-
....
---
---.-----------------------~
IN LIEU OF COMPLETING
YOU MAY ATIACH
APPROPRIATE
FEDERAL SCHEDULE(S)
SECTION A
Profit (or Loss) from Business or Profession
1.
TOTAL RECEIPTS LESS ALLOWANCES, REBATES AND RETURNS
$
_
2.
LESS Cost of Labor $
Materials, supplies and other costs $
$
_
3.
GROSS PROFIT FROM SALES,
ETC.
(Line 1 less line 2)
$
_
4.
INTEREST $
OTHER BUSINESS INCOME (Specify) $
$
_
5.
TOTAL BUSINESS INCOME BEFORE DEDUCTIONS
$
_
6.
ADVERTISING AND PROMOTION
$
11. DEPRECIATION;.AMORTIZATION
$
_
7.
AUTO,
TRUCK AND TRAVEL
$
12. RENTS (Paid to
)
$
_
8.
INT. ON BUSINESS INDEBTEDNESS $
13. OTHER (List if over 10% of Line 14)
$
_
9a.
TAXES BASED ON INCOME.
$
14.
TOTALBUSINESSDEDUCTIONS(Totalof Lines6 to 13)
$
_
9b.
OTHER BUSINESS TAXES
$
15.
NET PROFIT (OR LOSS) FROM BUSINESS
10
SALARIES AND WAGES
$
OR PROFESSION (LINE 5 LESS LINE 14)
$
...........
.
..........
SECTION B
Total from Federal Schedule D, Form 4797.
$
SECTIONC
Income from Rents - from Schedule E.
Kind
&
Location of Property
Amount of Rent
Depreciation
Repairs
Other Expenses
Net Income (Or
Loss)
NET INCOME INCOME SECTION C .....
$
-
1
SECTION D
1
All other Taxable Income.
NET INCOME INCOME SECTION D .....
$ _--'-
---'
TOTAL
From Sections
A,
B, C
&
D.
Enter on Page 1, Line 1 ......•................•.
:
:
.
$1
SECTION X
Reconciliation with Federal Income Tax Return
ITEMS NOT DEDUCTIBLE
a.
Capital Losses (Excluding
Ordinary Losses)
$,
_
b.
Expenses incurred in the production
of non-taxable
income (at least 5% of line Z)
$
_
c.
Taxes based on income (State)
$,
_
d.
Taxes based on income (City)
$
_
e.
Net operating loss deduction
per Federal Return
$
_
f.
Payments to Partners
$,
_
g.
Contributions
$
_
h.
Other expenses not deductible
(Explain)
$
_
m.
(Enter Line 2a Other Side)
$
_
ADD
n.
ITEMS NOT TAXABLE
Capital Gains (Excluding
Ordinary Gains)
$
-'--
__
DEDUCT
o.
Interest Income ....
'.' ....
-_
$------
p.
Dividends ...................•................•....
$
-'-- __
q.
Other (Explain)
..............................•.....
$~.~
_
z.
(Enter Line 2b Other Side)
Total
$1
SECTIONY
Business Alloc'!tlon Formula
a.
LOCATED
EVERYWHERE
b. LOCATED
IN
THIS CITY
c.
PERCENTAGE
(b
e a)
STEP 1.
AVG.
VALUE OF REAL &
TANG.
PERSONAL
PROPERTY
GROSS ANNUAL
RENTALS PAID MULTIPLIED
BY 8
TOTAL STEP 1
STEP 2.
GROSS RECEIPTS
FROM SALES MADE AND/OR WORK
OR SERVICES.PERFORMED
STEP 3.
WAGES, SALARIES
AND OTHER COMPENSATION
PAID
%
%
%-
%
4.
TOTAL PERCENTAGES
%
5:
AVERAGE
PERCENTAGES
(Divide Total Percentages
by Number of Percentages
Used)
Carry to
Line
3b,
Page 1
1
SECTION Z
PARTNER'S
SHARE OF INCOME
2.
Resident
3. Dist. Shares of Partners
•
4.
Other
5. Taxable
6.
Amount
Yes
No
Percent
Amount
Payments
Percentage
Taxable
1.
NAME AND MUNICIPALITY
OR TOWNSHIP
OF EACH PARTNER
".
TOTALS from Section A and D Above
100
$