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Balance Shel and Anesew
(Check Filing Status
{Schedule B Rental Income Tax
[TSehedule C Busines Income Tas
i siinng income Tan
in 1 Taxpayer Information
T Taxpayers Name (Company Name or Name, Fabers Name, | 3 Tanjafesaciicaion wome ® Forks Vearende
Grandes’ Name)
a Regina Th Zona — Keto Tak Acunt Naier [Dawe ae
Fe Worst [tebe Farms Asn Become ans | 5. Tax CB?
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Section? Busines A sd Capa
Fnsrctions: Prior to competing this potion of th Balance Sheet ow x need a sompse the individual Annexes on the folowing
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"Knnex Accounts Reverae
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‘Annex 2— Inventories (Applies fo Business Mining Ieoibs Only, Nt Rasa ROOT
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Reject By Produit and ie Rated ems —
Spare Pars, Supplies, Packing aid oie Maras
‘ofa Lins ldough 6, (sr ToilArnount on Line 6 of Balance Shes es
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‘Annex 4~ Other lnestment
“Annex $ Fixed Assets
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un Total Line
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ae ‘A. Cost of Feu Assets (Tra
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Balnnce Shost annexes ]
“Taxpayer Information
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Amex 6~ Intangible Ase
ee
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Pate
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Tot of Lins | ough 5
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Lesstold Land
Die Tange Rass
Tot of Lins? Tough 1
Net Book Valu Lines 6 mins 1
nwen T— Other Assets
“Total (ater Total amount on ie 25 of Balangs Shes)
Annex 8— Loans payable in est than One Year
Tensoreel iene Pate
[Rane ots ae
Wilding pi
VAT Pabie —
Tanove Ta Fable
Exgee Tt Payable
ded Tax SS
[other Tae Pale
To [Tol ne Tota cnt Te
SRrRYor REVUES ge a‘Schedule B& C Burinesal Rental Income Tae -
Balance Shect Annexes |
¢ “Taxpayer Information
T.Taspayer name (Company oF Tana) T Fortis Verrier
“amex 1) Other Carron Cate
“otal Estes Tot aout o ine 2 of Blane Sst acd Teal Fon Coiaton Seis
‘Annex 11 Loans Payable in Mae than 1 eae
“Toil Ear Teal amount on Tine 30 of Balance Shot (nla Tol From Continston Shea Fused) |
Annes 12. Other Long-Term Labi :
Total Eater Tota wmnoual o ine 3 of Balance Shs (ntae Tol Fron Common Shaw 5)
‘Taxpayer Certification
tet and eompite, unerstind that ay esrepreseaon i Panshable
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