Form Ir - Income Tax Return - City Of Springdale - 2003 Page 2
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1
2FORM IR - PAGE 2
COMPUTATION FOR LINE 2 OTHER INCOME OR DEDUCTIONS
(Need be completed only by those with taxable income other than wages or
deductions from wages due to part year residency and/or employee expenses.)
13. OTHER TAXABLE INCOME
(ATTACH 1099MISC OR APPROPRIATE DOCUMENTATION OF THIS AMOUNT)
(DO NOT INCLUDE INTEREST, DIVIDENDS, ANNUITIES, REFUNDS AND OTHER NON-TAXABLE INCOME)
$________________
14. NET PROFIT (LOSS) FROM BUSINESS
FEDERAL SCHEDULE C
(ATTACH COPIES OF YOUR
AND ALL OTHER CITY RETURNS
(DO NOT INCLUDE LOSSES ATTRIBUTABLE TO OTHER TAXING MUNICIPALITIES IN THIS COMPUTATION)
$________________
FILED.)
15. SUPPLEMENTAL INCOME (LOSS)
FEDERAL SCHEDULE E, FORM K-1
(ATTACH COPIES OF YOUR
AND ALL OTHER CITY RETURNS
(DO NOT INCLUDE LOSSES ATTRIBUTABLE TO OTHER TAXING MUNICIPALITIES IN THIS COMPUTATION)
$________________
FILED.)
16. TOTAL NET PROFIT (LOSS) FROM BUSINESS ACTIVITIES
$________________
(LINE 14 PLUS LINE 15)
(
)
17. BUSINESS LOSS TOTAL FROM PREVIOUS SPRINGDALE RETURNS
$________________
(LIMITED TO 3 PRIOR YEARS)
18. IF LINE 16 MINUS LINE 17 IS A LOSS, ENTER THE AMOUNT TO BE CARRIED FORWARD
(
)
$________________
(BUSINESS LOSSES DO NOT REDUCE W-2 INCOME)
19. IF LINE 16 MINUS LINE 17 IS A PROFIT, ENTER THE AMOUNT ON THIS LINE
$________________
20. DEDUCTIONS
A. EMPLOYEE EXPENSES FOR WAGES WITH SPRINGDALE TAX PAID (W2 BOX 19) OR NO LOCAL TAX PAID
(
)
FEDERAL 1040, SCHEDULE A
FORM 2106
$________________
(ATTACH PAGE ONE AND TWO OF
AND
)
B. MOVING EXPENSES REIMBURSED BY EMPLOYER AND TAXED ON YOUR W-2
(
)
$________________
FEDERAL 1040
FORM 3903
(ATTACH
INCLUDING
)
C. PART YEAR RESIDENT
DOCUMENT INCOME EARNED WHILE RESIDING OUTSIDE SPRINGDALE
(ATTACH EXPLANATION IF NEEDED)
(
)
PART YEAR RESIDENTS WHO PRORATE INCOME MUST ALSO PRORATE CREDIT.
$________________
CURRENT ADDRESS ________________________________________________ DATE OF MOVE ________________
(Example below based on Move In Date of March 15. Employment at Smith Plumbing began Feb. 1.
The income earned between Feb. 1 and March 14 should be deducted from the taxable income.
Total Duration
Total Duration
Total Deduction = Income / Total
Move In/Move
Date Income/
Date Income/
Total Duration
of Job as
of Job as a
Duration of Job x Total Duration
Name of Company
Income Earned
Out Date
Job Started
Job Ended
of Job
Resident
Non-resident
of Job as Non-Resident
Smith Plumbing
20,000.00
3/15/03
2/1/03
8/31/03
7 months
5.5 months
1.5 months
20,000 / 7 x 1.5 = 4,285.71
D. ACTIVE DUTY OR RESERVE MILITARY PAY REPORTED ON A W-2
$________________
(
)
E. TOTAL DEDUCTIONS
$________________
(ADD LINE 20A THROUGH LINE 20D)
21. TOTAL OTHER INCOME OR DEDUCTIONS
$________________
(LINE 13 PLUS LINE 19 MINUS LINE 20E. ENTER THIS TOTAL ON LINE 2)
WORKSHEET FOR LINE 5C
(W-2's and/or other city tax forms must be attached for credit.)
PART YEAR RESIDENTS WHO PRORATE INCOME MUST ALSO PRORATE CREDIT.
CITY OF EMPLOYMENT (W2 BOX 20) or
LOCAL WAGES (W2 BOX 18) or
1% = CREDIT
TAX PAID
to
LOCATION OF BUSINESS (Self-Employment)
on
NET PROFIT (Self-Employment)
x
(May not exceed tax paid)
TOTAL OTHER CITY CREDIT
(ENTER THIS TOTAL ON LINE 5C)
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