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Kson County Tax Rate 70 . Page 3 subtotal UUT 1 pg. 3 of 4 UUT 1 Long Please do not use staples. Account number Rev. 10/06 Ohio Universal UseTax Return 07040403 Reporting period (mm dd yy) to County Name County Number Ross 74 Shelby 75 Stark 76 Summit 77 Trumbull 78 Tuscarawas 79 Union 80 Van Wert 81 Vinton 82 Warren 83 Washington 84 Wayne 85 Williams 86 Wood 87 Wyandot 88 State *If this amount is a negative, please mark an X in the box provi.

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