Form L-1 - City Income Tax Return For Individuals - 2016 Page 4

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TABLE INSTRUCTIONS FOR FORM L-1
OVERVIEW
TABLE B (CONTINUED)
The tables below are designed to assist in determining items that should be reported as
Line 3 – Enter Schedule income/(loss) in column under municipality where earned.
taxable to the City and items that should not be listed on your tax return. The following lists
Line 4 – Calculate total taxable non-wage Schedule income earned in each municipality by
are not all-inclusive:
adding the income/(loss) earned in each column and entering the amount on Line 4 of each
column.
Taxable Income
Non-Taxable Income
Line 5 – Enter amounts greater than $0 from Line 4 on Line 5.
Salaries, wages, and bonuses
Interest income
Line 6 – Add and enter total amount of positive net profits from applicable columns on Line
Commissions and fees
Dividend income
5.
Sick pay
Welfare benefits
Line 7 – In each column, divide amount of individual positive net profits (Line 5) by total
Third party sick pay
Social Security benefits
positive net profits (Line 6) to get percentage of total positive net profits for each
Qualified pension plans
State unemployment
municipality.
Employer supplemental
Worker’s compensation
Line 8 – Enter total amount of prior year NOL being used (Line 2) and any amounts claimed
unemployment benefits
Insurance proceeds
on Line 4 as a (loss).
Lottery and gambling winnings
Cafeteria plans
Line 9 – To determine if total (loss) exceeds total positive net profits, add amounts from Line
Director fees
Alimony
6 and Line 8. Enter positive net profits on Line 4 of page 1 of the return. If the result is a
Vacation pay
Military pay
(loss), you will STOP using the table and enter zero (0) on Line 4 of page 1 of the return.
Employee contributions
Capital gains
Line 10 – Multiply amount on Line 8 by percentage in each applicable column of Line 7 to get
to retirement plans
Annuity distributions
allowable loss for each municipality.
Incentive payments
IRA distributions
Line 11 – Subtract amount of allowable loss in each applicable column from Line 5 to
Group term life insurance
Government allotments
calculate net profit after loss application.
over $50,000
Clergy housing allowance
Line 12 – Multiply amount of Line 11 by the City of Lakewood gross tax rate of 1.5%.
Severance pay
Precinct election official
Line 13 – Enter amount of taxes paid to other municipalities in each column where
Compensation paid in
(up to $1,000)
applicable. Proof of taxes paid to other municipalities must be attached to return or credit
the form of property
Intangible income
will be disallowed. If income was earned in township or no other municipal tax was paid,
Distributive shares of LLC
Child support
enter zero (0).
or Partnership
Retirement income
Line 14 – If other municipal tax was paid, multiply Line 11 by 0.5% (0.005) to calculate credit
Ohio-located S-Corp
amount for taxes paid to another municipality. ATTACH ALL NON-LAKEWOOD MUNICIPAL
RETURNS.
Taxable Forms
Non-Taxable Forms
Line 15 – Subtract Line 14 from amount in Line 12 to calculate the tax due after the credit
W-2
1099-R
has been applied.
1099-MISC
1099-INT
Line 16 – Add all amounts from Line 15. Enter the total on Line 10 of page 1 of the return.
Schedules K-1
1099-DIV
TABLE C: FEDERAL 2106 EXPENSES
TABLE A: WAGES AND COMPENSATION
NOTE: Enter the dates and location where the wages were earned. If a W-2 does not have a
This table is for wage income only. Special situations (i.e. Schedule income, asymmetrical
Form 2106 expense associated with it, please use Table A. Otherwise, attach all copies of
employment and residency dates) may require additional calculations and/or separate
Federal Schedule A and Form 2106.
tables. Provide calculations if not using this table.
Column 1 – Enter the wages listed in Box 5 or Box 18 (whichever is greater) of the W-2 on
PLEASE NOTE: THIS TABLE WILL CALCULATE THE APPROPRIATE TAX CREDIT ONLY IF THE
the appropriate line.
EMPLOYER WITHHELD THE CORRECT WORKPLACE TAX PERCENTAGE.
Column 2 – Enter the amount listed on Line 10 of Form 2106 or Line 6 of Form 2106-EZ, less
Section A-1: Part-Year Resident Calculation
2% of Federal Adjusted Gross Income (AGI), on the appropriate line of Column 2. If the 2106
NOTE: This section should only be used for moves within the State of Ohio. If you lived in
expense is associated with more than one W-2, the 2106 expense must be allocated to each
Lakewood for the entire year, or if you moved directly into Lakewood from a residency out
W-2 based on the percentage of the total income.
of state, enter 100% on Line 3.
EXAMPLE: Income is $10,000. One W-2 shows income of $2,000, and the other shows
income of $8,000. The 2106 expense should be split 20% to 80%, respectively.
Line 1 – Enter the number of months you lived in Lakewood.
To reiterate, the deduction is limited to unreimbursed 2106 employee business expenses
Line 2 – Divide Line 1 by 12.
less 2% of Federal AGI. If the resulting deduction equals zero or less, STOP and use Table A.
Line 3 – Multiply Line 2 by 100. This is your Part-Year Resident Percentage. Enter this
Column 3 – Subtract each corresponding line in Column 2 from the corresponding line in
percentage in Columns 1 and 3 of Section A-2.
Column 1. Total Column 3 and take this amount to Table A, Section A-2, Column 1.
Section A-2: W-2 Income Calculation
Column 4 – Enter the amount of Lakewood withholding listed on W-2. Total Column 4 and
NOTE: Enter the dates and location where the wages were earned.
take this amount to Table A, Section A-2, Column 2.
Column 5 – Enter amount of workplace withholding listed on the W-2.
Column 1 – Multiply each W-2 wage amount by the part-year percentage and enter the
amount on the appropriate line. Use wage income as reported in Box 5 or Box 18 of the W-2,
Column 6 – Multiply each line in Column 6 by 1% (0.01).
whichever is greater. Multiply the total calculation from Table C, Column 3 by the part-year
Column 7 – Enter the smaller of Column 5 or Column 6 for each appropriate line.
percentage and enter the amount on the appropriate line. Enter total on Line 1 of the
Column 8 – Multiply each line in Column 7 by 50% (0.50). Total Column 8 and take this
return. Note: Income earned in Lakewood should be calculated at 100%. Do not prorate.
amount to Table A, Section A-2, Column 6.
Column 2 – Enter tax withheld for Lakewood for each W-2. Enter the total calculation from
Table C, Column 4 on the appropriate line. Enter total on Line 6 of the return.
TABLE D: TAXPAYER OR SPOUSE EXEMPTION
Column 3 – Multiply each W-2 withholding amount by the part-year percentage and enter
If you are not required to pay city income tax, check the appropriate box, attach necessary
the amount on the appropriate line.
th
18
proof, sign and date the return, and mail to us before April
.
Column 4 – Multiply Column 1 by 1% (.01) for each W-2.
Column 5 – Enter the smaller of Column 3 or Column 4.
Retired – Retirees who earn wages, operate a business, own rental property, or earn other
Column 6 – Multiply Column 5 by 50% (.50). Enter total calculation from Table C, Column 8
income, are required to file a return. If your ONLY income source is retirement income (i.e.
on the appropriate line. Enter the total on Line 7 of the return.
SSI, other pensions, interest, dividends, IRA and 401K distributions), check this box. Attach a
copy of annual benefits statement.
TABLE B: NET OPERATING LOSS (NOL) CONSOLIDATED TAX CALCULATION
2016
Social Security/disability income – The only income received in
was Social Security or
This table is for non-wage “Schedule” income, or earned income not derived from
disability income. Attach a copy of annual benefits statement.
employment. This includes Federal Schedule C business income and Federal Schedule E
2016
Unemployment income – The only income received in
was unemployment. Attach a
rental/supplemental income. For residents this means all non-wage Schedule income. For
copy of Federal Form 1099-G and Federal 1040 if filed.
non-residents, only include non-wage Schedule income earned in Lakewood. ATTACH ALL
2016
No taxable income – You had no taxable income for
and don’t fall into one of the three
APPLICABLE FEDERAL SCHEDULES AND NON-LAKEWOOD RETURNS.
above exemptions. Please attach an explanation.
NOTE: Income earned due to ownership in an LLC, Partnership, (Ohio-located) S-Corp, or
Under 18 – Taxpayer was under 18 for the entire tax year. Send in W-2(s) with a copy of a
Trust is taxable and should be recorded on the appropriate line.
driver’s license or birth certificate. A refund will only be issued for Lakewood withholding.
UNSUBSTATIATED LOSSES AND LOSSES OLDER THAN 5 YEARS WILL BE DISALLOWED PER ORC
Active military duty – Provide documentation.
718.
Non-resident – Indicate move out date and present address in the space provided on page 1
Line 1 – Enter municipality where income/loss was earned.
of return. You may be required to submit proof.
Line 2 – Enter any unused prior year NOL carryforward (2011 through 2015) in column under
Business/rental closed or sold – Indicate date of transaction.
municipality where earned (Columns 1 through 5). Total each year's NOL losses in Column 6.
Losses may only be used for 5 years.

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