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                                                                                                              ET 35
                                                                                                              Rev. 7/03
                Estate Tax Unit                        Reset Form
                P.O. Box 183050
                Columbus, OH 43218-3050
                1-(800) 977-7711
                tax.ohio.gov

          Worksheet for Developing the Value of Qualifi ed Farm Property
 Estate of: Decedent’s last name             Decedent’s fi rst name and initial           Estate tax fi le number

 County in Ohio                 Case number            Decedent’s Social Security number Date of death

 Part I – Identifi cation                                                                 Date Received by
                                                                                         Ohio Department of Taxation

 Name of preparer 
 Address 
 City, state and ZIP code
 Telephone number of preparer 

 Designation, please check one:        Attorney Executor Administrator(s)         

 Part II – Computation – list acreage in each crop or land use for last year

                                       Soil Management Land Capability
 Land Use         Soil Type                                           Acres              Price Per Acre* Value
                                       Group           Class

 Waste
 Road
 Homesite
 Building
 Total

 *Price per acre as shown in the current current agricultural use valuation tables – see Ohio Revised Code section 5713.30 and 
 5713.38.
 Show the total numbr of acres from the tax duplicate. For total acreage of less than 30 acres, please provide the farm income for last 
 year:  $                       .

 Part III – Signature and Verifi cation

 Under penalties of perjury, I declare that to the best of my knowledge and belief, the statements made herein are true and correct.

                                 Signature of preparer                                   Date






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