Business Tax Return - City Of West Carrollton Page 2

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SCHEDULE X—RECONCILIATION WITH FEDERAL INCOME TAX RETURN
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
DEDUCT
A. Capital Losses
$
H. Capital Gains……………………………………..
$
B. Taxes on or measured by net
I.
Intangible income ……………………………….
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………………………………..
………………………………………………………….
……………………………………………
………………………………………………………….
……………………………………………
………………………………………………………….
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
b. Located in West
Percentage
a. Located Everywhere
Carrollton
(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…………………………………..
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 FORM W-3 (WITHHOLDING RECONCILIATION)
Total wages allocated to West Carrollton (from Federal Return or apportionment formula)………………………………………………
$
Total wages shown on 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:_______________
Was there any contract labor subject to West Carrollton income tax in the year covered by this return? ______YES ______ NO
If YES, please provide copies of 1099-M or equivalent listing of the compensation, name, address and social security number of those
individuals subject to West Carrollton income tax.

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