Business Tax Return Form - City Of Forest Park Income Tax Division - 2011
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1
2
3City of Forest Park
Forest Park
Income Tax Division
Business Tax Return
1201 West Kemper Road
2011
Cincinnati OH 45240
OR
Phone: (513) 595-5261
FISCAL PERIOD _________ TO __________
Fax: (513) 595-5293
Website:
Calendar Year Taxpayers file on or before April 17, 2012
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Fiscal Year Due on 15
Day of 4
Month After Year End
THIS SPACE IS FOR OFFICIAL USE ONLY
Did you file a City return last year?
Is this a combined corporate return?
Should your account be inactivated?
YES
NO
YES
NO
YES
NO
If YES, please explain:
Filing Status (Check one)
Account Number
FID# ____-_____________
C-Corporation
S-Corporation
LLC
Partnership/Association
____________________
Amended Return
Tax Year: _______
If the information above is incorrect, please make corrections.
PHONE #
Part A
2011 TAX CALCULATION
1.
Adjusted Federal Taxable Income From Form ________ Line _______ (Attach Copy of Federal Return) …….
$
2.
Adjustments (From Line M, Schedule X)…………………………………………………………………………………...
$
3.
Taxable income before apportionment (Line 1 plus/minus Line 2)……………………………………………………..
$
4.
Apportionment percentage (From Step 5, Schedule Y) _________%…………………………………………………
$
5.
Forest Park taxable income (Multiply Line 3 by Line 4)………………………………………………………………….
$
Other separately stated items. Net operating loss carry forward, Forest Park rental income/(loss). Attach
6.
$
documentation……………………………………………………………………………………………….……………….
7.
Amount subject to Forest Park income tax (Line 5 plus/minus Line 6)……..………………………………………….
$
8.
Forest Park income tax (Multiply Line 7 by 1.5% [.015])………………………………….……………………………
$
9 a.
Estimates paid on this year’s liability………………………………………
$
9 b.
Credits applied to this year’s liability……………………………………….
$
10.
Total payments and credits (Lines 9a + 9b) ……………………………………………………………………………..
$
11.
Tax due (Subtract Line 10 from Line 8)……………………………………………………………………………………
$
12.
Late file penalty $__________ Late pay penalty $__________ Interest $__________
TOTAL P & I ……..
$
13.
TOAL AMOUNT DUE (Line 11 plus Line 12) …………………………………………………………………………….
$
14.
Overpayment to be refunded $________________ or credited $________________ to next year’s estimate
Part B
DECLARATION OF ESTIMATED TAX FOR 2012
15.
Total estimated income subject to tax……………………………………………………………………………………..
$______________________
16.
Forest Park income tax declared (Multiply Line 15 by 1.5% [.015])……………………………………………………
$______________________
17.
Tax due before credits (at least 25% of Line 16)…………………………………………………………………………
$______________________
18.
Less credits (from Line 14 above)………………………………………………………………………………………….
$______________________
19.
Net estimated tax due if Line 17 minus Line 18 is greater than zero*………………………………………………….
$______________________
20.
TOTAL AMOUNT DUE—Combine Line 13 above with Line 19 (Make checks payable to the City of Forest Park)
$______________________
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* Subsequent estimated payments are due by the 15
day of the 6
, 9
and 13
months after the beginning of the taxable year.
Check here to give us permission to contact your paid tax practitioner directly if we have questions regarding the preparation of this return.
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.
Signature of Person Preparing Return
Date
Signature of Officer or Agent
Date
Name of Person Preparing Return
Phone Number
Name and Title
Phone Number
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