Form Fr 1172 - Business Income Tax Return - West Union - 2009
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1
2FORM FR
1172
BUSINESS - 2009
INCOME TAX RETURN
MAKE CHECK OR MONEY ORDER TO:
WEST UNION INCOME TAX BUREAU
WEST UNION
Federal ID#
Fiscal Period
to
P.O. Box 529
BusinessTelephone No.
Mt. Orab OH 45154
Principal
Business
Activity
INCLUDE FEDERAL SCHEDULES
NAICS Code
FILING REQUIRED EVEN IF NO TAX IS DUE
Voice 800-779-3165 Fax 937-444-9241
IF YOU HAVE MOVED DURING TAX YEAR - GIVE DATES
westuniontax@fuse.net
/
/
/
/
INTO
OUT OF
Name
CHECK ONE
CORPORATION
ESTATE
And
SOLE PROPRIETOR
TRUST
PARTNERSHIP
FIDUCIARY
Address
S-CORPORATION
OTHER
1 Total taxable income
1
2 Adjustments (See Schedule X)
2
3 Taxable income before allocation (Line 1 plus/minus lines 2 )
3
%
4 Allocation percentage (See Schedule Y)
4
5
5 Adjusted Net Income (Multiply line 3 by line 4)
6 Allocable Net Loss Carry Forward
6
7 West Union Taxable income (Line 5 minus Line 6)
7
8 West Union income tax (Multiply line 7 by 1.000%)
8
9 Credits applied from previous year(s) to this year's liability
9
10 Estimates paid on this year's liability
10
11 Other credits
11
12 Total credits (Total line 9, 10 and 11)
12
13 Tax due (If line 8 is greater than line 12, subtract line 12 from line 8 ) If greater than 5.OO
13
14 Penalty
14
15 Interest
15
16 Total due (Total line 13, 14 and 15)
16
17 Overpayment ( Issued if greater than 5.OO )
17
18 Amount to be refunded
18
19 Amount to be credited to next year
19
Declaration of Estimate For 2010
20 Total estimated income subject to tax
20
21 Estimated tax due. (Multiply line 20 by 1.000%)
21
22 Less credits (from 19 above)
22
23 Net estimated tax due (subtract line 22 from line 21)
23
24 Minimum amount due for first quarter (Multiply line 23 by .25)
24
Amount You Owe
25 Total amount due (add lines 16 and 24)
25
Tax Office Use Only : Tax Office Use Only : Tax Office Use Only
I certify that I have examined this return and any accopanying schedules and to the best of my knowledge and belief it is true, complete
and correct.
Permission granted to contact preparer: _______ Taxpayer Initials
TaxPayer's Signature
Date
Tax Preparer's Signature
Date
(If other than taxpayer)
Phone No.
May VILLAGE OF WEST UNION discuss this return with the preparer shown above ___Yes ___No
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