Fillable Tax Form - City Of Louisville - Tax Dept

REFER TO INSTRUCTIONS BEFORE COMPLETING THIS PAGE

** Tax Returns will be considered incomplete if all applicable Federal Schedules and Forms are not included

IMPORTANT CHANGES FOR 2016:

Tax return must be signed*losses resulting from business, rental & farm rental cannot

be used to off-set W2 income*penalty is 15% of tax due*interest is .42% per month plus 5% per annum,* late filing fee of

$25.00 per month up to $150.00 is imposed*refund or tax due of less than $10.01 is not payable (if tax return is correctly

prepared), due dates of individual estimates are 04/18/17, 06/15/17, 09/15/17, and 12/15/17. If any resident, non-

resident, and part-year resident needs assistance in completing this form, please contact our office - cost is FREE. Online

payments can be made at: . To set up a tax account online, you will need to use the File# printed on the

front page of this tax return. If you are a first-time filer, contact our office for file #.

**********************************************************************************************************

LINE 13

Business Profit or Loss. Enter amount from Federal Schedule C, 1120, or 1120S

$__________________

Attach other cities tax return (s) if allocating

LINE 14

Enter Profit (Loss) from Federal form 4797

$__________________

LINE 15

Enter Profit (Loss) from Federal Schedule E (Attach Tenant List)

$__________________

Note: No offset of W2 wages.

Attach other cities tax return (s) if allocating

Tenant list form can be found

HERE

LINE 16

All Other Taxable Income: Schedule K-1 – Partnership Income, 1099-Misc,

Schedule F, Estates & Trusts, Tips, Commissions, etc.

$__________________

Attach other cities tax return (s) if allocating

LINE 17

Total of Lines 13 thru 16. Carryfoward to page 1, Line 1C

$__________________

INDIVIDUAL TAXPAYERS PLEASE STOP HERE!!

LINE 18

Adjustments to Federal Income (Loss)

** Carryforward to page 1, Line C

* * *

$__________________

ITEMS NOT DEDUCTIBLE

ADD

ITEMS NOT TAXABLE

DEDUCT

18A) Capital Losses (Excluding Ordinary Losses)

$ _______________

18f) Capital Gains (Excluding Ordinary Gains) $________________

18b) Expenses incurred in the production of non-

Taxable income

$_______________

18g) Interest Income

$________________

18c) Taxes based on income

$_______________

18h) Dividends

$________________

18d) Other expenses not deductible (Federally Deferred)

$_______________

18i) Other

$________________

18e) Total Lines 18 a thru 18 d

$ $ _______________

1 1 8j) Total Lines 18f – 18i)

$ $ ________________

18k) Combined Lines 18e + 18j

$________________

(Add or subtract 18k from your Federal Income (Loss) and enter above) **

LINE 19 Business Allocation Formula.

Carryforward to page 1, Line 1C

$__________________

LOCATED

b. LOCATED IN

C. PERCENTAGE

EVERYWHERE

LOUISVILLE

(a + b)

STEP 1A. AVERAGE VALUE OF REAL & TANG. PERSONAL PROPERTY

$_____________

$_______________

STEP 1B. GROSS ANNUAL RENTALS PAID MULTIPLIED BY 8.

$_____________

$_______________

TOTAL STEPS 1A & 1B

$_____________

$_______________

______________%

0.00

STEP 2. GROSS RECEIPTS FROM SALES MADE AND/OR

SERVICE PERFORMED

$_____________

$ _______________

______________%

STEP 3. WAGES, SALARIES, AND OTHER COMPENSATION PAID

______________%

STEP 4. TOTAL PERCENTAGES

______________%

STEP 5. AVERAGE PERCENTAGES (Divide Total Percentages by Number of Percentages Used)

______________%

Multiply your Federal Income (Loss) from above by the % on STEP 5 and enter on line 19 above

STEP 6.

Tax Form - City Of Louisville - Tax Dept - 2016 Page 3

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