Form R - Xenia City Income Tax - 2000 (Page 2 of 2) in pdf

Page 4

SCHEDULE W

INCOME OTHER THAN WAGES

List all income below as reported to the IRS on each of the following schedules:

CORPORATIONS

INDIVIDUALS & SOLE PROPRIETORS

PARTNERSHIPS & FIDUCIARIES

Column 1

Column 2

Column 3

SCHEDULE C . . . . . . . .

FORM #4797 . . . . . . . .

FORM #1120 . . . . . . . .

FORM 1099-MISC . . . .

FORM #1120S . . . . . . .

FORM #1065 . . . . . . . .

SCHEDULE E . . . . . . . .

FORM #1041 . . . . . . . .

OTHER . . . . . . . . . . . . .

MISC. INCOME

SCHEDULE F . . . . . . . .

(From Line 21

(or Form #4835)

of Form 1040) . . . . . . . .

Enter the figure in Column 3 (above) on

TOTAL OF COLUMNS 1 AND 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

Line 2 (Page 3) of Form R

Enter the Total of Columns 1 and 2 on Line 2 (above) (Page 3) of Form R.

ALL FEDERAL SCHEDULES LISTED ABOVE MUST BE ATTACHED TO THIS RETURN

(Include individual partnership distribution Form #1065 K-1)

SCHEDULE X

RECONCILIATION WITH FEDERAL INCOME TAX RETURN

(Partnerships & Corps only)

ITEMS NOT DEDUCTIBLE

ITEMS NOT TAXABLE

Capital losses deducted. DO NOT include . . . . . . . . . $

Capital gains from sale, exchange . . . . . . . . . . . . . . . . $

ordinary loss from Federal Form 4797

or other disposition of capital or other

Expenses attributable to non-taxable in- . . . . . . . . . . .

assets (from Federal Schedule D).

come. (MUST BE 5% OF LINE Z)

DO NOT include ordinary gain from

Taxes based on income . . . . . . . . . . . . . . . . . . . . . . .

Federal form 4797.

Net operating loss deduction per Federal . . . . . . . . . .

O. Interest & Dividend income . . . . . . . . . . . . . . . . . . . . . .

Return.

Other expenses not taxable (Explain) . . . . . . . . . . . . . . .

Payments to partners . . . . . . . . . . . . . . . . . . . . . . . . .

Other expenses not deductible . . . . . . . . . . . . . . . . . .

TOTAL DEDUCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . $

(Explain)

TOTAL ADDITIONS (From Line G) . . . . . . . . . . . . . . . .

G. TOTAL ADDITIONS (Enter under line Z) . . . . . . . . . . $

TOTAL SCHEDULE X (Enter as Line 3 on Page 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

SCHEDULE Y

BUSINESS ALLOCATION FORMULA

The Business Allocation Formula is to be used by companies who have a place or places of business outside Xenia, and

ONLY IN THE ABSENCE OF BOOKS AND

which will disclose, with reasonable accuracy, what portion of the net profits is attributed to that part of the business within the boundaries of Xenia.

RECORDS

Businesses located wholly within the Xenia city limits must include copies of tax returns paid to other cities in order to allocate less than 100% to Xenia.

A. LOCATED

B. LOCATED

PERCENTAGE

EVERYWHERE

IN XENIA

(B ÷ A)

Step 1. Average value of real and tangible personal

. . . . . . . . . . . . . . . . . . .

property.

Gross annual rentals multiplied by 8 . . . . . . . . . . . . . . . . . . . . . . . . . .

Total step 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Step 2. Gross receipts from sales and work or services . . . . . . . . . . . . . . . . .

Step 3. Total wages; salaries, commissions and other . . . . . . . . . . . . . . . . . .

compensation of all employees

Step 4. Total percentages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Step 5. AVERAGE PERCENTAGE (Divide total percentages by number of percentages used.)

Enter on Line 5, page 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCHEDULE Z

PARTNER'S DISTRIBUTIVE SHARES OF NET INCOME

(From Federal Sch. 1065K and 1099)

All partnerships are required to file as entities with the City of Xenia, whether payment is made by the partnership or the individual partners.

ALL of the Federal Schedules (K-1) detailing the partners' distributive shares MUST BE ATTACHED.