Form Br - Business Income Tax Return 2005 Page 2
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SECTION X
RECONCILIATION WITH FEDERAL INCOME TAX RETURN AS REQUIRED BY ORC SECTION 718
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
DEDUCT
A. CAPITAL LOSSES (SEC 221 OR 1231 INCLUDED).................$_____________
H. CAPITAL GAINS ....................................................................$_____________
B. TAXES ON OR MEASURED BY NET INCOME .........................$_____________
I. INTANGIBLE INCOME ...........................................................$_____________
C. GUARANTEED PAYMENTS TO PARTNERS, RETIRED
J. OTHER INCOME EXEMPT (EXPLAIN BELOW) ........................$_____________
PARTNERS, MEMBERS OR OTHER OWNERS ........................$_____________
D. EXPENSES ATTRIBUTABLE TO NONTAXABLE INCOME
(5% OF LINE I) .....................................................................$_____________
E. REAL ESTATE INVESTMENT TRUST DISTRIBUTIONS.............$_____________
F. OTHER.................................................................................$_____________
G. TOTAL ADDITIONS..............................................................$_____________
K. TOTAL DEDUCTIONS...........................................................$_____________
L. COMBINE LINES G AND K, ENTER NET ON LINE 2 ............$_____________
SECTION Y
BUSINESS APPORTIONMENT FORMULA
A. LOCATED
B. LOCATED IN THIS C. PERCENTAGE (B/A)
EVERYWHERE
CITY
STEP 1. ORIGINAL COST OF REAL & TANGIBLE PERSONAL PROPERTY
_______________ _______________
GROSS ANNUAL RENTALS PAID MULTIPLIED BY 8
_______________ _______________
TOTAL STEP 1.
_______________ _______________
____________%
STEP 2. GROSS RECEIPTS FROM SALES MADE AND/OR WORK OR SERVICED PERFORMED _______________ _______________
____________%
STEP 3. WAGES, SALARIES AND OTHER COMPENSATION PAID (*SEE SCHEDULE Z)
_______________ _______________
____________%
STEP 4. TOTAL PERCENTAGE
____________%
STEP 5. AVERAGE PERCENTAGE
Divide Total Percentages by Number of Percentages Used to Carry to Line 3b, Page 1$
_________%
SECTION Z
RECONCILIATION TO WITHHOLDING TAX RECONCILIATION
1. TOTAL WAGES ALLOCATED TO THIS CITY (FROM FEDERAL RETURN OR APPORTIONMENT FORMULA)..........................................................................$_____________
2. TOTAL WAGES SHOWN ON WITHHOLDING TAX RECONCILIATION...................................................................................................................................$_____________
3. PLEASE EXPLAIN ANY DIFFERENCE:
ARE ANY EMPLOYEES LEASED IN THE YEAR COVERED BY THIS RETURN? ________YES ________NO
IF YES, PLEASE PROVIDE THE NAME, ADDRESS AND FID NUMBER OF THE LEASING COMPANY.
NAME __________________________________________________________
ADDRESS________________________________________________________
FID NUMBER _____________________________________________________
EXTENSION POLICY: EXTENSIONS MAY, UPON REQUEST, BE GRANTED FOR FILING OF THE ANNUAL RETURN, PROVIDED AN IRS EXTENSION HAS BEEN SECURED.
EXTENSION REQUEST MUST BE MADE IN WRITING AND RECEIVED BY THIS TAX OFFICE BEFORE THE ORIGINAL DUE DATE OF THE RETURN. ONLY THOSE EXTENSION
REQUESTS RECEIVED IN DUPLICATE WITH A SELF-ADDRESSED, POSTPAID ENVELOPE WILL HAVE A COPY RETURNED AFTER BEING APPROPRIATELY MARKED.
HAS YOUR FEDERAL TAX LIABILITY FOR ANY PRIOR YEAR BEEN CHANGED IN THE YEAR COVERED BY THIS RETURN AS A RESULT OF AN EXAMINATION BY THE INTERNAL
REVENUE SERVICE?
YES
NO.
IF YES, HAS AN AMENDED RETURN BEEN FILED FOR SUCH YEAR OR YEARS?
YES
NO.
I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS
TRUE, CORRECT AND COMPLETE. IF PREPARED BY A PERSON OTHER THAN TAXPAYER, THE DECLARATION IS BASED ON ALL INFORMATION OF WHICH PREPARER HAS
ANY KNOWLEDGE.
NOTE: UNLESS ACCOMPANIED BY COPIES OF APPROPRIATE FEDERAL SCHEDULES AND BY PAYMENT OF THE BALANCE OF TAX DECLARED DUE (LINE 15) THIS FORM IS
NOT A LEGAL FINAL RETURN.
DO YOU USE SUBCONTRACT LABOR TO PERFORM WORK IN THIS CITY?
YES
NO.
IF YES, COPIES OF 1099’S ISSUED MUST BE SUBMITTED TO THIS OFFICE WITHIN 4 MONTHS AFTER THE END OF THE TAX YEAR.
DO YOU HAVE EMPLOYEES WORKING IN THE CITY?
YES
NO.
IF YES, COPIES OF EMPLOYEE W-2 FORMS MUST BE SUBMITTED BY FEBRUARY 28.
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