State of Ohio
Tax Form
____________________ County
913EX
1999
R
E
P
P
ETURN OF
XEMPT
ERSONAL
ROPERTY
Prescribed by the
Tax Commissioner
Located in An Enterprise Zone
or
A Hazardous Substance Reclamation Area
For Accounting Period ________________ to ________________ 1998
Taxpayer Name: __________________________________________________________________
Address of Business in Zone or Area: _________________________________________________
City ___________________________ State ____________________
Zip __________________
Type of
Date Agreement
Percent of
Period of
Agreement
Effective
Exemption
Exemption
___ Reclamation Area
_____________________
__________________ %
__________________ Years
___ Municipal Enterprise Zone
_____________________
__________________ %
__________________ Years
___ County Enterprise Zone
_____________________
__________________ %
__________________ Years
Time Period for Acquisition of Eligible Assets from 19 _____ to 19 _____
Any taxpayer who is party to an Enterprise Zone, or Hazardous Substance Reclamation Area Agreement must complete and
submit this form with their Taxable Business Property Tax Form -- 920/945. Taxable values should be determined as pre-
scribed by the Tax Commissioner.
Section 5709.62 (H), 5709.63 (I), and 5709.88 (H) of the Ohio Revised Code read as follows: "After an agreement is entered
into, the enterprise shall file with each personal property tax return required to be filed while the agreement is in effect, an
informational return, on a form presribed by the tax commisioner for that purpose, setting forth separately the property, and
related costs and values exempted from taxation under the agreement."
Enterprise Zone Property -- Listed Value Summary
(A)
(B)
(C)
Taxable Value
Total
Exempt
(Deduct B from A)
List Value
List Value
List on Form 920 or 945
1. Schedule 2 (Nearest $10)
2. Schedule 3 (Nearest $10)
3. Schedule 3A (Nearest $10)
4. Schedule 4 (Nearest $10)
5. Total Listed Value
File a separate Form 913EX for each agreement and taxing district in which exempt property is claimed. File this
form with Form 920 or Form 945. Remember to list the taxable portion of value (Column C) on each Form 920 or
Form 945.
Declaration
I/we declare under penalties of perjury that this return (including any accompanying schedules and statements) has been examined by
me/us and to the best of my/our knowledge and belief is a true, correct and complete return and report.
Person, other than taxpayer, preparing return
Date
Signature of Taxpayer
Title
Date
Address
Signature of Taxpayer
Title
Date