Form Kr-1040 - Individual Income Tax Form - 2004 Page 2
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1
2WORKSHEET A
SALARIES, WAGES, TIPS AND OTHER EMPLOYEE COMPENSATION
Column 1
Column 2
Column 3
Column 4
Column 5
City Where Employed
Income From Each Local W-2
2106 Expenses, If Any
Kettering Tax Withheld
*Other City Tax Withheld
Cannot Exceed 1.75%
Totals
Enter On:
Page 1 Line 1
Page 1 Line 2
Page 1 Line 7
Page 1 Line 8
*Income reduced by 2106 and earned in another city must also reduce the tax withheld for that city by the same percentage.
1. SCHEDULE C — Net Profit or Loss From Business or Profession (Attach Federal Schedule C)
Business Name ____________________________________________________Business Address ____________________________________________________________
Kind of Business ___________________________________________________ Date Started _____________________________ Date Ended _________________________
A. Net Profit or Loss ________________ Attach Schedule(s) C
B. Percentage Amount Apportioned to Kettering (From Schedule Y below) _____________________
C. Amount subject to tax. Multiply A times B. ________________________
TOTAL (1) $__________________________
Note: (If taxes paid to other cities, attach other cities’ returns)
Enter on Line A Below
2. SCHEDULE Y (Business Apportionment Formula)
A. Located
B. Located In
Everywhere
This City
C. Percentage (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 And Other Compensation Paid
____________________ ____________________ ____________________ %
4.
Total Percentages
____________________ ____________________ ____________________ %
5.
Average Percentages
____________________ %
Divide Total Percentages by Number of Percentages Used. Carry to Section 1, Line B Above_________________%
3. SCHEDULE E — INCOME FROM RENTS (Attach Federal Schedule E)
Property Address (Including City, State And Postal Code)
Net Profit/Loss
TOTAL (2) $__________________________
Enter on Line B Below
4. SCHEDULE O — OTHER INCOME NOT INCLUDED IN SCHEDULES C OR E (Attach Federal Schedules)
(Income From Partnerships, Estates, Trusts, Fees, Tips, Gambling Winnings, 1099-Misc., etc.)
Received From Name/I.D. Number Amount
For (Description and/or Location)
Amount
(Applicable Losses w/o Exact Locations Will Be Disallowed)
TOTAL (3) $__________________________
Enter on Line C Below
5. SUMMARY OF OTHER INCOME
A.
Profit From Any Business Owned (From Section 1, Line 1 Above)
A. ____________________
B.
Rental and/or Partnership Income (From Section 3, Line 2 Above)
B. ___________________
C.
Other Income (From Section 4, Line 3 Above)
C. ___________________
D.
Total Other Income (Add A, B and C)
D. $__________________
E.
Enter Loss Carryforward, if any from prior years
E. ___________________
F.
Net Other Income or Loss (Subtract E from D)
F. $__________________
If greater than zero, enter on Page 1 Line 4
RESET FORM
If less than zero, enter only on Line F as loss carryforward
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