Form Br - Business Tax Return - 2012
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1
22012 BUSINESS TAX RETURN
Coventry-Akron (JEDD), OH
THIS SPACE IS FOR OFFICIAL USE ONLY
2012
AMENDED RETURN
CONSOLIDATED RETURN
FILE BY:
FOR CALENDAR YEAR
OR FISCAL YEAR BEGINNING
04/15/13
FINAL RETURN
DATE BUSINESS CEASED
TO
DATE ACTIVITY BEGAN
12-3456789
ACCT #
BUSINESS NAME
FED ID #
Test ME
ADDRESS
COMPLETE THE BLOCKS TO THE RIGHT IF THIS SPACE IS
BLANK OR THE PREPRINTED INFORMATION IS INCORRECT.
X
(
)
PARTNERSHIP (
)
CITY
STATE
ZIP CODE
CORPORATION
OTHER (
)
Attach a copy of your federal return including all
supporting schedules to the back of this form.
0.
1)
ENTER CITY NET PROFIT (LINE 6 FROM WORKSHEET X) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2)
AMOUNT OF LINE 1 ALLOCABLE TO CITY(
% FROM SCHEDULE Y STEP 5) ~~~~~~~~~~~~
3)
LESS ALLOCABLE NET LOSS PER PREVIOUS TAX RETURNS~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4)
AMOUNT SUBJECT TO INCOME TAX (LINE 2 LESS LINE 3)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Income Tax of
2.25
0.
5)
% OF LINE 4
~~~~~~~~~~
6)
PAYMENTS AND CREDITS ON YOUR DECLARATION OF ESTIMATED TAX ~~~~~~~~~~~~~~~~~~~~~~
Coventry-Akron (JEDD),
0.
7)
~~~~~~~~~~~~~~~~~~~~~~~~~
BALANCE OF TAX DUE (LINE 5 LESS LINE 6) PAYABLE TO CITY OF
8)
IF LINE 6 IS GREATER THAN LINE 5 ~~~~~~~~~~
ENTER OVERPAYMENT
~~~~~~~~~~~~~~~~~
2013
CREDIT TO
TAX
~~~~~~~~~~~~~~~
AMOUNT TO BE REFUNDED
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, and understands that this information may be
released to the Internal Revenue Service.
Signature of Person Preparing Return
Date
Signature of Officer or Agent
Date
Name of Person Preparing Return
Phone Number
Name and Title
Phone Number
295361
05-01-12
11350802 981561 34564
2012.03021 Test ME
34564__1
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