Form R-B - Business Income Tax Return - City Of Dayton

FORM R-B CITY OF DAYTON, OHIO BUSINESS Income Tax Return

__________Tax Year Ending December or Fiscal Year Ending_________________

Business Name

Federal ID#

DBA

Corporations -2 Partnerships -4

Address

Your phone #

City/State/Zip

Preparers phone #

Do you have an employee withholding account with Dayton

Yes ____ No ____

Did you file a Dayton Return last year?

Yes ____ No ____

(For Office Use Only)

Documentation MUST be attached (Do not report Schedule C on this form)

Federal Filing on form

1120

1120A

1120S

1120X

1065

DATE STAMP

TOTAL taxable income

1

1

2

Items NOT deductible

2

Items NOT taxable

3

3

Enter Excess of line 2 or 3

(Show negative amounts in parentheses)

4

4

Adjusted NET income

(Line 1 plus or minus Line 4)

5

5

Amount allocable to Dayton

(If Schedule Y is used)

6

6

AMOUNT SUBJECT TO DAYTON TAX

7

7

Dayton tax due @ 2.25%

8

8

Estimated Payments

9

9

Prior Years overpayments

10

10

TOTAL CREDITS

11

11

Penalty

and/or Interest

Total penalty/interest

12

12

BALANCE DUE (Subtract Line 11 From Line 8. Add Line 12 as required)

13

13

IF OVERPAYMENT

REFUNDED

CREDIT TO NEXT YEAR

14

14

15

ESTIMATED TAX for year _______

Dayton Tax @ 2.25% =

15

ESTIMATED INCOME

16

1st quarterly estimate due April 15th

16

17

credit from prior year

17

18

18

balance of quarterly payment due

Total Due

(Add Line 13____________and Line 18__________)

19

19

SCHEDULE X

not deductible

Deductible

Capital Losses

a

Capital Gains

n

Interest in production of non taxable income

b

Income taxes

c

Interest earned

o

Net Operating loss per Federal Return

d

Dividends

p

Payments to Partners

e

q

Retirement Plans

f

portion State of Ohio Franchise Tax

g

Other items (please explain ____________________

h

__________________________________________

TOTAL ADDITIONS

m

TOTAL DEDUCTIONS

z

RETURN RECEIVED

(column a)

(column b)

SCHEDULE Y (proration of schedule C income for non-residents only)

located everywhere

located in Dayton

Percentage (b/a)

average value real & tangible personnel property

gross annual rentals paid multiplied by 8

total step 1

gross receipts from sales made and/or work or services performed

Wages, salaries and other compensation paid

total percentages

average percentage (total percentages / number of percentages used)

READ BEFORE SIGNING: The undersigned declare this return and attached schedules to be a true and complete return for the taxable year stated and that the figures used herein are the same as used for Federal

Tax purpose, adjusted to the requirements of the Dayton city tax ordinances represented by this return. I understand that if I am under withheld in the following tax year (by $100.00 or 10% of tax due) I will

be charged Penalties and Interest if I fail to make required estimated tax payments.

Tax Preparer Signature

Tax Payer Signature

Date

Tax Preparer Phone #

Date

Mail Return with PAYMENT DUE to:

City Of Dayton PO Box 634747 Cincinnati, Oh 45263-4747

Mail Return with ZERO BALANCE DUE To:

City Of Dayton

PO Box 1830 Dayton Ohio 45401-1830

Mail Return with REFUND REQUEST to:

City Of Dayton

PO Box 1823 Dayton Ohio 45401-1823

In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check.