Individual Tax Return Form - City Of Huber Heights - 2014 Page 2
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2WORKSHEET A - SALARIES, WAGES, TIPS, AND OTHER COMPENSATION
(To be completed by taxpayers who receive W-2 income from more than one source)
**Attach copies of all W-2s used to compute your local income to this Return**
Other City Tax Withheld
Employer
City Where Employed
Qualifying Wages
Huber Heights Tax Withheld
Up to 2% Allowed
Totals (Enter Total Qualifying Wages on Line 1, Page 1)
WORKSHEET B - BUSINESS INCOME or LOSS
**Attach copies of all Federal Forms and Schedules used to compute your local income to this Return**
Column A
Column B
Huber Heights Taxable Income
Schedules
Income / (Loss) from
Huber Heights
(Column A x Column B)
Federal Schedules
Percentage
(From Step 5 of
Schedule C - Business Income
$
Schedule Y)
$
(Combine the net income/loss of all Schedules C)
1.
%
Schedule E - Rental Income
(Residents enter profit/loss from all properties.
$
$
Non-residents enter only profit/loss from Huber
2.
Heights properties)
100 %
Schedule K-1 - Partnership Income
(Residents enter profit/loss from entities that do
$
$
not withhold Huber Heights tax on entire
3.
distributive share)
100 %
(From Step 5 of
Miscellaneous Income – 1099-MISC, W-2G,
Schedule Y)
$
$
Schedule F, etc.
4.
%
Total Income/ (Loss)
$
(Combine lines 1 through 4 and enter this amount on Page 1, Line 6)
5.
$
SCHEDULE Y - BUSINESS APPORTIONMENT FORMULA
(To be completed by all non-residents who earn a portion of their net profits in Huber Heights.)
a. Located
b. Located in
c. Percentage (b / a)
Everywhere
Huber Heights
Original Cost of Real and Tangible Personal Property………….
STEP 1.
Gross Annual Rentals Paid Multiplied by 8………………………
TOTAL STEP 1……………………………………………………...
%
Wages, Salaries, and Other Compensation Paid………………..
STEP 2.
%
Gross Receipts from Sales Made and/or Work or Services
STEP 3.
%
Performed…………………………………………………………….
STEP 4.
Total Percentages. (Add Percentages from Steps 1-3)…………
%
Apportionment Percentage (Divide Total Percentage by Number of Percentages Used)………………………………
STEP 5.
%
PAYING TAX DUE BY CREDIT CARD
1. Circle One:
MASTERCARD
VISA
DISCOVER
2. Account Number (16 digits): ________________________ _________________________ _________________________ _________________________
3. Expiration Date: ______/______ (mm/yy)
4. Verification Code (must be provided to process):________________5. Tax Due: $____________________
6. Convenience Charge: $ ___________ 7. Total Paid: $_______________ 8. Signature for Authorization: _________________________________________
are now accepting Visa, Mastercard and Discover payments in our office and over the phone for all tax payments. There will be a 2.45%
We
convenience charge added to all credit card transactions, with a minimum charge of $2.45. Visa debit cards have a flat fee of $3.95.
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