Business Tax Return Form - City Of Springboro, Ohio - 2011 Page 2

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SCHEDULE X—RECONCILIATION WITH FEDERAL INCOME TAX RETURN
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
DEDUCT
A. Capital Losses
(Sec 1221 or 1231
$
H. Capital Gains……………………………………..
$
included)
B. Taxes on or measured by net
I.
Intangible Income ……………………………….
income
C. Guaranteed Payments to
partners, retired partners,
J. Other income exempt (explain and document)
members or other owners.
D. Expenses attributable to non-
taxable income (5% of Line I.)
………………………………………………………….
E. Real Estate Investment Trust
distributions……………………….
…………………………………………………………..
F. Other (explain and document)……
………………………………………………………….
……………………………………………
………………………………………………………….
……………………………………………
………………………………………………………….
G. Total additions……………………..
$
K. Total deductions………………………………….
$
L. Combine Lines G and K and enter net on Part A, Line 2 ________________________
SCHEDULE Y—BUSINESS APPORTIONMENT FORMULA
Percentage
a. Located Everywhere
b. Located in Springboro
(b / a)
STEP 1.
Average original cost of real and tangible personal
property…………………………………………………….……
Gross annual rentals paid multiplied by 8…………………...
TOTAL STEP 1…………………………………………….…..
%
Wages, salaries, and other compensation paid
STEP 2.
%
*See Schedule Y-1………………………………..
Gross receipts from sales made and services
STEP 3.
%
performed………………………………………………………
STEP 4.
Total percentages (Add percentages from Steps 1-3)
%
STEP 5.
Average percentage (Divide total percentage by number of percentages used—Carry to Part A, Line 4)
%
*SCHEDULE Y-1 RECONCILIATION TO FORM W-3 (WITHHOLDING RECONCILIATION)
Total wages allocated to Springboro (from Federal Return or apportionment formula) …………………………………………………..
$
Total wages shown on Form W-3 (Withholding Reconciliation)………………………………………………………………………………
$
Were 1099-MISC forms issued for work performed in Springboro? If yes, attach copies to this return …………….._____________YES ___________NO
Please explain any difference:
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Are there any employees leased in the year covered by this return? ______YES ______ NO
If YES, please provide the name, address and FID number of the leasing company.
Name:________________________________________________________________________
Address:______________________________________________________________________
FID Number:___________________________________________________________________

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