Form Br - Declaration Of Estimated Tax - Village Of West Union - 2003 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………………………………………………………………………………………………….$___________________
BUSINESS DEDUCTIONS
6. ADVERTISING AND PROMOTIONS……………$___________________
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
10. SALARIES AND WAGES………………………..$___________________
(LINE 5 LESS LINE 14).……..……………………….$___________________
SECTION B
Total from Federal Schedule D, From 4797
$___________________
SECTION C
Income from Rents – from Federal Schedule E.
Kind and Location of Property
Amount of Rent
Depreciation
Repairs
Other Expenses
Net Income (or Loss)
……………..
NET INCOME SECTION C
$___________________
SECTION D
All other Taxable Income
INCOME FROM PARTNERSHIPS, ESTATES & TRUSTS: FEES, TIPS, COMMISSIONS, WAGES, AND MISCELLANEOUS
RECEIVED FROM
FOR (DESCRIBE)
AMOUNT
NET INCOME SECTION D………….…….$___________________
__________________________________________________________________________________________________________________________________________________
TOTAL
From Section A, B, C, & D
enter on page 1, line 1……………………………………………$___________________
__________________________________________________________________________________________________________________________________________________
SCHEDULE X
Reconciliation with Federal Income Tax Return
ITEMS NOT DEDUCTIBLE
ADD
a. Capital Losses (Excluding Ordinary Losses) ………$___________________
ITEMS NOT TAXABLE
DEDUCT
b. Expenses incurred in the production of non-taxable income (at least 5% of
n. Capital gains (excluding Ordinary Gains)…………..$___________________
line Z)……………………………..………….$___________________
o. Interest income………………………………………...$___________________
c. Taxes based on income (State)……………………...$___________________
p. Dividends……………………………………………….$___________________
d. Taxes based on income (City)……………………….$___________________
q. Other (Explain) ………………………………………..$___________________
e. Net operating loss deduction per Federal Return….$___________________
___________________________________________________________________
f. Payment to partners……………………………………$___________________
___________________________________________________________________
g. Contributions (Up To Federal Allowances)…………$___________________
___________________________________________________________________
h. Other expenses not deductible (Explain)………………..$___________________
z. Enter Line 2b Other Side………………………Total$___________________
m. (enter line 2a other side)……………………….Total$___________________
____________________________________________________________________________________________________________________________________________
SCHEDULE Y
Business Allocation Formula
STEP1.
AVG. VALUE OF REAL & TANG. PERSONAL PROPERTY
______________
_________________
GROSS ANNUAL RENTALS PAID MULTIPLIED BY 8
______________
_________________
TOTAL STEP 1
______________
_________________
________________%
STEP2.
GROSS RECEIPTS FROM SALES MADE AND/OR WORK
OR SERVICES PERFORMED
______________
_________________
________________%
STEP 3.
WAGES, SALARIES, AND OTHER COMPENSATION PAID
______________
_________________
________________%
4.
TOTAL PERCENTAGES
________________%
5.
AVERAGE PERCENTAGES (Divide Total Percentages by Number of Percentages Used) (Carry to Line 3b page 1)………………...$___________________
_________________________________________________________________________________________________________________________
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 EA PARTNER
Yes
No
Percent
Amount
Payments
Percentages
Taxable
7. TOTALS from Section A and D Above
100
$

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