Income Tax Return - City Of Ashtabula - 2016 Page 2

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REFER TO INSTRUCTIONS BEFORE COMPLETING THIS PAGE
** Tax Returns will be considered incomplete if all applicable Federal Schedules and Forms are not included
IMPORTANT CHANGES: Tax return must be signed, penalty is 15% of tax due, interest is .42% per month and a late
filing fee of $25.00 PER MONTH up to $150.00 is imposed, accurately calculated refunds or tax due of less than
$10.00 is not payable, rental owners may carryforward losses to future years to offset rental income (see Ordinance),
due dates of individual estimates are 04/18/17, 06/15/17, 09/15/17, and 12/15/17.
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Assistance is available; please contact our office. Online payments can be made at:
Reference the File# printed on front page of this tax return when making online payments as well as all other
correspondence.
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LINE 13
Business Profit or Loss. Enter amount from Federal Schedule C, 1120, or 1120S
$__________________
LINE 14
Enter Profit (Loss) from Federal form 4797
$__________________
LINE 15
Enter Profit (Loss) from Federal Schedule E (Attach Tenant List)
$__________________
Note: Changes for 2016 Tax Year: Losses can be carried forward to future years
to offset rental income. No Loss Carryback. No offset of W2 wages.
LINE 16
All Other Taxable Income: Schedule K-1 – Partnership Income, 1099-Misc,
Schedule F, Estates & Trusts, Tips, Commissions, etc.
$__________________
LINE 17
Total of Lines 13 thru 16. Carry forward to page 1, Line 1C
$______________
INDIVIDUAL TAXPAYERS PLEASE STOP HERE
LINE 18
Adjustments to Federal Income (Loss)
**
$__________________
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
DEDUCT
18A) Capital Losses (Excluding Ordinary Losses)
$ _______________
18f) Capital Gains
$
18b) Expenses incurred in the production of non-
(Excluding Ordinary Gains)
Taxable income
$_______________
18g) Interest Income
$
18c) Taxes based on income
$_______________
18h) Dividends
$
18d) Other not deductible (Federally Deferred)
$_______________
18i) Other
$
18e) Total Lines 18 a thru 18 d
$_______________
18j) Total Lines 18f thru 18i)
$
** 18k) Combined Lines 18e + 18j
$________________
(Add or subtract 18k from your Federal Income (Loss) and enter ON LINE 18 ABOVE)
LINE 19 Business Allocation Formula.
$__________________
Carry forward to Page 1; Line 1C
a.
LOCATED
b. LOCATED IN
C. PERCENTAGE
EVERYWHERE
ASHTABULA
(a / b)
STEP 1A - AVERAGE VALUE OF REAL & TANG. PERSONAL PROPERTY
STEP 1B - GROSS ANNUAL RENTALS PAID MULTIPLIED BY 8.
TOTAL STEPS 1A & 1B
%
STEP 2 - GROSS RECEIPTS FROM SALES MADE AND/OR
SERVICE PERFORMED
%
STEP 3 - WAGES, SALARIES, AND OTHER COMPENSATION PAID
%
STEP 4 - TOTAL PERCENTAGES (Steps 1, 2, 3)
%
STEP 5 - PERCENTAGES (Divide Total Percentages by Number of Percentages Used)
%
STEP 6 - Multiply your Federal Income (Loss) from Line 18 above by the % on STEP 5 and enter on line 19 above

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