Form Ft 1120fi - Corporation Franchise Tax Report For Financial Institutions - 2009
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4Mail with remittance to: Ohio Department of Taxation, P.O. Box 27, Columbus, Ohio 43216-0027
FT 1120FI
Department of
Taxation
Rev. 4/08
Please staple above. Do not staple check.
2009 Corporation Franchise Tax Report for Financial Institutions
For Department Use Only
Based upon calendar year 2008 or other taxable year beginning ____________________, _____ and ending ____________________, 2008.
—
If this is an amended report, check the box (if the amended report reflects a refund, attach form FT REF).
Ohio franchise tax I.D. number
Corporation name
0
Ohio charter or license number
Address (if address change, check box)
Federal employer I.D. number
City
State
ZIP code
North American Industry Classification System
(NAICS Code)
Statutory Agent
Corporate Officers
Check the box if all the below-reported corporate officers are the same as
Check the box if both the below-reported statutory agent and address are the
same as were reported on the 2008 franchise tax report.
were reported on the 2008 franchise tax report.
President
Name
Secretary
Address
City
State
ZIP code
Treasurer
Instructions for this form are
Schedule A — Computation of Franchise Tax
Whole Dollars Only
on our Web site at tax.ohio.gov.
00
1. Net value of stock (from Schedule E, line 7 or, if applicable, from Schedule F, line 6) .......................
1.
2. Apportionment ratio (from Schedule D-1, line 4 or Schedule D-2) .....................................................
2.
00
3. Taxable value (line 1 x line 2) ...............................................................................................................
3.
00
4. Tax on net worth basis (.013 x line 3, but not less than the minimum fee) .........................................
4.
00
5. Total nonrefundable credits (from Schedule A-1, line 6) .....................................................................
5.
00
6. Tax due after nonrefundable credits (line 4 minus line 5, but not less than the minimum fee) .......
6.
00
7. Overpayment carryforward from 2008 ..................................................................................................
7.
00
8. Estimated payments made in tax year 2009: E
, ER
, EX
...
8.
00
9. Refundable credits ...............................................................................................................................
9.
00
10. Total payments and refundable credits (lines 7, 8 and 9), less refunds, if any previously claimed .. 10.
00
11. Tax due (line 6 minus line 10) .............................................................................................................. 11.
00
12. Interest
, Penalty
, Total interest and penalty .......................................... 12.
00
13. Balance due (make payable to Ohio Treasurer of State). Check box if payment made by EFT ... 13.
00
14. Overpayment ........................................................................................................................................ 14.
00
15. Amount of line 14 to be credited to tax year 2010 estimated tax (if this is an amended report, enter -0-) 15.
00
16. Amount of line 14 to be refunded (if this is an amended report, attach form FT REF) ....................... 16.
Declaration/Signatures (an officer or managing agent of the corporation must sign this declaration)
I declare under penalties of perjury that this report (including any accom-
to pay or use any of its money or property for or in aid of or opposition to a
panying schedule or statement) has been examined by me and to the best
political party, a candidate for election or nomination to public office, or a
of my knowledge and belief is a true, correct and complete return and
political action committee, legislation campaign fund or organization that
report and that this corporation has not, during the preceding year, except
supports or opposes any such candidate or in any manner used any of its
as permitted by Ohio Revised Code section (R.C.) 3517.082, 3599.03 and
money for any partisan political purpose whatever, or for reimbursement or
3599.031, directly or indirectly paid, used or offered, consented or agreed
indemnification of any person for money or property so used.
Date
Signature of officer or managing agent
Title
Date
Signature of preparer other than taxpayer based on all information of
Title
which preparer has knowledge. See general instructions, Item #14.
Check Amount
For Department Use Only
Date Received
Processing Code
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