Income Tax Return Form - Springfield Income Tax Division - 2007 Page 2

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ATTACH COPIES OF ALL W-2 FORMS, 1099’S, AND APPLICABLE FEDERAL SCHEDULES HERE
TAXPAYER
WORKSHEET A - WAGES AND COMPENSATION (From W-2’s)
WORKSHEET C - ADJUSTMENTS TO INCOME
Total wages (as shown on
Withheld for
Location where earned - List separately
W-2 form)
Springfield
EMPLOYEE BUSINESS EXPENSE $
(See Instructions)
(To Part B, Line 3)
Must attach both Schedule A and 2106
OTHER ADJUSTMENTS
$
(To Part B, Line 3)
Must fully explain, plus support with documentation and
calculations. Proration of income results in proration of
credit.
(To Part B, Line 1)
WORKSHEET B - OTHER INCOME
WORKSHEET D - OTHER CITY TAX CREDIT AND JOINT ECONOMIC DEVELOPMENT
(From Schedules and Attachments)
DISTRICT TAX CREDIT - SEE INSTRUCTIONS
D-1
Cities or J.E.D.D. with tax rate UP TO 2%.
Net Taxable
Net Taxable
Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other entity.
TYPE
LOCATION
Gain From
Loss From
LOCATION
TAXABLE INCOME
TAX PAID
Fed. Schedule
Fed. Schedule
Proprietorship Income
(Schedule C)
Rental Income
(Schedule E)
TOTAL
X
.5
Partnership Income
(Schedule E/K-1)
ALLOWABLE CREDIT, (To Part B, Line 8)
D-2
Farm Income
Cities with tax rate GREATER than 2% (i.e. Dayton - 2.25%, Oakwood - 2.5%)
(Schedule F)
Other City Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other city.
A
B
C
D
E
Other Income
OTHER CITY TAX
LESSER of
LOCATION
TAXABLE INCOME
2% of Column B
PAID
Column C or D
(Not Less
(Part B, Line 2)
Than -0-)
Losses from schedules or businesses, including multiple partnerships, may not
offset gains from other schedules or businesses except sole proprietorships,
rentals and farms in the name of the same individual. Net losses may not
TOTAL
offset personal service compensation, wages or W-2 income.
X
.5
Partnership losses may not offset partnership, sole proprietorship, rental or
ALLOWABLE CREDIT, (To Part B, Line 8)
farm gains. Jointly owned rental property gains/losses are allocated equally
among owners of record.
SPOUSE
WORKSHEET A - WAGES AND COMPENSATION (From W-2’s)
WORKSHEET C - ADJUSTMENTS TO INCOME
Total wages (as shown on
Withheld for
Location where earned - List separately
W-2 form)
Springfield
EMPLOYEE BUSINESS EXPENSE $
(See Instructions)
(To Part B, Line 3)
Must attach both Schedule A and 2106
OTHER ADJUSTMENTS
$
(To Part B, Line 3)
Must fully explain, plus support with documentation and
calculations. Proration of income results in proration of
credit.
(To Part B, Line 1)
WORKSHEET B - OTHER INCOME
WORKSHEET D - OTHER CITY TAX CREDIT AND JOINT ECONOMIC DEVELOPMENT
(From Schedules and Attachments)
DISTRICT TAX CREDIT - SEE INSTRUCTIONS
D-1
Cities or J.E.D.D. with tax rate UP TO 2%.
Net Taxable
Net Taxable
TYPE
LOCATION
Gain From
Loss From
Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other entity.
Fed. Schedule
Fed. Schedule
LOCATION
TAXABLE INCOME
TAX PAID
Proprietorship Income
(Schedule C)
Rental Income
(Schedule E)
TOTAL
Partnership Income
X
.5
(Schedule E/K-1)
ALLOWABLE CREDIT, (To Part B, Line 8)
Farm Income
D-2
(Schedule F)
Cities with tax rate GREATER than 2% (i.e. Dayton - 2.25%, Oakwood - 2.5%)
Other City Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other city.
Other Income
A
B
C
D
E
OTHER CITY TAX
LESSER of
LOCATION
TAXABLE INCOME
2% of Column B
PAID
Column C or D
(Not Less
(Part B, Line 2)
Than -0-)
Losses from schedules or businesses, including multiple partnerships, may not
offset gains from other schedules or businesses except sole proprietorships,
rentals and farms in the name of the same individual. Net losses may not
TOTAL
offset personal service compensation, wages or W-2 income.
Partnership losses may not offset partnership, sole proprietorship, rental or
X
.5
farm gains. Jointly owned rental property gains/losses are allocated equally
ALLOWABLE CREDIT, (To Part B, Line 8)
among owners of record.

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