Form Br-25 - City Income Tax Return For Businesses - 2006

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FOR THE YEAR

City of Columbus, Income Tax Division

BR-25

2006

BEGINNING

City Income Tax Return For Businesses

ENDING

EIN/FID Number

Check the appropriate box if:

Name and Current Address

REFUND

(An amount must be placed

in Line 6B for this return to be considered

a valid refund request.)

AMENDED

tax year

Filing Status - check only one

•Did you file a City return last year?

YES

Corporation (including S-Corporation)

•Is this a combined corporation return?

YES

Fiduciary (Trusts and Estates)

•Should your account be inactivated?

YES

Partnership/Association

(do not use

If YES, please explain:

this form for Schedule C filers)

ATTACH A COPY OF YOUR FEDERAL RETURN INCLUDING ALL SUPPORTING SCHEDULES

•City(ies) of Income #1

TO THE BACK OF THIS RETURN.

•Local business address if different from mailing address:

•Nature of business:

•Trade Name:

List by city in which income was earned or services performed. Complete Tax Calculation only to determine your tax. Taxpayers should not

Part A

TAX CALCULATION

complete Tax Calculation until after Schedule X and Schedule Y, if applicable, are completed.

Column E

Column A

Column B

Column C

Column D

Column G

Column F

TAX

TAX DUE

CITY

TOTAL NET

NET TAX DUE

UNINCORPORATED

CORPORATE

TAX REMITTED ON YOUR

RATE

INCOME

TAXABLE INCOME

BEHALF AS A PARTNER

2.0%

COLUMBUS

GROVEPORT

2.0%

OBETZ

2.0%

CANAL WINCHESTER

MARBLE CLIFF

2.0%

1.0%

BRICE

1.0%

HARRISBURG

Entry in either Column B or Column C cannot be less than zero (see instructions)

1. TOTAL NET TAX DUE (TOTAL OF COLUMN G)....................................................................................................................................

2. LESS CREDITS FOR ESTIMATED TAX PAYMENTS AND OVERPAYMENT FROM PRIOR YEAR RETURN ONLY......

3. BALANCE DUE (LINE 1 LESS LINE 2).

................................................

If Line 2 is greater than Line 1, enter amount (in brackets) here and carry to Line 6..

4. PENALTY: 10% $______________ + INTEREST $_____________ + LATE FEE $_____________ = .....................................................

(see instructions)

..................................................................

TOTAL AMOUNT DUE (ADD LINES 3 AND 4). NOTE: NO PAYMENT IS DUE IF AMOUNT IS LESS THAN $1.00

6. OVERPAYMENT CLAIMED (IF LINE 2 EXCEEDS LINE 1) ............................................................................

A. Enter the amount from Line 6 you want CREDITED to your next year tax estimate........

B. Enter the amount from Line 6 you want REFUNDED (must be greater than $1.00)

Part B

THESE QUESTIONS MUST BE ANSWERED

A Declaration of Estimated City Tax (Form BR-21) is REQUIRED for all business entities.

Date of incorporation or inception

If YES, please provide the name, address and FID number of the leasing

company

Date City business commenced

Check whether this return was prepared on cash ____ or accrual _____ basis. Has City

income tax been withheld from and remitted for all taxable employees during the period

Gross city wages paid were $

. City tax in the amount of

covered by this return?

If YES, provide the EIN(s) #

was withheld from wages and paid to

If NO, please explain on an attached statement.

Were 1099-MISC forms issued to central Ohio residents?

YES

Are any employees leased in the year covered by this return?

YES

If YES, attach copies to this return.

The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for the taxable period stated, and that the figures used are the same as used for Federal income tax purposes,

and understands that this information may be released to the I.R.S.

Signature of

Officer:

Date:

Signature of Person

Preparing Return:

Date:

Paid Preparer’s

SSN or EIN :

Phone:

Make checks payable to: CITY TREASURER

Mail to: