Business Income Tax Return Form - City Of Troy Income Tax Division

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CITY OF TROY
BUSINESS INCOME TAX RETURN
DUE DATES:
INCOME TAX DIVISION
DUE APRIL 15th of following year
100 S. Market St
CALENDAR YEAR _________ or
(for Calendar year filers) or
Troy OH 45373
3 1/2 Months after fiscal year end
FISCAL YEAR
__________ TO __________
Phone (937) 339-3861
(for Fiscal year filers)
Fax (937) 440-1352
TYPE OF BUSINESS:
Corporation
Partnership
S Corporation
Other:__________________
Federal Employer
Identification Number
Complete Schedule X (Reconciliation with Federal Income Tax
Return) and Schedule Y (Business Apportionment Formula) on
reverse of this form.
PRINT NAME AND ADDRESS (Indicate Changes)
1. TOTAL TAXABLE INCOME (Per copy Federal Form 1120, 1120S, 1065 and appropriate schedules attached)………………1.
2. ITEMS NOT DEDUCTIBLE (From Line M, Schedule X reverse)……………….. ADD
2.
3. ITEMS NOT TAXABLE (From Line Z, Schedule X reverse)……………………. DEDUCT
3
4. ENTER EXCESS OF LINE 2 or 3…………………………………………………………………………………………………4.
5. ADJUSTED NET INCOME (Line 1 plus or minus Line 4)………………………………………………………………………5.
6. AMOUNT ALLOCABLE TO TROY (If Schedule Y is used, ________________% of Line 5)
7. AMOUNT SUBJECT TO MUNICIPAL INCOME TAX………………………………………………………………… ….7.
8. TROY TAX DUE (Line 7 multiplied by 1.75%)………………………………………………………………………………..8.
9. Estimated Tax Payments…………………………………………………………………………9.
10. Prior Year Overpayments………………………………………………………………………10.
11. Total Credits (Add Lines 9 and 10)…………………………………………………………………………………………11.
12. TAX DUE/OVERPAYMENT (Subtract Line 11 from line 8)……(No tax due if less than $5.00).………………………12.
13. PENALTY_______________
INTEREST_______________
LATE FILING FEE_______________
13.
14. TOTAL BALANCE DUE (add lines 12 and 13)……………………………………………………………………………14.
15. OVERPAYMENT (If line 11 exceeds line 8)……(No refund or credit if less than $5.00)….…. 15.
_______________ REFUND
________________ CREDIT TO ________(Tax Year)
DO NOT STOP HERE, you must complete MANDATORY ESTIMATED TAX (lines 16 THRU 20)
MANDATORY DECLARATION OF ESTIMATED TAX DUE
16. TOTAL __________ (Tax Year) ESTIMATED TAX DUE………………………………………16.
17. FIRST QUARTER AMOUNT DUE (at least 22.5% of line 16)………………………………….17.
(NOTE: If estimate is based on prior year tax line 8, then estimated payment must be at least 25% )
18. PRIOR YEAR CREDIT (Line 15) APPLIED TO FIRST QUARTERLY PAYMENT…………..18.
19. BALANCE OF FIRST QUARTER PAYMENT DUE (Line 17 minus Line 18)………………………………………………19.
20. TOTAL DUE (Add line 14 and 19 ) Make check or money order payable to CITY OF TROY……….20..
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for the taxable period stated and that the figures used herein are the same as used for
Federal Income Tax purposes, and if an audit of Federal return is made which affects tax liability shown on this return, an amended return will be filed within three months.
_______________________________________________________________________________ __________________________________________________________________________________
Signature
Title
Date
Preparer’s Signature (other than taxpayer)
Date
E-Mail address:___________________________________________________________
______________________________________________________________________________
Address of Preparer (City, State and Zip)
Phone Number
Website address:___________________________________________________________
If this return was prepared by a tax practitioner, may we contact them directly with any questions concerning the preparation of this return?
YES
NO
FOR OFFICE USE ONLY
MAINTENANCE ______
CK#___________ AMT. $____________

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