Rota Individual Income Tax Return Page 3
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337F05C
A COPY OF ALL APPROPRIATE FEDERAL SCHEDULES ARE REQUIRED IF COMPLETING SCHEDULE J.
SCHEDULE J
SUMMARY OF NON W-2 INCOME (For columns 2-5 enter the Municipality where the income was earned)
COLUMN 5
COLUMN 6
Print the name of each
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
TAXED BY A
ADD COLUMNS
municipality where a profit/
RESIDENCE MUNICIPALITY
NONTAXING MUNICIPALITY
RITA MUNICIPALITY OF
RITA MUNICIPALITY OF
NON-RITA MUNICIPALITY
1, 2, 3, 4 and 5
(loss) was earned in the
11
12
13
14
15
appropriate box(es)
21
22
23
24
25
23. From Federal
SCHEDULE C Attached
31
32
33
34
35
24. From Federal
SCHEDULE E Attached*
41
42
43
44
45
25. All Other Taxable Income
(or Loss). Attach Schedule(s)
26.
TOTAL NON-WAGE
INCOME
(Add Lines 23, 24, 25)
51
52
53
54
55
(
) (
) (
) (
) (
)
27. LESS LOSS CARRY
FORWARD if allowable
61
62
28. WORKPLACE INCOME
(Line 26 minus Line 27)
63
64
65
29. WORKPLACE INCOME
(Line 26 minus Line 27)
Column 6, Line 28 or Line 29 cannot be
30. MUNICIPAL TAX DUE
less than zero. If amount is less than
(NOTE:
Line 30 cannot be
zero, use zero.
less than zero.)
TOTAL of Column 6, place the total in Section B, Line 1b.
31.
NOTE: If any columns on Line 29 have entries complete Schedule K, Line 34.
*S-Corporation Distributions - Special Rules Apply - See Instructions
SCHEDULE K
To complete Schedule K, see page 6 of the instructions. If additional space is needed, use separate sheet.
32.
W-2 WAGES EARNED IN A RITA MUNICIPALITY OTHER THAN YOUR RESIDENCE MUNICIPALITY FROM WHICH
NO MUNICIPAL INCOME TAX WAS WITHHELD BY EMPLOYER. Complete Lines below.
Tax Rate
Wages
Municipality
Tax due
(see instructions)
Enter total tax due onto Line 32 and in Section B, Line 10.
32.
33.
W-2 WAGES EARNED IN A NON-RITA TAXING MUNICIPALITY AND FROM WHICH NO MUNICIPAL INCOME TAX WAS
WITHHELD BY EMPLOYER. (ONLY USE THIS SECTION IF YOU HAVE FILED AND PAID THE TAX DUE TO YOUR
WORKPLACE MUNICIPALITY. PROOF OF PAYMENT MAY BE REQUIRED) Complete Lines Below.
Tax Rate
Wages
Municipality
Tax due
(see instructions)
Enter total tax due onto Line 33
33.
34.
TAX DUE TO OTHER THAN RESIDENCE MUNICIPALITY ON NON W-2 INCOME REPORTED IN SCHEDULE J, LINE 29,
COLUMNS 3, 4, AND 5. Complete Lines below.
Workplace Income
Tax Rate
Municipality
Tax due
(Line 29, Columns 3, 4, & 5)
(see instructions)
Enter total tax due onto Line 34
34.
35.
TOTAL LINES 32, 33 AND 34. Enter total on Line 35 and in Section B, Line 4b.
35.
36.
FROM SCHEDULE J ABOVE, ADD LINE 30 COLUMNS 3 AND 4.
Enter total on Line 36 and in Section B, Line 11.
36.
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