Form L-Np - Net Profit Tax Return For Businesses 2005 - City Of Lakewood Page 2
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1
2Business Name
EIN/FID Number
GENERAL TAX INFORMATION - MUST BE COMPLETED
Date Business or Trust created _____ / _____ / _____
If Business either terminated, was sold, or is not required to file Lakewood
tax returns, please complete the following:
Did you file a return last year?
Yes
No
Date of transaction: _____ / _____ / _____
Did you have any employees during 2005?
Yes
No
If you sold your business or report your business activity under another
On which basis are your records kept?
Cash
Accrual
EIN/FID number, complete the following:
Has your Federal Tax Liability for any prior year been changed in the
Name of purchaser or new business: _____________________________
year covered by this return as a result of an examination by the Internal
Revenue Service?
Yes
No
EIN/FID number of purchaser or new business: _____________________
If renting, name landlord ______________________________________
Address of purchaser or new business:____________________________
SCHEDULE W - RECONCILIATION WITH FEDERAL INCOME TAX RETURN
Items Not Deductible
Add
Items Not Taxable
Deduct
A. Capital Losses
______________
I. Capital Gains
______________
B. Income Taxes Paid or Accrued
______________
J. Interest Income
______________
C. 5% of Intangible Income
______________
K. Dividends
______________
D. Guaranteed Payments to Partners
______________
L. Other Exempt Income (explain)
______________
E. REIT - Other Investor Benefits
______________
____________________________________________
______________
F. Self-Employed/Owner Expenses
______________
____________________________________________
______________
G. Other (explain)
______________
____________________________________________
______________
H. Total Additions
______________
M. Total Deductions
______________
N. Combine Lines H and M and enter net on Page 1, Line 2 ____________
SCHEDULE X - BUSINESS ALLOCATION FORMULA
a. Located Everywhere
b. Located in Lakewood
c. Percentage (b/a)
STEP 1. Average Value of Real & Tangible Personal Property
_____________________
_____________________
_______________
Gross Amount Rentals Paid Multiplied by 8
_____________________
_____________________
_______________
TOTAL STEP 1
_____________________
_____________________
_____________%
STEP 2. Gross Receipts from Sales Made and /or
Work Or Services Performed
_____________________
_____________________
_____________%
STEP 3. Wages, Salaries, Etc. Paid
_____________________
_____________________
_____________%
4. Total Percentages
_____________________
_____________________
_____________%
5. Average Percentage (Divide total percentage by number of percentages used - enter on Page 1, Line 4)
_____________%
SCHEDULE Y - LOSS CARRYFORWARD
Note: This 5-Year Loss Carryforward Schedule must be completed - see instructions.
YEAR END
CURRENT INCOME (LOSS)
(LOSS) FROM PRIOR PERIOD
ADJUSTED INCOME (LOSS)
2000
2001
2002
2003
2004
TOTAL (to Page 1, Line 6)
SCHEDULE Z - PARTNER’S DISTRIBUTIVE SHARES OF NET INCOME
(From Federal Schedule 1065 K-1s and 1099)
1. Name of each Partner
Resident
Distributive Shares of Partner
Other Payments
Taxable
Amount Taxable
Y/N
Percentage
Percent
Amount
a.
%
$
$
%
$
b.
%
$
$
%
$
c.
%
$
$
%
$
d.
%
$
$
%
$
2. TOTALS
100 %
$
$
$
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