Business Income Tax Return - City Of Miamisburg Income Tax Department

BUSINESS INCOME TAX RETURN

CITY OF MIAMISBURG

FOR TAX OFFICE USE ONLY

INCOME TAX DEPARTMENT

10 N. First St.

CALENDAR YEAR_______DUE BY APRIL 30 OF FOLLOWING YEAR

FILED: _______________________

Miamisburg, OH 45342

Phone 937-847-6462

FISCAL YEAR_______TO_______DUE 4 MONTHS AFTER FISCAL YEAR END

CHECK #: ____________________

Fax 937-866-0891

AMOUNT: ____________________

TYPE OF BUSINESS:

Corporation

Partnership

“S” Coporation

Other_______________

Federal Employer

Identification No.

Please complete questionnaire on reverse.

NAME and ADDRESS (indicates Changes)

1. TOTAL TAXABLE INCOME (Per Copy Federal Form 1120, 1120S, 1066 or appropriate schedules attached) . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

2.

ITEMS NOT DEDUCTIBLE (From Line M, Schedule X below). . . . . . . . . . . . . . . . . . ADD

____________________________

3.

ITEMS NOT TAXABLE (From Line Z, Schedule X below) . . . . . . . . . . . . . . . . . . . . . DEDUCT

____________________________

4.

ENTER EXCESS OF LINE 2 or 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

5.

ADJUSTED NET INCOME (Line 1 plus or minus Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

6.

AMOUNT ALLOCABLE TO MIAMISBURG (If Schedule Y is used)____________________% of Line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

7. AMOUNT SUBJECT TO MUNICIPAL INCOME TAX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

8. MIAMISBURG TAX DUE - 1..75% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

9.

ESTIMATED PAYMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

10.

PRIOR YEAR OVERPAYMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

11.

TOTAL CREDITS (Add lines 9 AND 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

(No tax due if less than $1.00)

12. BALANCE OF TAX DUE - (Subtract 11 line from line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

13.

OVERPAYMENT (If line 11 exceeds line 8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

(No refund or credit if less than $1.00)

14. ______REFUND____________ CREDIT TO ________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

(year)

ESTIMATED TAX (See instructions)

15.

TOTAL _______ ESTIMATED TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

(year)

16.

QUARTERLY AMOUNT DUE (1/4 of line 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

17.

PRIOR YEAR CREDIT (line 14) APPLIED TO FIRST QUARTERLY PAYMENT . . . . . . . . . . . . . . . . . . . . . . . . . . .

____________________________

18.

BALANCE OF QUARTERLY PAYMENT DUE (Line 16 minus line 17). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ____________________________

19. TOTAL DUE (Add lines 12 and 18) Make check or money order payable to CITY OF MIAMISBURG, if $1 or more . . . . . . . . . . . . . . . . . . . . $ ____________________________

SCHEDULE X - RECONCILIATION WITH FEDERAL INCOME TAX RETURN

ADD

DEDUCT

ITEMS NOT DEDUCTIBLE

ITEMS NOT TAXABLE

a. Capital Losses (Do not include ordinary losses from Federal form

n. Capital Gains (Do not include ordinary gains from Federal Form

4707) ............................................................................................................ $______________

4797 ............................................................................................................. . $_____________

b. Interest and (or Other Expenses incurred in the production o non-

o. Interest earned or accrued...........................................................................

_____________

taxable income (at least 6% of Line Z) ........................................................

______________

p. Dividends (Less Federal exclusion) .............................................................

_____________

c. Income Taxes, City and State (If Deducted as Expenses)...........................

______________

q. Other items not taxable (explain) .................................................................

_____________

d. Net operating loss deduction per Federal return .........................................

______________

.....................................................................................................................

_____________

e. Payments to partners per Federal Form 1065 .............................................

______________

.....................................................................................................................

_____________

f. Retirement plan payments (Keogh, IRA, Tax Sheltered Annuity) ................

______________

z. Total Deductions...........................................................................................

_____________

g. Portion State of Ohio Franchise Tax based on Income................................

______________

h. Charitable Contributions...............................................................................

______________

i. Other items not deductible (explain) ............................................................

______________

.....................................................................................................................

______________

m. Total Additions ..............................................................................................

______________

SCHEDULE Y - BUSINESS APPORTIONMENT FORMULA

(See instructions)

The business apportionment formula is to be used only in the absence o books and records which will

B. Located in

C. Percentage

A Located

disclose with reasonable accuracy that portion of the net profits which is attributed to that part of

Miamisburg

(B ÷ A)

Everywhere

the business within Miamisburg.

Step 1. Average value of real and tangible personal property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________________

$______________________

Gross annual rentals multiplied by 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________________

$______________________

%

Total step 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________________

$______________________

______________________

%

Step 2. Gross receipts from sales and wok or services performed (See instructions) . . . . . . . . . . . . $______________________

$______________________

______________________

%

Step 3. Total wages, salaries, commissions, and other compensation of all employees . . . . . . . . . . $______________________

$______________________

______________________

%

Step 4. Total percentages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

______________________

Step 5. Average percentage (Divide total percentage by number of percentages used - enter on % line 6 above.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

______

The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for the taxable period stated and that the figures used herein are the same as used for

Federal Income Tax purposes, and if an audit of Federal return is made which affects tax liability shown on this return, an amended return will be filed within 3 months.

______________________________________________________________________

______________________________________________________________________

Signature

(Title)

(Date)

Preparer’s signature (other than taxpayer)

(Date)

If this return was prepared by a tax practitioner, may we contact your practitioner directly

with questions regarding the preparation of this return?

______________________________________________________________________

Address (and Zip Code)

YES

NO

MAKE CHECKS PAYABLE TO CITY OF MIAMISBURG