Business Tax Return Form - City Of Forest Park Income Tax Division - 2007 Page 2

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SCHEDULE X—RECONCILIATION WITH FEDERAL INCOME TAX RETURN AS PROVIDED BY ORC SECTION 718
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
DEDUCT
A. Capital Losses (Sec 1221 or 1231
$
H. Capital Gains……………………………………..
$
included)……………………………………..
B. Taxes on or measured by net
I .
Interest income ………………………………..
Income……………………………..
C. Guaranteed Payments or accruals to
partners, retired partners,
J. Dividend income ………………………………….
members or other owners……….
D. Expenses attributable to non-taxable
income (5% of total.)….
………………………………………………………….
E. Real Estate Investment Trust
distributions……………………….
…………………………………………………………..
F. Federal deducted amounts paid or accrued
to or for qualified self-employed retirement
plans, health insurance plans, and life
insurance for owners or owner-employees
of non-C corp entities. ………..
G. Total additions……………………..
$
K. Total deductions………………………………….
$
L. Combine Lines G and K and enter net on Part A, Line 2 $________________________
SCHEDULE Y—BUSINESS APPORTIONMENT FORMULA
COMPLETE ALL STEPS
a. Located
b. Located in
Percentage
Everywhere
Forest Park
(b / a)
Original average cost of real and tangible personal
STEP 1.
property…………………………………………………………..
Gross annual rentals paid multiplied by 8………………….…
%
TOTAL STEP 1…………………………………………………..
Wages, salaries, and other compensation paid
STEP 2.
%
*See Schedule Y-1 below…………………………..
Gross receipts from sales made and/or work or services
STEP 3.
%
performed…………………………………………………………
STEP 4.
Total percentages (Add percentages from Steps 1-3)
%
STEP 5.
Average percentage (Divide total percentage (Step 4) by number of percentages used—Carry to Part A, Line 4)
%
*SCHEDULE Y-1 RECONCILIATION TO FORM W-3 (WITHHOLDING RECONCILIATION)
Total wages allocated to Forest Park (From Federal Return or apportionment formula) …………………………………………………
$
Total wages shown on Form W-3 (Withholding Reconciliation)………………………………………………………………………………
$
Please explain any difference:
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Are there any employees leased in the year covered by this return? ______YES ______ NO
If YES, please provide the name, address and FID number of the leasing company.
Name:__________________________________________________
Address:________________________________________________
________________________________________________
FID Number:__________________ Phone #____________________

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