Form Et 18 - Close Corporation Valuation Form - Ohio Department Of Taxation

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ET 18
Rev. 7/03
Reset Form
Estate Tax Unit
P.O. Box 183050
Columbus, OH 43218-3050
1-(800) 977-7711
tax.ohio.gov
Close Corporation Valuation Form
Estate of: Decedent’s last name
Decedent’s fi rst name and initial
Date of death
County in Ohio
Case number
Decedent’s Social Security number
Name of corporation
Item I. Preferred Stock
The number of shares of preferred stock owned by decedent
. The book values and dividends of said com-
pany’s preferred stock per share for the past fi ve years are as follows:
Based on following number
Year ending
Dividends per share
Book value per share
of shares then outstanding
The preferred stock has a par value of $
per share. The nominal dividend rate is
%. It is cumulative
,
noncumulative
, participating
. The amount of accumulated dividends as of the date of death on the above preferred
stock was $
. This stock is callable
, noncallable
.
Item II. Common Stock
The number of shares of common stock owned by decedent
. The book values and dividends of said com-
pany’s common stock per share for the past fi ve years are as follows:
Based on following number
Year ending
Dividends per share
Book value per share
of shares then outstanding
The common stock has a par value of $
per share.

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