Tiffin Income Tax Return Form - 2016 (Page 2 of 2) in pdf

SCHEDULE OF INCOME FROM OTHER THAN WAGES

RETURNS WILL NOT BE ACCEPTED WITHOUT COPIES OF FEDERAL SCHEDULES C AND E, FORMS 1120, 1120S, FORM 1065

WHEN APPLICABLE. MUST INCLUDE ALL PAGES, SCHEDULES & STATEMENTS

FORM OR SCHEDULE

INCOME OR LOSS FROM

TAX CREDIT ALLOWED

FEDERAL SCHEDULE

FOR TAX PAID TO OTHER

CITIES (LIMITED TO

1.75% OF INCOME

1. SCHEDULE C – BUSINESS INCOME

2. SCHEDULE E – RENTAL INCOME (Residents enter profit/loss from all properties.

Nonresidents enter only profit/loss from Tiffin properties.

3. SCHEDULE K-1 (Residents enter profit/loss from entities that do not pay Tiffin

tax on entire distributive share.)

4. MISCELLANEOUS INCOME – 1099 MISC, W-2G, SCHEDULE F, ETC.

5. FORM 1120, 1120S, 1065, 1041

6. TOTAL INCOME (LOSS) (Combine Lines 1 through 5 and enter amount from 6A

on Line 28 below and amount from 6B on Line 10 on front of return.

SCHEDULE X

RECONCILIATION WITH FEDERAL INCOME TAX RETURN (NOT FOR INDIVIDUAL NON-BUSINESS USE)

ITEMS NOT DEDUCTIBLE

ADD

ITEMS NOT TAXABLE

DEDUCT

a. Capital Losses (Excluding Ordinary Losses)...........................

$ ______________

b. Expenses incurred in the production of non-taxable income ...

______________

k. Capital gains (Excluding Ordinary Gains) ...............................

$ ______________

l. Interest Income........................................................................

______________

c. Taxes based on income (Including Franchise Tax) .................

______________

d. Net operating loss carry forward from Federal Return .............

______________

m. Dividend Income......................................................................

______________

e. Amounts paid or accrued on behalf of owners/partners for qualified self employed

n. Section 179 Deduction ............................................................

______________

retirement plans, health insurance and/or life insurance..........

______________

o. Other (explain).........................................................................

______________

f. Officers Compensation not included in W-2 wages .................

______________

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

g. Other expenses not deductible (explain) .................................

______________

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

h. Total additions (enter on Line 29A)......................................

$ ______________

p. Total Deductions (enter on Line 29B) .................................

$ ______________

SCHEDULE Y

BUSINESS ALLOCATION FORMULA

a. LOCATED

b. LOCATED

c. PERCENTAGE

EVERYWHERE

IN TIFFIN

(b ÷ a)

STEP 1

Avg. Original Cost of Real & Tang. personal property

____________

Gross annual rentals paid multiplied by 8

____________

Total Step1

____________

____________ %

STEP 2

Gross receipts from sales made and/or work or services performed

____________

____________ %

STEP 3

Wages, salaries, and other compensation paid

____________

____________ %

STEP 4

Total percentages

____________

____________ %

STEP 5

Average percentage (Divide Total Percentages by Number of Percentages Used)

Carry to Line 30B below ____________ %

28. Total from Schedule of income from other than wages above (Line 6A).......................................................................................................

$ _____________

29. a. Items Not Deductible...........................................................................................................................................ADD $ ____________

b. Items Not Taxable....................................................................................................................................... DEDUCT $ ____________

c. Enter excess of Line 29A or 29B (May be negative)..............................................................................................................................

$ _____________

30. a. Adjusted Net Income (Line 28 minus 29C)..........................................................................................................................................

$ _____________

b. Amount allocable to Tiffin. If Schedule Y is used then, ______% of Line 30a ......................................................................................

$ _____________

31. Amount subject to Tiffin City Tax (Carry to Page 1 Line 4)........................................................................................................................

$ _____________

EXEMPTION CERTIFICATE (Signature is required on front of this form)

I have no taxable income because of the reason indicated below:

RETIRED – I received only pension, Social Security and/or interest or dividend income.

UNDER 18 for the entire year of ______. My date of birth is ___ / ___ / ___. (Attach copy of birth certificate or driver’s license)

ACTIVE MEMBER OF THE U.S. ARMED FORCES for the entire year of _____.

NO EARNED INCOME for the entire year of ______. (Public assistance, SSI, Unemployment, etc. is not considered earned income.)