Instructions
Back to Page 1
Name(s) on return ________________________________________________ Primary Taxpayer's Social Security Number __________________________________
TABLE B: NET OPERATING LOSS (NOL) CONSOLIDATED TAX CALCULATION SCHEDULE
Attach all copies of Federal Schedules and Non-Lakewood Municipal Tax returns
Column 6
Column 1
Column 2
Column 3
Column 4
Column 5
Totals
Earned in
Taxable Non-Wage Income
Earned in
Earned in
Earned in
Earned in
Lakewood
Municipality Where Earned
___________ ___________ ___________ ___________
1
2015
NOL Carryforward from
2
2014
NOL Carryforward from
2013
NOL Carryforward from
2012
NOL Carryforward from
2011
NOL Carryforward from
Federal Schedule C Income (Loss)
3
Federal Schedule E Income (Loss)
Federal Schedule E pg 2, K-1 Income (Loss)
Taxable non-wage Income
4
Amounts greater than $0 from Line above
5
Total of positive net profits
6
Percentage of total positive net profits
7
Prior year NOL and current net (loss) totals
8
*
If (loss) exceeds profit, STOP and enter 0
9
Allowable (loss) based on percentage calculation
10
Net profit after (loss) application
11
Net profit * 1.5% City of Lakewood gross tax rate
12
13
Enter amount of taxes paid to other municipality (Proof of
taxes paid must be attached to return)
Credit of 0.5% for taxes paid to other municipality
14
Tax due
15
16
Total tax due after credit calculation, enter on page 1, Line 10
*NOTE: If line 9 shows a loss, determine the NOL carryforward amount for the next tax year by deducting "NOL Carryforward from 2011" amount
from loss on line 9. Treatment of losses is subject to change as directed by ORC 718.
TABLE C: FEDERAL 2106 EXPENSES
Attach all copies of Federal Schedule A and Form 2106
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Column 7
Column 8
Dates wages
LOCATION WHERE EARNED
were earned
Total Wages
2106 Expense Amount
Net Wages
Withheld for
Withheld for
Tax Credit Limit
Smaller of
Tax Credit
List each W2 separately
MM DD MM DD
or Compensation
Less 2% of AGI
or Compensation
Lakewood
other localities (Column 3 x .01) Column 5 or 6 (Column 7 x .50)
LAKEWOOD
LAKEWOOD
Totals to Table A, Section A-2:
Total to Table A, Section A-2:
(Column 1)
(Column 2)
(Column 6)
TABLE D: TAXPAYER AND/OR SPOUSE EXEMPTION
Proof may be required. Please see instructions.
Primary Taxpayer
Joint Taxpayer
Retired as of ________________
Retired as of ________________
2016
2016
Social Security / disability income only for all of
Social Security / disability income only for all of
2016
2016
Unemployment income for all of
Unemployment income for all of
2016
2016
No taxable income for
- explain: ___________________
No taxable income for
- explain: ___________________
2016
2016
Under 18 for all of
- Date of birth: _____ / _____ / _____
Under 18 for all of
- Date of birth: _____ / _____ / _____
2016
2016
Active military duty income only for all of
Active military duty income only for all of
2016
2016
Non-resident for all of
Non-resident for all of
Business/rental closed or sold - _________________
Business/rental closed or sold - _________________