Form Kwh 2 - Electric Distribution Company Tax Return
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1KWH 2
Rev. 3/09
Reset Form
P.O. Box 530
Columbus, OH 43216-0530
Electric Distribution Company Tax Return
Account number
Period
Name
Address
Street address
City
State
ZIP code
Column B
Column C
Column A
Number of KWHs
Distributed
1. 0 – 2000 KWHs
$
.00
2. 2001 – 15,000 KWHs
$
.00
3. More than 15,000 KWHs
$
.00
4. Tax due (total of lines 1 plus 2 plus 3)
$
.00
5. Interest (see instructions)
$
.00
6. Total paid (total of lines 4 plus 5)
$
.00
0
By the 20th day of each month, the return and schedule shall be fi led with the Department of Taxation along with payment
of the total amount due for the preceding month. Make checks payable to Ohio Treasurer of State and write the account
number on your check. Failure to timely fi le and pay the tax may result in an additional charge up to $50 or 10% of the tax
due, whichever is greater.
Signature
Title
Telephone
Date
I declare under penalties of perjury that this return, including any accompanying schedules and statements, has been examined
by me and to the best of my knowledge and belief is a true, correct and complete return and report.
Internal Use Only
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Parent category: Financial