution centers to that
manufacturing or processing. “Refi ning” is limited to extracting
of the applicant distribution center, all such distribution centers
impurities from gold, silver, platinum or palladium through smelting
are included as one qualifi ed distribution center for purposes of
or some other process at a refi ning facility.
this application.
“Ohio delivery percentage” means the proportion of the total
property delivered to a destination inside Ohio from the qualifi ed
Section B
distribution center during the qualifying period compared with total
• Enter the name of the operator for the applicant distribution center
deliveries from such distribution center everywhere during the
in the fi rst blank.
qualifying period. R.C. section 5751.01(F)(2)(z)(i)(VII).
• On line 1, enter the amount of qualifi ed property the applicant
“Qualifying distribution center receipts” means receipts of
distribution center purchased from suppliers during the qualifying
a supplier from qualifi ed property that is delivered to a qualifi ed
period. For purposes of this calculation, suppliers that are
distribution center, multiplied by a quantity that equals one minus
members of the operator’s consolidated elected taxpayer group
the Ohio delivery percentage. R.C. section 5751.01(F)(2)(z)(i)(I).
may not be included. The amount entered on line 1 must be more
than $500 million.
QDC Application Instructions
• On line 2, enter the cost of qualifi ed property shipped from the
Section A
distribution center to Ohio locations during the qualifi ed period.
• Enter the address of the distribution center for which the
• On line 3, enter the cost of qualifi ed property shipped from the
application is being fi led.
distribution center to locations everywhere during the qualifi ed
• Enter the name, FEIN and address of the operating entity of the
period. This fi gure should include the amount entered on line 2.
distribution center for which the application is being fi led. Please
• Divide line 2 by line 3 to arrive at the Ohio delivery percentage.
include the name, phone number and e-mail address of the
contact person for the operating entity.
Section C
• Was the applicant distribution center in operation during the entire
• This section must be completed by an offi cer of the applicant
qualifying period?
distribution center.
• Does the operator of the applicant distribution center (or do
members of the same consolidated elected taxpayer group)
also operate similar distribution centers within one mile of the
applicant-distribution center?
- 4 -

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