Form It-2023 - Income Allocation And Apportionment Page 2

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Taxpayer’s Name:
SSN:
Section II – Nonbusiness Income
See detailed instructions on page 5.
Note 1: Use this worksheet to allocate, in accordance with Ohio
apportion (rather than allocate) using the Business Income por-
Revised Code sections 5747.20, 5747.22, 5747.221 and
tion of the Worksheet (see Section 1).
5747.23, all items of nonbusiness income and deductions in-
cluded in Ohio adjusted gross income. In general, pass-through
Note 2: Do not include in Section II either guaranteed payments
income, deductions, gains and losses recognized by a limited
or compensation you received from a pass-through entity in which
liability company, sole proprietorship, partnership, trust or S cor-
you have at least a 20% direct or indirect ownership interest. Show
poration are items of business income which the taxpayer must
such compensation in Section 1, Part A, line 1.
Total
Ohio
Non-Ohio
A.
Nonbusiness Income
Income
Income
Income
Note: Do not show here any amount shown on
(A)
(B)
(C)
Ohio form IT-1040, Schedule A.
1. Wages, Salaries, Tips, Guaranteed Payments (See Note 2, above) ..
__________________
__________________
__________________
2. State and Local Tax Refunds ...............................................................
__________________
__________________
__________________
3. Alimony Received .................................................................................
__________________
__________________
__________________
4. Pensions, Annuities, IRA Distributions .................................................
__________________
__________________
__________________
5. Unemployment Compensation .............................................................
__________________
__________________
__________________
6. Social Security Benefits .......................................................................
__________________
__________________
__________________
7. Interest, dividends, capital gain (loss) and other income (loss)
but only if these items are nonbusiness income and are not
associated with a sole proprietorship or pass-through entity
(describe) ..............................................................................................
__________________
__________________
__________________
8. Total Nonbusiness Income (Add lines 1 through 7) ............................
__________________
__________________
__________________
B.
Deductions from Nonbusiness Income
Total
Ohio
Non-Ohio
Note: Do not include here any amount included
(A)
(B)
(C)
on Ohio form IT-1040, Schedule A.
9. IRA Deduction ......................................................................................
__________________
__________________
__________________
10. Medical Savings Account .....................................................................
__________________
__________________
__________________
11. Penalty on Early Withdrawal ................................................................
__________________
__________________
__________________
12. Moving Expense ...................................................................................
__________________
__________________
__________________
13. Alimony Paid ........................................................................................
__________________
__________________
__________________
14. Other Deductions (describe) ................................................................
__________________
__________________
__________________
15. Total Deductions (Add lines 9 through 14) ...........................................
__________________
__________________
__________________
16. Net Nonbusiness Income (line 8 minus line 15; enter here and in
Section III, line 2, columns (A), (B), and (C), respectively ..................
__________________
__________________
__________________
Section III – Summary of Business and Nonbusiness Income
Note 1: The amount shown on line 5, column (A), below, should
line 5, column (C), below, is the portion of Ohio Adjusted Gross
be the same amount shown either on line 3 of Ohio form IT-1040
Income that was not earned or received in Ohio. Enter the amount
on line 7 of Ohio Form IT-1041E.
shown on line 5, column (C), below, on the appropriate line of
Schedule D of the Ohio income tax return, form IT-1040 (for indi-
Note 2: For nonresidents and part-year residents, the amount on
viduals) or form IT-1041E (for estates).
Total
Ohio
Non-Ohio
(A)
(B)
(C)
1. Business Income (enter in columns A, B and C the amounts from
Section I, lines 12, 14 and 15, respectively) .......................................
__________________
__________________
__________________
2. Net Nonbusiness Income (enter in columns A, B and C the amounts
from Schedule II, line 16, above) .........................................................
__________________
__________________
__________________
3. Total Business and Nonbusiness Income (Add lines 1 and 2) ............
__________________
__________________
__________________
4. Form IT-1040, Schedule A adjustments ...............................................
__________________
__________________
__________________
5. Line 3 plus or minus line 4 (see Notes #1 and #2, above) .................
__________________
__________________
__________________
-6-

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