Form Sf-1040 - Income Tax Individual Return - 2001 Page 2

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SCHEDULE # 1
COMPUTATION OF WAGES EARNED IN SPRINGFIELD
SCHEDULE 1 - NONRESIDENTS ONLY
This schedule to be completed by nonresidents who performed part of their services in Springfield and the other part outside
the City of Springfield on the same job. (When husband and wife both have income subject to allocation figure separately.)
YOURSELF
SPOUSE
A. Total income subject to allocation from W-2(s) . . . . . . . . . . .
A.
____________
A.
____________
$
$
B. Figure percentage of wages earned in Springfield . . . . . . . .
B.
__________
B.
__________
%
%
1. Total number of days worked everywhere in 2001:
1. __________
1. __________
2. Actual number of days worked in Springfield:*
2. __________
2. __________
*ATTACH STATEMENT FROM EMPLOYER - REQUIRED
3. Divide line 2 by line 1, enter percentage on line B.
C. Multiply line A by percentage on line B. . . . . . . . . . . . . . . . . .
C.
____________
C.
____________
D. .Add all other W-2 income earned in Springfield not allocated.D.
____________
D.
____________
E. Total income subject to Springfield tax.
(Enter on S-1040, line 1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E.
____________
E.
____________
$
$
SCHEDULE # 2
BUSINESS ALLOCATION
SCHEDULE 2 - NONRESIDENTS ONLY
This schedule applies to nonresidents who conducted business in the City of Springfield in 2001:
$
A. Total income from BUSINESS or PROFESSION . . . . . . . . .
A.
____________
B. Percentage earned in SPRINGFIELD . . . . . . . . . . . . . . . . . . .
B.
____________
%
(Attach Federal Schedule C and computation.)
$
C. Multiply line A by percentage on line B. (Enter on S-1040, front page, line 3.)
C.
____________
SCHEDULE # 3
COMPUTATION OF WAGES FOR PART-YEAR RESIDENTS
COLUMN 1
COLUMN 2
SCHEDULE 3 - PART-YEAR RESIDENTS
Complete either column 1 or column 2 or both columns
TOTAL INCOME EARNED
PORTION OF INCOME EARNED
depending on your circumstances in 2001.
WHILE A SPRINGFIELD
IN SPRINGFIELD
RESIDENT
WHILE A NONRESIDENT
A.
A. TOTAL W-2 INCOME.
(Attach W-2(s) )
B. ADDITIONS TO INCOME
(Attach all schedules and explanations.)
B.
C. DEDUCTIONS FROM INCOME
C.
(Attach all schedules and explanations.)
D. TOTAL INCOME: Add lines A and B, less line C.
D.
E. EXEMPTIONS: Number of exemptions claimed ____x
$1500.00
Enter amount in column 1. (If more than line D, carry excess to column 2.)
E.
F.
F. TAXABLE INCOME: Line D less line E.
G. Figure tax on RESIDENT INCOME: multiply line F, column 1 by 1% (.01).
G.
H. Figure tax on NONRESIDENT INCOME: Multiply line F, column 2 by 1/2% (.005).
H.
I
.
TOTAL TAX: Add lines G and H. (Enter here and on S-1040, line 8.)
I
.
J. Dates in 2001 you lived in the City of Springfield:
From: _______________ To: _______________
month - day - year
month - day - year
K. My previous address was:____________________________________________________________________________
Number and Street
City
State
Zip
page 6

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