Form Br - City Of Fairfield Business Income Tax Return - 2016
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1
2CITY OF FAIRFIELD
File with Fairfield Income Tax
FORM BR
701 Wessel Drive
2016
BUSINESS INCOME TAX RETURN 2008
Fairfield OH 45014-3611
Your Federal ID/SSN_____________________
Your Federal ID
(513) 867-5327
OR
Fax (513) 867-5333
FISCAL PERIOD
TO
Final Return
Consolidated Return
Forms available at
CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 18TH
CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15TH
Amended Return
AND FISCAL YEAR TAXPAYERS FILE BY THE 15TH DAY OF THE
AND FISCAL YEAR TAXPAYERS FILE BY THE 15TH DAY OF THE
FOURTH MONTH AFTER THE CLOSE OF THE PERIOD.
PROVIDE NAME & ADDRESS OR CHANGES BELOW
FOURTH MONTH AFTER THE CLOSE OF THE PERIOD.
Return for (check one)
PROVIDE NAME AND ADDRESS OR CHANGES BELOW
Corporation
S-Corporation
Corporation
S-Corporation
Partnership
Sole Prop (non resident)
Partnership
Make checks payable to:
Make checks payable to Fairfield Income Tax
FAIRFIELD INCOME TAX
Payment by Credit Card
i
[
r
Check One:
No.
Exp. Date
Telephone Number
INCOME
1. Adjusted Federal Taxable Income (Attach copy of Federal return) . . . . . . . . . . . . . . . . . . . . . . . 1
$
2. Adjustments (From Line L, Schedule X) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
$
3. Taxable Income before allocation (Line 1 plus/minus Line 2) . . . . . . . . . . . . . . . . . . . . . . . . 3
$
ADJUSTMENTS
A. Apportionment percentage
% (From Step 5, Schedule Y) . . . . . . . . . . . . . . .
TO INCOME
4. Fairfield Taxable Income (Line 3 multiplied by Line 3A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
$
5. Net Loss Carry Forward (limited to 3 years – provide schedule) . . . . . . . . . . . . . . . . . . . . . . 5
$
6. Income Subject to Fairfield Income Tax (Line 4 less Line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . 6
$
TAX
7. Fairfield Tax is 1.5% (.015) of Line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
$
TAX PAYMENTS
8. Tax Credits: Credit will only be given with proper documentation.
AND CREDITS
A. Estimated payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8A
$
BALANCE DUE,
B. Prior year overpayments . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8B
$
REFUND,
C. Total tax credits (Lines 8A and 8B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8C
$
AND/OR CREDIT
9. Balance Due, if Line 7 is greater than Line 8C. (Subtract LIne 8C from Line 7) . . . . . . . . . . 9
$
10. Overpayment, if line 7 is less than Line 8C (Subtract line 7 from line 8C) . . . . . . . . . . . . . . . 10
$
A. REFUND amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10A $
B. CREDIT amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10B $
DECLARATION OF ESTIMATED TAX FOR 2017
DECLARATION OF ESTIMATED TAX FOR 2009
ESTIMATE FOR
11. Total income subject to tax $
multiply by tax rate of 1.5% (.015) . . . . 11
$
NEXT YEAR
12. Operating Loss Carryforward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
$
13. Estimated tax due (Line 11 less Line 12). If less than $200, estimated payments are not required 13
$
14. First quarter estimated tax payment (minimum of 22.5% (.225) of Line 13)* . . . . . . . . . . . . 14
$
*First quarter estimated tax payment should be paid with this return. Use enclosed estimate forms for 2nd, 3rd and 4th quarters.
15. Prior year tax credit from Line 10B above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
$
If Line 15 is greater than Line 14, enter “0”; otherwise, enter amount of Line 14 less Line 15
16. If Line 15 is greater than Line 14, enter 0, otherwise enter amount of Line 14 less Line 15 . . 16
$
TAX DUE
17. TOTAL TAX DUE (Lines 9D and 16) Make checks payable to FAIRFIELD INCOME TAX . . . 17
$
The undersigned declares that this return (and accompanying schedules) are true, correct and complete for the taxable
The undersigned declares that this return (and accompanying schedules) is true, correct and complete for the taxable
SIGNATURE REQUIRED
SIGNATURE REQUIRED
period stated and that the figures used herein are the same as used for Federal Income Tax purposes.
May we discuss return with your tax practitioner? (Check One)
Yes
No
May we discuss this return with your tax practitioner? (Check One)
FOR TAX DIVISION USE ONLY
Date
SIGNATURE OF TAXPAYER OR AGENT (REQUIRED)
DATE
Tax Bal
SIGNATURE OF PREPARER, IF OTHER THAN TAXPAYER
DATE
Interest
Penalty
NAME AND ADDRESS OF PREPARER
TELEPHONE NUMBER
Total
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