Form Br - Business Earnings Tax Return - 2011 Page 2
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2Form BR – 2011
Page 2______
NOTE: All appropriate Federal schedules and forms MUST be attached. A return is NOT complete unless schedules and forms are included.
_______________________________________________________________________________________________________________________________________
SCHEDULE X
RECONCILIATION WITH FEDERAL INCOME TAX RETURN
ITEMS NOT DEDUCTIBLE
(ADD)
ITEMS NOT TAXABLE
(DEDUCT)
A. Net operating loss deduction per Federal Return
$______________
I. Interest income…………………………………
$_________________
B. Capital losses to the extent they are included in
J. Dividends………………………………………
__________________
Computing Total income per Federal Return….
_______________
K.
Capital Gains to the extent they are included in
Computing Total income per Federal Return...
__________________
C. Expenses incurred in the production of non-taxable
Income………………………………………….
_______________
L. Other (Explain)………………………………….
__________________
D. Income Taxes paid or accrued…………………... _______________
……………………………………………………….
E. Payments to partners…………………………….. _______________
……………………………………………………….
F. Other (Explain)…………………………………..
_______________
……………………………………………………….
G. Other (Explain)………………………………….. _______________
……………………………………………………….
H. TOTAL ADDITIONS (Enter as line 2a, other side) $______________
M. TOTAL DEDUCTIONS (Enter as line 2b, other side) $________________
SCHEDULE Y
BUSINESS ALLOCATION FORMULA
ALLOCATION FACTORS
A. Total Factors
B. Norwood
C. Percentage
Everywhere
Factors
(b divided by a)
1. Average value of real and tangible personal property………………………………
$________________
$______________
________________%
(Include Gross Annual Rents Paid Multiplied by 8)
2. Gross sales of merchandise, less returns and allowances
(do not include discounts allowed)………………………………………….
$________________
$______________
Charges for work or services performed……………………………………………
_________________
_______________
Other income (do not include income from intangibles, Capital Gains, discounts
Earned, or income exempt by Ohio or Federal Law)………………………………
_________________
_______________
TOTAL BUSINESS RECEIPTS-FACTOR……………………………….
$________________
$______________
________________%
3. Wages, salaries and other personal service compensation………………………….
$________________
$______________
________________%
4. Total percentages………………………………………………………………………………………………………………………………...
________________%
5. Allocation Percentage (Total percentages divided by the number of percentage factors used) carry to line 3 (b), Page 1……………………..
________________%
SCHEDULE Z
OTHER INCOME (Include on Line 1 – front page)
1. Show here income from any other source(s) – attach listing and documentation ……………………………………………………………….
$ ________________
INFORMATION (CON’T PAGE 1)
9. If you Terminated Your Business during 2011 give Exact Date_______________
12. Name of President or Owner(s)__________________________________
____________________________________________________________________
_____________________________Phone No._________________________
10. Give Name and Address of New Owners________________________________
13. Name of Treasurer or Chief Financial Officer______________________
____________________________________________________________________
_____________________________Phone No._________________________
11. I moved from Norwood on___________________________________________
______________________________________________________________
To______________________________________________________________
______________________________________________________________
My Norwood Landlord’s Name and Address was________________________
______________________________________________________________
_______________________________________________________________
______________________________________________________________
EXTENSION POLICY:
Extensions may be granted for filing of the annual return, provided an IRS extension has been secured. EXTENSION REQUESTS MUST BY MADE IN WRITING
AND RECEIVED BY THIS OFFICE BEFORE THE ORIGINAL DUE DATE OF THE RETURN. Only those extension requests with a self-addressed, postpaid
envelope will have a copy returned after being appropriately marked.
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