Form R - Business Income Tax Return - 2014 Page 2
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3VANDALIA • BROOKVILLE • UNION • CLAYTON • WEST MILTON
CLAY TWP-CLAYTON JEDD • BUTLER TWP JEDZ
2014 BUSINESS INCOME TAX RETURN
PAGE 2 OF 3
CITY OF
CLAY TWP-
BUTLER TWP
SECTION A
CLAYTON
CLAYTON JEDD
JEDZ
1.
1.
1.
1. Income per attached Federal Return or Schedule Y if applicable ………….
2-A.
2-A.
2-A.
2. 2-A. Adjustment from Schedule X …………………………………………..
2-B.
2-B.
2-B.
2-B. Less allowable net operating loss (see instructions) ……………………
3.
3.
3.
3. TAXABLE INCOME (Line 1 +/- Line 2) …………………………………..
4. TAX DUE (2% Vandalia; 1.75% Brookville; 1% Union/Butler Twp JEDZ;
1.5% Clayton/Clay Twp-Clayton JEDD/West Milton) x Line 3 ……………. 4.
4.
4.
5. TAX CREDITS
5-A. Estimated Tax Paid ……………………………………………………
5-A.
5-A.
5-A.
5-B. Credit from Prior Year ………………………………………………..
5-B.
5-B.
5-B.
5-C. Total Credits Available ………………………………………………..
5-C.
5-C.
5-C.
6. BALANCE OF TAX DUE (Line 4 - Line 5-C) ……………………………..
6.
6.
6.
7. Penalty $___________ Interest $___________ Late Fee $___________
7.
7.
7.
8. TOTAL AMOUNT DUE (Make check payable to City of Vandalia)
8.
8.
8.
(No payment due if less than $1.00) ………………………………………..
9. If overpayment, please indicate below:
9-A.
9-A.
9-A.
9-A. CREDIT TO NEXT YEAR ………………………………………….
9-B. REFUND ……………………………………………………………..
9-B.
9-B.
9-B.
Audit ______ Check No. _______ Cash _______ Amt. Received _______
SECTION B - Declaration of Estimated Tax for 2015
10. Income Subject to Tax x Tax Rate
(2% Vandalia; 1.75% Brookville; 1%
10.
10.
10.
Union/Butler Twp JEDZ; 1.5% Clayton/Clay Twp-Clayton JEDD/West Milton)
11. Quarterly Amount Due (1/4 of Line 10) ……………………………………
11.
11.
11.
12.
12.
12.
12. Credit from Line 9-A ……………………………………………………….
13. Line 11 - Line 12 (Amount of Estimated Tax Due with this Return) ……… 13.
13.
13.
14. Total Payment Due (Line 8 + Line 13) …………………………………….. 14.
14.
14.
SECTION C
PAYMENT BY CREDIT CARD OR ELECTRONIC CHECK
Please refer to the website, , to access the online payment center to pay by credit card or electronic check.
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for the taxable period stated and that the figures used herein are the same as used for federal income tax
purposes, adjusted to the ordinance requirements for local tax purposes. If an audit of the federal return is made which affects the tax liability shown on the return, an amended return is required to be filed within three
months. If this return was prepared by a Tax Practitioner, may we contact your practitioner directly with questions regarding the preparation of this return?
Yes
No
Date
Date
Signature of Person Preparing Return (If Other Than Taxpayer)
Signature of Taxpayer
Phone Number
Title
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