Form Br - Business Tax Return - 2012 Page 2
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1
2Form BR Page 2
Reconciliation with Federal Income Tax Return Per Ohio Revised Code 718.
WORKSHEET X
FEDERAL TAXABLE INCOME
before net operating losses and special deductions per attached Federal return (Form 1120,
1.
Line 28; Form 1120S, Schedule K, Line 17e; Form 1120A, Line 24; Form 1120-REIT, Line 20; Form 1065 "Analysis of Net
Income (Loss)", Line 1; Form 1041, Line 17; Form 990 T, Line 30)
1
Items not deductible (from Line 7J below)
2.
2
Items not taxable (from Line 8F below)
3.
3
Subtract Line 3 from Line 2 and enter the result here
4.
4
Other City taxable income that is not shown on Federal return
5.
5
Adjusted net income (total Lines 1, 4 and 5)
6.
6
ITEMS NOT DEDUCTIBLE
7.
A.
Capital / IRS Section 1231 losses deducted on Federal return
~~~~~~~~~~~~~~
7A
B.
5% of expenses not attributable to sale, exchange or other disposition of Sec 1221 property
7B
C.
Taxes based on income
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
7C
D.
Guaranteed payments to partners (not included in net profits)
~~~~~~~~~~~~~~
7D
Charitable contributions deducted above corp limitations including O.R.C. 718.01 (A),(1),(g)
E.
7E
F.
IRS Section 179 expense deducted above corp limitations including O.R.C. 718.01(A)(1)(g)
~
7F
G.
Qualified retirement, health insurance and life insurance plans on behalf of owners/owner empl
7G
H.
~~~~
Loss carried back or carried forward per Federal return (if included in Line 1 above)
7H
I.
Other expenses not deductible (attach documentation and/or explanation)
7I
J.
TOTAL ADDITIONS (enter here and on Line 2 above)
7J
ITEMS NOT TAXABLE
8.
A.
Capital / IRS Section 1231 losses gains
~~~~~~~~~~~~~~~~~~~~~~~
8A
B.
Interest earned
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8B
C.
Dividends earned
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
8C
D.
Certain royalty income (see instructions)
~~~~~~~~~~~~~~~~~~~~~~~
8D
E.
Other exempt income (attach documentation and/or explanation)
8E
TOTAL DEDUCTIONS (enter here and on Line 3 above)
F.
8F
SCHEDULE Y BUSINESS ALLOCATION FORMULA
Test ME
ACCOUNT NAME:
12-3456789
FED ID#:
ACCOUNT NUMBER:
a. LOCATED
b. LOCATED IN
c. PERCENTAGE
Coventry-Akron (JE
EVERYWHERE
(b/a)
STEP 1.
Average value of real &
tangible personal property ~~~~~~~
Gross annual rental paid
multiplied by 8 ~~~~~~~~~~~~
%
TOTAL STEP 1
~~~~~~~~~~~~
Wages, salaries, etc.
STEP 2.
%
paid employees ~~~~~~~~~~~~
STEP 3.
Gross receipts from sales
made and/or work
%
services performed ~~~~~~~~~~
%
STEP 4. TOTAL PERCENTAGES
~~~~~~~~~
STEP 5. AVERAGE PERCENTAGE
(Divide total percentages
by number of percentages
CARRY TO LINE 2 OF YOUR RETURN
%
used) ~~~~~~~~~~~~~~~~
295331
05-01-12
11350802 981561 34564
2012.03021 Test ME
34564__1
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