Form Cca - Net Profit Tax Return - Municipal Income Tax - 2005 Page 2
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1
2GENERAL TAX INFORMATION - MUST BE COMPLETED
1. Date Business or Trust created
If Business either terminated, was sold, or is no longer required to file CCA tax
returns, please complete the following:
2.
Did you file a return last year?
Yes
No
Date Business was sold, terminated, or date no longer required to file CCA tax return
3.
Did you have any employees during 2005?
Yes
No
If you sold your business, or your business activity is now reported under another
4.
On which basis are your records kept?
Cash
Accrual
federal identification number, complete the following:
Completed Contract
Other
Name of business purchaser or new entity
5.
Has your Federal Tax Liability for any prior year been changed in the year
Federal employer identification number of business purchaser or new entity
covered by this return as a result of an examination by the Internal Revenue
Address of business purchaser or new entity
Service?
Yes
No
If Business entity changed during the year (for example from a C Corporation to an
S Corporation), please complete the following:
Previous entity type: ______________________; New entity type: ______________________
SCHEDULE Y
Business Allocation Formula
A. LOCATED EVERYWHERE
A
PART
$
Average original cost of real and tangible property
STEP 1.
$
Gross annual rentals multiplied by 8
$
Total STEP 1
STEP 2.
Total wages, tips and other employee and/or owner compensation deducted on
$
the attached federal tax return
STEP 3.
Gross receipts from sales made and work or services performed
$
B. CITY PORTION–LIST CCA PORTION OF ABOVE 3 STEPS BELOW, COMPUTING PERCENTAGE FOR EACH APPROPRIATE CCA
COMMUNITY AS FOLLOWS: B divided by A for each CCA community listed
AVERAGE
TAXABLE
PERCENTAGE
INCOME
CITY
STEP 1
STEP 2
STEP 3
Adjusted Federal Taxable Income From Line
3(A) on front of this return
$
$
$
%
%
%
%
$
$
Multiply this figure by the average per-
$
$
$
centage for each city, and enter allocable
$
%
%
%
%
amount by city in the space at the right.
$
$
$
Determine
average
percentage
by
$
%
%
%
%
dividing total percentages by number of
percentages used.
$
$
$
The amounts of taxable income listed
%
%
%
%
$
in the right hand column are to be
entered on the Net Profit return Column
$
$
$
2 by appropriate city.
%
%
%
%
$
TOTAL AVERAGE PERCENTAGE ENTER LINE 3 (B) CCA 120-17-BR
$
TOTAL ADJUSTED NET INCOME
B
5.
6.
5.
6.
PART
1.
2.
3.
1.
2.
3.
ALLOWABLE LOSS
TOTAL ADJUSTED
ALLOWABLE LOSS
TOTAL ADJUSTED
MUNICIPALITY
CODE
TAXABLE INCOME
MUNICIPALITY
CODE
TAXABLE INCOME
FROM PRIOR YEAR
INCOME
FROM PRIOR YEAR
INCOME
Ada
002
533
Munroe Falls
Andover
006
New Franklin 537
Barberton
025
Northfield Village
545
Bradner
117
North Baltimore
548
Bratenahl
120
North Perry
555
Burton
176
North Randall
560
Chardon
185
Norton
575
Cleveland
200
Village of Oakwood
585
Creston
238
Orwell
605
Cridersville
Painesville
610
239
Paulding
640
Dunkirk
266
Peninsula
645
Gates Mills
330
Geneva
Perry
655
347
on-the-Lake
Rock Creek
698
Grand Rapids
356
Grand River
Rocky River
700
357
Highland Hills
371
Russells Point
703
Seville
722
Liberty Center
408
South Russell
772
Linndale
420
Timberlake
788
Madison Village
455
Wadsworth
815
Medina
487
Warrensville Hts
830
Mentor
490
Mentor
Willoughby
870
495
on-the-Lake
Willoughby Hills
880
Metamora
497
Middlefield
510
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