Form Br-25 - City Income Tax Return - Business Return - 2004 Page 3

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Business Name:
EIN/FID Number:
Schedule E
Partnership K-1 Income (or Loss)
COLUMN 1
COLUMN 3
COLUMN 4
COLUMN 5
COLUMN 6
COLUMN 2
Total Amount of K-1
Total Amount of K-1
Total Amount Tax
Partner’s
Federal I.D. No.
Partnership Name and Address
Partnership Income
Partnership Income
Withheld on Behalf of
Percentage
(attach separate sheet, if necessary)
(Loss) Everywhere
(Loss) Local
Partners Local
$
$
$
ATTACH ALL K-1’S
TOTAL
$
$
$
TO:
SCHEDULE Z
PART A, COLUMN F
Part 1
NOTE: Remember to file your Declaration of Estimated Taxes (Form IT-21) for the current year.
Phone (614) 645-7370. TDD (614) 645-6000.
Schedule Z
USE THIS SCHEDULE TO ALLOCATE LOCAL K-1 INCOME OR LOSS AMONG JURISDICTIONS ADMINISTERED BY THE CITY.
PART I
PART II
PARTNERSHIPS ONLY
CORPORATIONS ONLY
Investment Partnership
Primary Partnership
Investment Partnership
Local K-1
Apportioned
Local
Local K-1
Taxable
Net Taxable
Partnership
Partnership
City
Income (Loss)
Income (Loss)
Income (Loss)
Income (Loss)
COLUMBUS
GROVEPORT
Part 1
OBETZ
CANAL WINCHESTER
MARBLE CLIFF
BRICE
LITHOPOLIS
HARRISBURG
FROM:
Sch. E, Col. 5
Sch. Y or X
Sch. E, Col. 5
TO:
Part A, Col. B
Part A, Col. B
BR-25 Page 3 (Rev. 11/2/04)

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