Form Br - Blue Ash Income Tax Return - 2001 Page 2

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PAGE 2
NOTE: ATTACH APPROPRIATE FEDERAL SCHEDULE(S)
SECTION A
Profit (or Loss) from Business or Profession
1.
TOTAL RECEIPTS, LESS ALLOWANCES, REBATES AND RETURNS ..................................................................$ ______________
2.
LESS Cost of Labor $_______________ Material, supplies & 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 PROMOTION ............. $ ________________
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
10. SALARIES AND WAGES............................. $ ________________
PROFESSION (LINE 5 LESS LINE 14) . ................................ $ _____________
SECTION B
Total from Federal Form 4797 (Ordinary Gains) ........................................................................................$ ___________
Income From Rents – from Federal Schedule E
SECTION C
Kind & 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 AND MISCELLANEOUS
RECEIVED FROM
FOR (DESCRIBE)
AMOUNT
NET INCOME SECTION D........................... ................................ $ ______________
TOTAL
From Sections 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
DEDUCT
a.
Capital Losses (Excluding Ordinary Losses) .....
$ ______________
n.
Capital Gains (Excluding Ordinary Gains) .....
$ ______________
b.
Expenses incurred in the production of non-
taxable income (at least 5% of Line Z) ...........
$ ______________
o.
Interest Income ..............................................
$ ______________
c.
Taxes based on income (State) .....................
$ ______________
p.
Dividends
..............................................
$ ______________
d.
Taxes based on income (City) .......................
$ ______________
e.
Net operating loss deduction per Federal Return
$ ______________
q.
Other (Explain) ..............................................
$ ______________
f.
Payments to partners.....................................
$ ______________
_________________________________________
g.
Charitable Contributions (not an expense).....
$ ______________
h.
Other expenses not deductible (Explain) .......
$ ______________
_________________________________________
m.
(Enter Line 2a Other Side) ………. TOTAL
$ ______________
z.
Enter Line 2b Other Side ……………. TOTAL
$ ______________
SCHEDULE Y
Business Allocation Formula
a. LOCATED
c. PERCENTAGE
b. LOCATED IN THIS
(b ÷ a)
EVERYWHERE
MUNICIPALITY
STEP 1. AVERAGE VALUE OF REAL & TANG. PERSONAL PROPERTY
_____________
_____________
GROSS ANNUAL RENTALS PAID MULTIPLIED BY 8
_____________
_____________
(NET BOOK VALUE) TOTAL STEP 1
_____________
_____________
_____________%
STEP 2. GROSS RECEIPTS FROM SALES MADE AND/OR WORK OR
SERVICES PERFORMED
_____________
_____________
_____________%
STEP 3. WAGES, SALARIES AND OTHER COMPENSATION PAID
_____________
_____________
_____________%
4. TOTAL PERCENTAGES
_____________
_____________
_____________%
5. AVERAGE PERCENTAGE
Carry to Line 3b, Page 1
_________%
(Divide Total Percentages by Number of Percentages Used).
5. Taxable
2.Resident
3.Dist. Shares of Partners
4. Other
6. Amount
SCHEDULE Z - PARTNER’S SHARE OF INCOME
Percentage
Payments
Taxable
1. NAME AND MUNICIPALITY OR TOWNSHIP OF EACH PARTNER
Yes | No
Percent
|
Amount
$
$
$
7. TOTAL From Section A and Section D above
100

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