Form Ir-25 - City Income Tax Return For Individuals - City Of Columbus Income Tax Division - 2004 Page 3

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Name(s) as shown on Page 1

Social Security Number

SCHEDULE Y (BUSINESS ALLOCATION FORMULA)

Use this schedule if engaged in business in more than one city and you do not have books and records which will disclose with reasonable accuracy what portion

of the net profits is attributed to that part of the business done within the boundaries of the city or cities involved.

A. Located Everywhere

Step 1. Average net book value of real and tangible personal property................................................................... $

Gross annual rentals multiplied by 8........................................................................................................... $

Total Step 1...................................................................................................................................................................................... $

Step 2. Gross receipts from sales made and work or services performed..................................................................................................... $

Step 3. Total wages, salaries, commissions and other compensation of all employees................................................................................ $

B. List city portion of the above 3 steps in spaces below and compute percentage of each appropriate city (B divided by A)

AVERAGE

TAXABLE INCOME

CITY

STEP 1

STEP 2

STEP 3

PERCENTAGE

Adjusted net income from Page

2, Schedule C, Line 21 of IR-

COLUMBUS

25.

GROVEPORT

OBETZ

Multiply this figure by the

average percentage for each

City and enter allocable amount

CANAL WINCHESTER

by City in the space at the right.

MARBLE CLIFF

Determine average percentage

by dividing total percentages

by number of percentages

BRICE

used.

LITHOPOLIS

HARRISBURG

Balance of adjusted net income............................................................................................................................................................. $

Total adjusted net income...................................................................................................................................................................... $

IR-25 Page 3/Rev. 10/29/04