Form R2 - 2002 Individual City Of Pickerington Income Tax Return (Page 3 of 3) in pdf

WORKSHEET A

SALARIES, WAGES, TIPS AND OTHER EMPLOYEE COMPENSATION

COLUMN 1

COLUMN 2

COLUMN 3

COLUMN 4

COLUMN 5

INCOME TAXED BY OTHER

PICKERINGTON

INCOME FROM W-2’S

CITY (W-2 BOX 18)

TAX WITHHELD

EMPLOYER’S NAME

CITY WHERE EMPLOYED

(USE HIGHEST GROSS)

(DO NOT INCLUDE

PICKERINGTON)

SCHOOL TAX)

E. TOTALS

ENTER ON:

PAGE 1 LINE 1

SEE CREDIT CALCULATION

PAGE 1 LINE 7

SECTION 3 BELOW

If necessary, attach sheet for additional W-2 information.

SECTION 1 - OTHER INCOME

1. Profit/Loss from any Business Owned (Attach Federal Schedule C) ............................................................................ $

2. Rental and/or Farm Income/Loss (Attach Federal Schedule E or F) ............................................................................ $

3. Partnership Income/Loss (Attach Federal Schedule E) ................................................................................................ $

a. Net Loss Per Previous Pickerington Tax Returns (see note below) ...................................................................... – $

4. Other Income (from Pass-through-Entities, Estates, Trusts, Fees, Tips etc.) ................................................................ $

Attach 1099’s or appropriate Federal Schedules

5. TOTAL (Add lines 1, 2, 3, 3a and 4) .............................................................................................................................. $

(Carry to page 1, line 2)

NOTE: The net loss from any business activity may not be used to offset salaries, wages, commissions, or other compensation, or non-business

income. Net Operating Losses may be carried forward for one (1) year.

SECTION 2 - DEDUCTIONS

A. Partial year residents – income earned while NOT a resident of Pickerington ............................................................ $

Wages earned IN Pickerington CANNOT be pro-rated.

Exact figures must be used whenever possible. Income averaging may be used only when exact figures are not available. (see instructions)

B. 2106 Employee Business Expenses are limited to actual unreimbursed expenses incurred in the production or

earning of the income. The 2106 Form, as filed with the IRS, with an itemization of all expenses reported

and a copy of Federal Schedule A MUST BE ATTACHED OR THE DEDUCTION WILL BE DISALLOWED.......... $

C. Moving Expenses included in income on W-2 and reimbursed by employer. Employer documentation must be

provided (Applies only to residents moving into City).................................................................................................... $

D. TOTAL DEDUCTIONS .................................................................................................................................................. $

(Carry to page 1, line 4)

SECTION 3 - CREDIT (ALLOWABLE ONLY FOR PICKERINGTON CITY RESIDENTS)**

If your salary and/or income has been taxed by a city other than Pickerington, use this calculation:

(Use only that portion of wage/income actually taxed; if the income is pro-rated, the income used in the calculation is pro-rated also)

BUSINESS AND MOVING EXPENSES MUST BE DEDUCTED FROM WAGES BEFORE TAX CREDIT IS FIGURED

WAGES TAXED BY ANOTHER CITY X 1/2% (.005) = .................................................................................................... $

(Carry to page 1, line 10)

** Credits must be substantiated with W-2’s or other city returns showing taxes paid to another municipality.

DO NOT INCLUDE ANY SCHOOL DISTRICT TAX. (SD2307)

Form R2 - 2002 Individual City Of Pickerington Income Tax Return Page 3

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