Business Tax Return Form - City Of Blue Ash - 2012 Page 2
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2SCHEDULE X—RECONCILIATION WITH FEDERAL INCOME TAX RETURN – See Instructions
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
DEDUCT
A. Capital Losses
(Sec 1221 or 1231
H. Capital Gains…………………………
$
$
included)
B. Taxes on or measured by net
Intangible income ……………………
I.
income
C. Guaranteed Payments to
partners, retired partners,
J. Other income exempt (Explain)………
members or other owners.
D. Expenses attributable to non-
taxable income (5% of Line I.)
………………………………………………
E. Real Estate Investment Trust
distributions…………………….
………………………………………………
F. Other (See Instructions)…….
………………………………………………
……………………………………
………………………………………………
……………………………………
………………………………………………
G. Total additions……………….
$
K. Total deductions…………………….
$
$
L. Combine Lines G and K and enter net on Part A, Line 2
SCHEDULE Y—BUSINESS APPORTIONMENT FORMULA – See Instructions
Percentage
a. Located Everywhere
b. Located in Blue Ash
(b / a)
STEP 1.
Original cost of real and tangible personal property………
Gross annual rentals paid multiplied by 8…………………...
TOTAL STEP 1…………………………………………………..
%
Wages, salaries, and other compensation paid
STEP 2.
%
*See Schedule Y-1 Below……………………..
Gross receipts from sales made and services
STEP 3.
%
performed…………………………………………………………
STEP 4.
Total percentages (Add percentages from Steps 1-3)
%
STEP 5.
Average percentage (Divide total percentage by number of percentages used—Carry to Part A, Line 4)
%
*SCHEDULE Y-1 RECONCILIATION TO BLUE ASH FORM W-3 (WITHHOLDING RECONCILIATION)
Total wages allocated to Blue Ash (from Federal Return or apportionment formula Schedule Y Step 2)……………………………….
$
Total wages shown on Blue Ash Form W-3 (Withholding Reconciliation)……………………………………………………………………
$
Please explain any difference:
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Are there any employees leased in the year covered by this return? ______YES ______ NO
If YES, please provide the name, address and FID number of the leasing company.
Name:_______________________________
Address:______________________________________
FID Number:__________________________
______________________________________
Extension Request must be made in writing and received by this office on or BEFORE the original due date of the return.
Failure to file a return and/or pay taxes due by the due date of the return could result in imposition of penalty and interest.
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