Instructions For Form Ir - Evendale Individual Income Tax Return (Page 4 of 4) in pdf

Worksheet B –Other Taxable Income/Loss and/or deductions , Line 2

Example:

(1) SCHEDULE C – Profit or Loss from Business (Attach Form 1040, Schedule C)

a. Net Profit/Loss from Federal Schedule C

10,000.00

b. Percentage Allocable to Evendale – Residents use 100%; From Schedule Y

100.00%

c. Evendale Profit/Loss (Line 1a multiplied by Line 1b)

10,000.00

(2) SCHEDULE E – Profit/Loss from Rents/Royalties (Attach Form 1040, Schedule E)

-5,000.00

(3) SCHEDULE E – Profit/Loss from Partnerships (Attach Form 1040, Schedule E and Forms K-1)

-2,000.00

(4) SCHEULE F – Profit or Loss from Farming (Attach Form 1040, Schedule F)

0.00

(5) Form 1099-MISC – Miscellaneous Income (Attach Form(s) 1099-MISC and page 1 of Form 1040)

0.00

(6) W-2G – Gambling Winnings (Attach Form(s) W-2G)

500.00

(7) OTHER – list separately and provide detail documentation

(8) SUBTOTAL – Add Lines 1c through Line 7

3,500.00

(9) LESS Prior Year Loss Carryforward 2013 ($ 100) + 2014 ($ 300) + 2015 ($ 500 ) =

-900.00

(10) LESS Time worked outside Evendale for business (Non Residents ONLY) See Instructions

0.00

(11) TOTAL - Line 8 minus Line 9 and/or Line 10. ENTER ON PAGE 1, Line 2

2,600.00

Worksheet B –Line 10 Refund Request for Time worked outside Evendale on Business

(Non Residents Only)

Documentation must be provided with your return in order for a refund request to be processed. For over the

road truck drivers, a letter from your employer stating the percentage of time spent working outside the Village of

Evendale must accompany your refund request. For all other requests for time worked outside Evendale, an itinerary

providing the specific date worked outside of Evendale on business during the tax year, along with concurrence by

the employer, must be provided with your request.

Example:

For over the road truck drivers, skip Part 1 and go to Part 2, all others must complete Part 1

Part I

Total Days worked outside Evendale (excluding holidays, weekends, vacation, sick time) attach itinerary

135

Divided by the total number of workdays as per Evendale Earnings Tax Ordinance #15-49

260

Percentage of Time worked outside the Village of Evendale

0.519230769

Part II

Qualifying Wages - Generally Box 5 of Form W-2 (should be equal to Box 18)

120,000.00

Multiply by the percentage of time worked outside Evendale

0.519230769

Wages earned outside of Evendale - Enter on Line 10 of Worksheet B

-62,307.69

Income Tax Department | 10500 Reading Road, Evendale, Ohio 45241-2574 | Phone 513-563-2671

Instructions For Form Ir - Evendale Individual Income Tax Return Page 4

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