Form Fr 1108 - Income Tax Return - Business - 2016

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FORM FR 1108
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BUSINESS-2016
INCOME TAX RETURN
MAKE CHECK OR MONEY ORDER TO:
CITY OF WASHINGTON COURT HOUSE,
WASHINGTON c. H.
Federal ID#
:一
OHIO
01/01/2016
12/31/2016
Fiscal Period
to
117 N. MAIN STREET
Business!elephone No.
WASHINGTON Q. H. OH 43160
■:
Due Date 04/15/2017
Principal
Business
Attach 1RS forms that apply: 1041, form
Activity
1065, form 1120, form 112Ó-R
T
form
NAICS Code
Voice 740-636-2342
Fax 740-636-2348
IF YOU HAVE MOVED DURING TAX YEAR - GIVE DATES
112OF or form 1120
.
INTO
/
/
OUT OF
/
/
Name
CHECK ONE
□ CORPORATION
□ ESTATE
And
□ SOLE PROPRIETOR
□ TRUST
PARTNERSHIP
□ FIDUCIARY
Address
□ S-CORPORATION
n
other
1 Total taxable income
1
2 Adjustments (See Schedule X)
2
3 Taxable income before allocation (Line 1 plus/minus lines 2 )
3
4 Allocation percentage (See Schedule Y)
4
%
5 Adjusted Net Income (Multiply line 3 by line 4)
5
6 Allocable Net Loss Carry Forward
6
c.
7 Washington
H. Taxable income (Line 5 minus Line 6)
7
c.
8 Washington
H. income tax (Multiply line 7 by 1.950%)
8
9 Credits applied from previous year(s) to this year's liability
0.00
9
10 Estimates paid on this year's liability
10
0.00
11 Other credits
11
12 Total credits (Total line 9, 10 and 11)
12
13 Tax due (If line 8 is greater than line 12, subtract line 12 from line 8 ) If greater than 10.00
13
14 Penalty
14
15 Interest
15
16 Total due (Total line 13, 14 and 15)
16
17 Overpayment ( Issued if greater than 10.00 )
17
18 Amount to be refunded
18
19 Amount to be credited to next year
19
Declaration of Estimate For 2017
20 Total estimated income subject to tax
20
21 Estimated tax due. (Multiply line 20 by 1.950%)
21
22 Less credits (from 19 above)
22
23 Net estimated tax due (subtract line 22 from line 21)
23
24 Minimum amount due for first quarter (Multiply line 23 by 25%)
24
Amount You Owe
25 Total amount due (add lines 16 and 24)
25
Tax Office Use Onlv : ใ ax Office Use Onlv ะ Tax Office Use Only
Under penalties of perjury, 1 certify I have examined this return, including accompanying schedules and statements and to the best of my
knowledge and belief
is mie» correct, complete, and that the figures used herein are the same as used for Federal Income Tax purposes.
,は
Taxpayer’s Signature
Date
Tax Preparer's Signature
Date
(If other than taxpayer)
Phone No.
_
00001
c.
May CITY OF WASHINGTON
H. discuss this return with the preparer shown above ___ Yes ___ No

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