Revised FT 1120-FI
2002
Name
Franchise Tax ID Number
Schedule B Balance Sheet
Attach to this report a balance sheet which reflects the books of the taxpayer as of the beginning and end of the taxable year.
Schedule C Exempted Assets (Net Book Value)
00
1. Goodwill (attach explanation) ..........................................................................................................................
1.
___________________
00
2. Abandoned property (attach explanation) .......................................................................................................
2.
___________________
00
3. Appreciation (attach explanation) ....................................................................................................................
3.
___________________
00
4. Investments in Production Credit Associations .............................................................................................
4.
___________________
00
5. Other (attach explanation) ...............................................................................................................................
5.
___________________
00
6. Total exempted assets (enter on Schedule E, line 7) ....................................................................................
6.
Schedule D Apportionment Ratio (Carry to Six Decimal Places)
(1)
(2)
Sales Factor ORC 5733.056(F)
Ohio
Everywhere
1. Receipts from the lease, sublease or rental of real property ........
_____________
______________
2. Receipts from the lease or rental of tangible personal property ...
_____________
______________
3. Interest from loans secured by real property .................................
_____________
______________
4. Interest from loans not secured by real property ...........................
_____________
______________
5. Net gains from the sale of loans secured by real property ...........
_____________
______________
6. Net gains from the sale of loans not secured by real property .....
_____________
______________
7. Interest and fees charged to credit card holders ...........................
_____________
______________
8. Net gains from the sale of credit card receivables ........................
_____________
______________
9. Credit card issuers reimbursement fees .....................................
_____________
______________
10. Receipts from merchant discount .................................................
_____________
______________
11. Loan servicing fees from loans secured by real property .............
_____________
______________
12. Loan servicing fees from loans not secured by real property .......
_____________
______________
13. Loan servicing fees for servicing the loans of others ....................
_____________
______________
14. Receipts from services not otherwise apportioned ......................
_____________
______________
15. Interest, dividends, net gains, and other income from both
investment assets and activities & trading assets and activities .
_____________
______________
c
c
Check method:
Avg. value method
Gross income method
16. All other receipts .............................................................................
_____________
______________
.
÷
=
17. Total ................................................................................................
_____________
______________
________________
(Ratio)
Property Factor ORC 5733.056(D)
Ohio
Everywhere
18. Real property and tangible personal property owned ...................
_____________
______________
19. Real property and tangible personal property rented x 8 ..............
_____________
______________
20. Loans and credit card receivables ................................................
_____________
______________
.
÷
=
________________
21. Total ................................................................................................
_____________
______________
(Ratio)
Note: If the property factor is less than 1.00, please attach to this report a schedule which separately lists the
taxpayers Ohio and everywhere cost values at the beginning and the end of the taxpayers taxable year for the
following assets: (1) buildings and other depreciable assets, (2) land, (3) credit card receivables, (4) loans to
subsidiaries and (5) loans other than loans to subsidiaries.
Payroll Factor ORC 5733.056(E)
Ohio
Everywhere
.
÷
=
________________
22. Compensation paid to employees ................................................
_____________
______________
(Ratio)
Page 2