Business Income Tax Return Form - City Of Hamilton - 2016 Page 2

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Schedule X
Reconciliation With Federal Income Tax Return As Required By ORC Section 718.01
Items Not Deductible
Add
Items Not Taxable
Deduct
A. Capital Losses (Sec 1221 or 1231 Included)
B. Taxes On or Measured By Net Income
Guaranteed Payments to Partners,
C.
Retired Partners, Members or Other Owners
Expenses Attributable to Non-Taxable Income
D.
(5% of Line J)
I. Capital Gains
E. Real Estate Investment Trust Distributions
(Excluding Ordinary Gains)
Qualified retirement, health & life insurance plans
Intangible Income
F.
J.
(Interest, Dividends, Royalties)
on behalf of owners or owner employees
G. Other (Explain)
K. Other Income Exempt (Explain)
Total Additions
$
Total Deductions
$
H.
L.
(Sum Lines A through G)
(Sum Lines I through K)
Total
$
(Combine Lines H and L, Enter Net on Line 2 Page 1)
Schedule Y
Business Apportionment Formula
A. Located
B. Located In
C. Percentage
TOTAL
Everywhere
This Municipality
(B ÷ A)
Step 1 Original Cost of Real & Tangible Personal Property
Gross Annual Rentals Paid Multiplied By 8
Total Step 1
%
Step 2 Gross Receipts from Sales Made and/or Work or Services
%
Performed
Step 3 Wages, Salaries & Other Compensation Paid (See Schedule Z)
%
Step 4 Total Percentage
%
Step 5 Average Percentage
Divide Total Percentages By Number of Percentages Used.
%
Carry % to Line 3B, Page 1
Schedule Z
Reconciliation to Withholding Tax Reconciliation
A. Total Wages Allocated to this Municipality (From Federal Return or Schedule Y)…………………………………………………….$_________________
B. Total Wages Shown On Withholding Tax Reconciliation…………………………………………………………………………………$_________________
C. If Lines A and B Do Not Match, Provide a Detailed Explanation or a Billing Letter Will Be Sent For Any Difference:
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
Additional Required Information
Has Your Federal Tax Liability for any Prior Year Been Changed as a Result of an Examination By the Internal Revenue Service?
 No  Yes
If Yes, List Year(s) _________________________________________
If Yes, Be Sure an Amended Return Has Been Filed With this Municipality for these years if the Amendment affects municipal taxable income.
Do You Have Employees Working In This Municipality?
 N/A  No
 Yes, Copies Of Employee W-2 Forms Must Be Submitted By February 28th.
Do You Use Subcontract Labor To Perform Work In This Municipality?
 N/A  No
 Yes, Copies Of 1099’s Must Be Submitted By February 28th.
Are Any Employees Leased In The Year Covered By This Return?
 N/A  No
 Yes, Provide Name, Address And Federal ID Number Of The Leasing Company:
Name ___________________________________________________________________________
Address __________________________________________________________________________
City, State, Zip ____________________________________________________________________
Federal ID Number _________________________________________________________________

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