2015 Individual Tax Return Form Page 2

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WORKSHEET A ‐ SALARIES, WAGES, TIPS ANDOTHER COMPENSATION
TO BE COMPLETED BY TAXPAYERS WHO RECEIVE W‐2 INCOME FROM MORE THAN ONE SOURCE
ATTACH COPIES OF ALL W‐2S USED TO COMPUTE YOUR INCOME/WITHHOLDINGS
City of 
Moraine Tax Withheld 
Other City Tax Withheld       
Employer
Wages (W‐2 Box 5)
Employment
(W‐2 Box 19)
(Not to exceed 2.5%)
TOTALS
1a.____________
1b. ______________
1c.____________
Enter Total on Pg 1 Line 1
Enter Total on Pg 1 Line 5a
Enter Total on Pg 1 Line 5b
WORKSHEET B ‐ BUSINESS INCOME or LOSS
ATTACH COPIES OF FEDERAL FORMS AND SCHEDULES USED TO COMPUTE RETURN
Column A   Income/Loss from Federal 
Column B 
Moraine Taxable Income            
Schedules
Schedules
Moraine %
Column A x Column B
Schedule C ‐ Business Income  (Combine the net 
1.
$
%
$
income or loss of all Schedules C's
Schedule E ‐ Rental Income  (Residents enter 
profit/loss from ALL properties.  Nonresidents enter 
$
100%
$
2.
only profit/loss from Moraine properties
Schedule K‐1 ‐ Partnership Income  (Residents enter 
profit/loss from entities that do not withhold 
3.
$
100%
$
Moraine tax on entire distributive share)
Miscellaneous Income ‐ Gambling Income, 1099‐
4.
$
%
$
MISC, W‐2G, Schedule F, etc
5.
$
NOL Carry Forward (Attach worksheet and enter as a loss)
6.
Total Income/Loss  (Combine Lines 1 through 5 and enter this amount on Pg 1 Line 2)
$
SCHEDULE Y ‐ BUSINESS APPORTIONMENT FORMULA
To be completed by all Non‐Residents who earn a portion of their net profits in Moraine
b. located in 
a. Located 
c. Percentage (b ÷ a)
Moraine
Everywhere
Step 1.
Original Cost of Real and Tangible Personal Property
Gross Annual Rentals Paid Multiplied by 8
TOTAL STEP 1
%
Step 2.
%
Wages, Salaries, & Other Compensation Paid
Step 3.
Gross Receipts from Sales Made and/or Work or Services 
performed
%
Step 4.
%
Total Percentages (Add Percentages from Steps 1‐3)
Step 5.
Apportionment Percentage (Divide Total Percentage by Number 
of Percentages Used)
%

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