Business Tax Return Form - City Of Forest Park Income Tax Division - 2005 Page 2

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SCHEDULE X—RECONCILIATION WITH FEDERAL INCOME TAX RETURN
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
DEDUCT
A. Capital Losses
(Sec 1221 or 1231
$
H. Capital Gains……………………………………..
$
included)……………………………………..
B. Taxes on or measured by net
I.
Intangible income ……………………………….
Income……………………………..
C. Guaranteed Payments to
J. Other exempt income (Explain)………………..
partners, retired partners,
members or other owners……….
D. Expenses attributable to non-
taxable income (5% of Line I.)….
………………………………………………………….
E. Real Estate Investment Trust
distributions……………………….
…………………………………………………………..
F. Other………………………………..
………………………………………………………….
……………………………………………
………………………………………………………….
……………………………………………
………………………………………………………….
G. Total additions……………………..
$
K. Total deductions………………………………….
$
L. Combine Lines G and K and enter net on Part A, Line 2 ________________________
SCHEDULE Y—BUSINESS APPORTIONMENT FORMULA
a. Located
b. Located in
Percentage
Everywhere
Forest Park
(b / a)
Original average cost of real and tangible personal
STEP 1.
property…………………………………………………………..
Gross annual rentals paid multiplied by 8………………….…
%
TOTAL STEP 1…………………………………………………..
Wages, salaries, and other compensation paid
STEP 2.
%
*See Schedule Y-1…………………………………..
Gross receipts from sales made and/or work or services
STEP 3.
%
performed…………………………………………………………
STEP 4.
Total percentages (Add percentages from Steps 1-3)
%
STEP 5.
Average percentage (Divide total percentage (Step 4) by number of percentages used—Carry to Part A, Line 4)
%
*SCHEDULE Y-1 RECONCILIATION TO FORM W-3 (WITHHOLDING RECONCILIATION)
Total wages allocated to Forest Park (from Federal Return or apportionment formula)……………………………………………………
$
Total wages shown on Form W-3 (Withholding Reconciliation)………………………………………………………………………………
$
Please explain any difference:
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Are there any employees leased in the year covered by this return? ______YES ______ NO
If YES, please provide the name, address and FID number of the leasing company.
Name:__________________________________________________
Address: ________________________________________________
________________________________________________
FID Number:__________________ Phone #____________________

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