Form Fr 1172 - Business Income Tax Return - West Union - 2012 Page 2

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IN LIEU OF COMPLETING YOU MAY ATTACH APPROPRIATE FEDERAL SCHEDULES
SECTION A
Profit (or Loss) from Business or Profession
1. TOTAL RECEIPTS LESS ALLOWANCES, REBATES, AND RETURNS.........................................................................................................$__________________
2. LESS Cost of labor $___________________ Materials supplies, and other costs.............................................................................................$___________________
3. GROSS PROFIT FROM SALES, ETC (line 1 less line 2).................................................................................................................................$___________________
4. INTEREST $___________________ OTHER BUSINESS INCOME (Specify)……… $___________________...................................................$___________________
5. TOTAL BUSINESS INCOME BEFORE DEDUCTIONS....................................................................................................................................$___________________
BUSINESS DEDUCTIONS
6. ADVERTISING ANDPROMOTIONS................$___________________
11. DEPRECIATION, AMORTIZATION................................$___________________
7. AUTO, TRUCK, AND TRAVEL.........................$___________________
12. RENTS (Paid to_________________________)...............$___________________
8. INT ON BUSINESS INDEBTEDNESS.............$___________________
13. OTHER (List if over 10% of line 14)................................$___________________
9a TAXES BASED ON INCOME...........................$___________________
14. TOTAL BUSINESS DEDUCTIONS
$___________________
(Total of lines 6 to 13)
. .
b. OTHER BUSINESS TAXES..........................$___________________
15.
NET PROFIT (OR LOSS) FROM BUSINESS OR
PROFESSION (LINE 5 LESS LINE 14).........................$_________________
10.SALARIES AND WAGES..................................$___________________
SECTION B
Income from Rents – from Federal Schedule E.
__
SECTION C
Total from Federal Schedule D, From 4797
$___________________
Kind and Location of Property
Amount of Rent
Depreciation
Repairs
Other Expenses
Net Income (or Loss)
……………..
NET INCOME SECTION C
$___________________
SECTION D
All other Taxable Income
RECEIVED FROM
FOR (DESCRIBE)
AMOUNT
NET INCOME SECTION D………….…….$___________________
__________________________________________________________________________________________________________________________________________________
TOTAL
From Section A, B, C, & D
enter on page 1, line 1……………………………………………$___________________
__________________________________________________________________________________________________________________________________________________
SCHEDULE X
Reconciliation with Federal Income Tax Return
ITEMS NOT DEDUCTIBLE
ADD
ITEMS NOT TAXABLE
a. Capital Losses (Excluding Ordinary Losses).............$_________________
n. Capital gains (excluding Ordinary Gains).........$_________________
b. Expenses incurred in the production of non-taxable
o. Interest income..................................................$_________________
income (at least 5% of line Z)..............................$_________________
p. Dividends...........................................................$_________________
q. Other (Explain) ..................................................$_________________
c. Taxes based on income (State)..................................$_________________
d. Taxes based on income (City)....................................$_________________
e. Net operating loss deduction per Federal Return......$_________________
__________________________________________________________
f. Payment to partners...................................................$_________________
w. Enter Total Items Not Taxable ...............Total $________________
g. Real Estate Investment Trust distributions.................$_________________
x Enter Total Items Not Deductible.............Total $
h. Other expenses not deductible (Explain)...........................$_________________
z. Difference – Enter on Line 2, Page 1.............Total $
i. (enter line x next column)
Total $_________________
a LOCATED
b LOCATED IN
c PERCENTAGE
(b ÷ α)
EVERYWHERE
WEST UNION
SCHEDULE Y
Business Allocation Formula
STEP 1.
Original cost of real and tangible personal property
______________
_________________
Gross annual rentals paid multiplied by 8
______________
_________________
TOTAL STEP 1
______________
_________________
________________%
STEP 2.
Wages, salaries and other compensation paid
______________
_________________
________________%
STEP 3.
Gross receipts from sales made and services performed
______________
_________________
________________%
4.
Total percentages
________________%
5.
Average percentage (Divide Total Percentages by Number of Percentages Used) (Carry to Line 4 page 1)......................________________ %
SCHEDULE Z
PARTNERS SHARE OF INCOME
2. Resident
3. Dist shares of partners
4. Other
5. Taxable
6. Amount
1. NAME AND MUNICIPALITY OR TOWNSHIP OF EACH PARTNER
Yes
No
Percent
Amount
Payments
Percentages
Taxable
7. TOTALS from Section A and D Above
100
$

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