Form Br - Declaration Of Estimated Tax - Village Of West Union - 2002
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22002
FORM BR
MAKE CHECK OR MONEY ORDER
FILE WITH
FILING REQUIRED EVEN IF NO TAX IS DUE
PAYABLE TO
INCOME TAX BUREAU
VILLAGE OF WEST UNION
VILLAGE OF WEST UNION
P.O. BOX 268
TAX OFFICE PHONE 800-779-3165
MT ORAB, OHIO 45154
ON OR BEFORE 4-30-03
FISCAL YEAR DATE_______________________ TO _________________________
_________________________________________________________________________________________________________________________
IF SS#, Name, Address is incorrect make corrections
PRINCIPAL BUSINESS ACTIVITY _________________________________________
ACCOUNT NO.
CORPORATION
PARTNERSHIP
SOLE PROPRIETOR
IF OTHER, EXPLAIN
_______________________________________________
BUSINESS PH ONE
_______________________________________________
FEDERAL ID#
_______________________________________________
_______________________________________________
_______________________________________________
IF MOVED SINCE THE PREVIOUS FINAL RETURN WAS DUE GIVEN DATE MOVED AND CURRENT
ADDRESS INTO CITY __________________________ OR OUT OF ___________________________
__________________________________________________________________________________________________________________________________________________________________________
NOTE: PAGE 2 MUST BE COMPLETED IF YOU HAVE TAXABLE RENTAL PROPERTY OR BUSINESS INCOME.
1. TOTAL INCOME FROM PAGE 2 OR ATTACHED COPIES OF FEDERAL RETURNS & SCHEDULES………………. $___________________
2a. ITEMS NOT DEDUCTIBLE (FROM LINE M SCHEDULE X (FROM PAGE 2)………………….……ADD $___________________
b. ITEMS NOT TAXABLE (FROM 2 SCHEDULE X (FROM PAGE 2)…………………………….DEDUCT $___________________
c. DIFFERENCE BETWEEN LINES 2a AND b TO BE ADDED TO OR SUBTRACTED FROM LINE 1 (+ OR -)…………$___________________
3a. ADJUSTED NET INCOME (LINE 1 PLUS OR MINUS LINE 2c IF SCHEDULE x IS USED)……………… ...…………$___________________
b. AMOUNT OF LINE 3a ALLOCABLE (______________% FROM LINE 5 SCHEDULE Y) …………………….…………..$___________________
c. LESS ALLOCABLE LOSS PER PREVIOUS INCOME TAX RETURN (ATTACH SCHEDULE)………………………….$___________________
4. AMOUNT SUBJECT TO MUNICIPAL INCOME TAX RETURN (ATTACH SCHEDULE)…………………...……………..$___________________
5. 2002
TAX 1% (.01) OF LINE 4……………………………………………………………………$___________________
6. CREDITS
A. PAYMENT AND CREDITS ON 2002
DECLARATION OF ESTIMATED TAX ……………….…..$___________________
B. PRIOR YEAR OVER PAYMENTS………………………………… …..………………………………$___________________
(x) TOTAL CREDITS ALLOWABLE….……………………………………………… . …………………………………….$___________________
7. IF LINE 5 GREATER THAN LINE 6X PAYMENT OF BALANCE MUST ACCOMPANY THIS RETURN………TAX DUE AND PAYABLE $
A. PENALTY $___________________ INTEREST $___________________…………………………………………..……………………..TOTAL
$___________________
S. TOTAL AMOUNT DUE (INCLUDING LINE 7A)………………………...…………………………………………………………………………$___________________
8. OVERPAYMENT TO BE REFUNDED $ ________________ OR CREDITED $ _______________ TO NEXT YEAR'S ESTIMATE
__________________________________________________________________________________________________________________________________________________________________________
DECLARATION OF ESTIMATED TAX FOR YEAR 2003
9. TOTAL INCOME SUBJECT TO TAX $___________________.
MULTIPLY BY TAX RATE OF 1% (.01) FOR GROSS TAX OF $___________________
10. LESS EXPECTED TAX CREDITS
A.
OPERATING LOSS CARRY FORWARD (ATTACH SCHEDULE)………………………………………………..$___________________
B.
OVERPAYMENT FROM PRIOR YEAR………………………………………………………………………………$___________________
C.
TOTAL CREDITS……………………………………………………………………………………………………………………………………….$___________________
11. NET TAX DUE (LINE 9 LESS LINE 10C)...……………………………………………………………………………………………………………….$___________________
12. AMOUNT PAID WITH THIS DECLARATION (NOT LESS THAN 1/4 OF LINE 10)………………………………………………………………….$___________________
13. BALANCE OF TAX…………………………………………………………….…………………………………………………………………………….$___________________
14. AMOUNT ENCLOSED: (LINE 7)______________ (LINE 68) $__________________ + _______________(LINE 11) $________________ = TOTAL DUE
_______________
I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT, AND COMPLETE. IF PREPARED BY A PERSON OTHER THAN TAXPAYER, THE DECLARATION IS
BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.
______________________________________________
___________________________________________
Signature of Person Preparing if Other than Taxpayer
Date
Signature of Taxpayer
Date
______________________________________________
Address
And
Telephone number
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