Form Br-25 - City Income Tax Return - Business Return - 2004 Page 2

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Business Name:

EIN/FID Number:

Schedule X

Reconciliation with Federal Income Tax Return Per O.R.C. 718

1. FEDERAL TAXABLE INCOME BEFORE NET OPERATING LOSSES AND SPECIAL DEDUCTIONS per attached return (Form

1120, Line 28; Form 1120S, Schedule K, Line 23; Form 1120A, Line 24; Form 1065 “Analysis of Net Income (Loss)”, Line 1;

................................................................................................

Form 1041, Line 17; Form 990 T, Line 30)

2. Intangible income included in Line 1 above directly related to the sale, exchange or other disposition of property described

in Section 1221 of the Internal Revenue Code.................................................................................................................................

3. Intangible income included in Line 1 above that is not directly related to the sale, exchange or other disposition of property

described in Section 1221 of the Internal Revenue Code...............................................................................................................

4. Income and gain included in Line 1 above directly related to the sale, exchange, or other

disposition of an asset described in Section 1221 or 1231 of the Internal Revenue Code. Do not

include amounts already reported on Lines 2 and 3 above...............................................................

5. Less the income and gain included on Line 4 above that is described in Section 1245 or 1250 of

the Internal Revenue Code.........................................................................................................

6. Taxpayers who are not C corporations only: The additional Section 179 expense deduction that would have been allowed

if the taxpayer computed the “business income” limitation using the rules for C corporations with regard to charitable

contributions, capital loss limitations, and compensation paid to shareholder-employees. Do not factor in amounts shown

on Lines 11 or 12 below when computing the “business income” limitation. Partnerships are to ignore any deduction for

Part 1

guaranteed payments when computing the “business income” limitation. Do not include any Section 179 amount already

deducted in computing line 1 above...............................................................................................................................................

7. Partnership Income or (Loss) Adjustment: If your adjustment represents a net gain, report the adjustment as a positive

number. If your adjustment represents a net loss, report the adjustment as a negative number...........................................

8. Multiply Line 3 by .05 ............................................................................................................................................................

9. Losses included in Line 1 above directly related to the sale, exchange, or other disposition of an asset described in section

1221 or 1231 of the Internal Revenue Code................................................................................................................................

.......................................

10. Taxes on or measured by net income included as a deduction in computing Line 1 above

11. Taxpayers who are not C corporations only: Amounts included as a deduction in computing Line 1 above related to a

.................................................

qualified self-employed retirement plan with respect to an owner or owner-employee

12. Taxpayers who are not C corporations only: Amounts included as a deduction in computing Line 1 above related to

health insurance or life insurance for an owner or owner-employee..............................................................................................

13. Taxpayers who are not C corporations only: Charitable contributions included as a deduction in computing Line 1

above that exceed 10% of Line 1 after applying any NOL carryover, but without regard to: 1) any deduction for contributions;

2) NOL carryback; or 3) capital loss carryback..............................................................................................................................

14. Taxpayers who are not C corporations only: Federal capital losses in excess of Federal capital gains included as a

deduction in computing Line 1 above, but only to the extent not included in Line 8 above...............................................................

15. CITY NET PROFIT. Subtract the sum of Lines 2, 3, 5b, 6 and 7 from Line 1. To the result, add the sum of Lines 8 through 14.

(Taxpayers engaged in business in more than one city should proceed to Schedule Y below)..................................................

Calculation of Net Profit for Collection Group Municipalities

Schedule Y

Average original cost of all real and tangible personal property owned or used by the taxpayer in the business or

profession wherever situated except leased or rented real property.................................................................................

Annual rental on rented and leased real property used by the taxpayer wherever situated multiplied by 8.......................

Combine Lines 1 and 2..................................................................................................................................................................

All wages, salaries and other compensation paid to employees wherever their services are performed except compensation

exempt from municipal taxation under ORC 718.011.....................................................................................................................

............................................

All gross receipts from sales made or services performed wherever made or performed

Column A

Column B

Column C

Column D

Column E

City

Property

Wages

Gross Receipts

Average %