Form R - Norwalk City Income Tax Return - 2003 (Page 2 of 2) in pdf

Form R

Page 2

SCHEDULE C – BUSINESS INCOME

1. ATTACH COPIES OF FEDERAL SCHEDULES (ENTER TOTAL INCOME FROM SCHEDULES). . . . . . . . . . . . . . . . . . . .

2. A. ITEMS NOT DEDUCTIBLE (FROM LINE M SCHEDULE X) . . . . . . . . . . . . . . . . . . . . . . .

$CCCCCCCCCCCCCCCc

B. ITEMS NOT TAXABLE (FROM LINE Z SCHEDULE X) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$CCCCCCCCCCCCCCCc

C. DIFFERENCE BETWEEN LINES 2A AND 2B TO BE ADDED TO OR SUBTRACTED FROM LINE 1 . . . . . . . . . . . . .

3. A. ADJUSTED INCOME (LINE 1 PLUS OR MINUS 2C IF SCHEDULE X IS USED) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

B. AMOUNT OF LINE ABOVE ALLOCABLE

100.0000

% FROM STEP 5 SCHEDULE Y. . . . . . . . . . . . . . . . . . . . .

4. NET OPERATING LOSS FROM PRIOR YEARS, THREE YEAR LIMIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. NET BUSINESS INCOME (OR LOSS) SCHEDULE C, K-1, FORM 1120, 1120S, 1065

ENTER HERE AND ON LINE 2a. PAGE 1

SCHEDULE E – INCOME FROM RENTS

INCOME OR DEDUCTIBLE

NET OPERATING LOSS,

NET RENTAL INCOME

RENTS RECEIVED

EXPENSES

ADDRESS OF PROPERTY

REAL ESTATE LOSS

THREE YEAR LIMIT

(LOSS)

(AS ALLOWED BY IRS)

NET INCOME (OR LOSS) SCHEDULE E, ENTER HERE AND ON LINE 2b., PAGE 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

SCHEDULE H – OTHER INCOME NOT INCLUDED IN SCHEDULE E FROM PARTNERSHIPS, S CORPORATIONS, ESTATES, TRUSTS, FEES, ETC.

RECEIVED FROM

FOR (DESCRIBE)

AMOUNT

TOTAL INCOME SCHEDULE H, ENTER HERE AND ON LINE 2d., PAGE 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

SCHEDULE X – RECONCILIATION WITH FEDERAL INCOME TAX RETURN

ITEMS NOT DEDUCTIBLE

ITEMS NOT TAXABLE

A. NET LOSS FROM CAPITAL OR OTHER ASSETS .

CAPITAL GAINS (FROM FED. SCHEDULE)

. .

O. INTEREST . . . . . . . . . . . . . . . . . . . .

EXPENSES APPLICABLE TO NON-TAXABLE INCOME

C. INCOME TAXES . . . . . . . . . . . . . . . . . . . . . . . . . . . .

P. DIVIDENDS . . . . . . . . . . . . . . . . . . .

D. LOSS CARRIED BACK . . . . . . . . . . . . . . . . . . . . . .

Q. ROYALTY INCOME (INTANGIBLE) .

E. LOSS CARRIED FORWARD PER FED. RETURN .

R. OTHER (EXPLAIN)

PYMTS. TO PARTNERS OR COMP. OF S CORP OFFICERS

G. SICK PAY NOT INCLUDED ON PAGE 1 . . . . . . . . .

H. CONTRIBUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . .

I. OTHERS (EXPLAIN)

M. TOTAL ADDITIONS . . . . . . . . . . . . . . . . . . . . . . . . .

Z. TOTAL DEDUCTIONS . . . . . . . . . . .

SCHEDULE Y – BUSINESS ALLOCATION FORMULA

A. LOCATED

B. LOCATED IN

C. PERCENTAGE

EVERYWHERE

CITY

(B ÷ A)

STEP 1. AVERAGE VALUE REAL & TANGIBLE PERSONAL PROPERTY . . . . $

STEP 1.

GROSS ANNUAL RENTALS MULTIPLIED BY 8 . . . . . . . . . . . . . . . . . $

STEP 1.

TOTAL OF STEP 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

STEP 2. TOTAL WAGES, SALARIES, COMMISSIONS AND OTHER

COMPENSATION PAID TO ALL EMPLOYEES . . . . . . . . . . . . . . . . . . $

STEP 3.

. . . $

GROSS RECEIPTS FROM SALES AND WORK/SERVICES PERFORMED

STEP 4. TOTAL OF PERCENTAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

STEP 5. AVERAGE PERCENTAGE (DIVIDE TOTAL PERCENTAGES BY NUMBER OF PERCENTAGES USED)

ENTER HERE AND ON LINE 3B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IF YOUR FILING STATUS CHANGED IN 2003 OR 2004, ANSWER THE FOLLOWING QUESTIONS:

A. I moved from Norwalk on_____________________________________________

E. Rental Property subject to Norwalk tax was sold on (DATE)__________________

B. My last Norwalk landlord’s name and address was_________________________

F. My tax is withheld by________________________ As of____________________

_________________________________________________________________

G. I married in 2003 and am now filing a joint return with my spouse whose name

C. If business terminated in 2003 give date_________________________________

and social security number is____________________________________________

D. Successor’s name and address________________________________________

H. I am filing separately for 2003 and previously had filed with__________________

_________________________________________________________________

social security number___________________________

EXEMPTION CERTIFICATE:

I AM REQUIRED TO FILE SINCE I AM A RESIDENT, BUT I HAVE NO TAXABLE INCOME BECAUSE (check appropriate box and sign the FRONT of the tax return):

Under 18 for the entire year of 2003 - Date of Birth_________________________ If requesting a refund, must provide copy of drivers license or birth certificate

Retired or Disabled individuals receiving only Pension, Social Security, Interest, or Dividends. (May be eligible for a one time exemption from filing in future years, please see instructions)

On Public Assistance with no Taxable Income.

An active member of the Armed Forces of the United States for the entire year. (This does not include civilians employed by the military or National Guard.)

Other (Explain)________________________________________________________________________________________________________________________________