Form 482.0 R - Individual Income Tax Return - 2001 Page 20

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Schedule K Individual
Rev. 05.01
INDUSTRY OR BUSINESS INCOME
200__
Taxable year beginning on ______________________, ______ and ending on ______________________, ______
Social Security Number
Taxpayer's name
Part I
Part I
Part I
Part I
Part I
Questionnaire
Questionnaire
Questionnaire
Questionnaire
Questionnaire
Date operations began:
65
Day____ / Month____ / Year____
Industry or Business Income (check one):
Check here if this is your
Employer's Identification Number
principal industry or
Taxpayer
Spouse
Fully Taxable
G
(01)

G
G
business
G
1 1 1 1 1
2 2 2 2 2
Tax Incentives under:
Case or concession number
G
Location of Industry or Business - Number, Street and City
Act No. 26 of 1978
(02)
G
Act No. 8 of 1987
(03)
G
Act No. 148 of 1988
(04)
Number of employees
G
Act No. 78 of 1993
(05)
G
Act No. 75 of 1995
(06)
G
Act No. 14 of 1996
(07)
Nature of industry or business (i.e. hotel, rent of equipment, etc.)
Industrial Code
Code
G
Act No. 135 of 1997
(08)
G
Act No. 362 of 1999
(09)
G
Act No. 178 of 2000
(10)
Part II
Part II
Determination of Gain or Loss
Determination of Gain or Loss
Part II
Part II
Part II
Determination of Gain or Loss
Determination of Gain or Loss
Determination of Gain or Loss
71
71
71
71
71
 
1.
Net sales ...........................................................................................................................................................................
(01)
2.
Cost of goods sold or direct costs of production:

a)
Beginning inventory ..................................................................................................
(02)

b)
Plus: Purchases ..........................................................................................................
(03)

c)
Direct salaries ............................................................................................................
(04)

d)
Other direct costs .....................................................................................................
(05)

e)
Total
Total
Total (Add lines 2(a) through 2(d)) ........................................................................
Total
Total
(06)

f)
Less: Ending inventory ............................................................................................
(07)
 
g)
TOTAL COST OF GOODS SOLD (Subtract line 2(f) from line 2(e)) ..........................................................
(08)
 
3.
Gross income (Subtract line 2(g) from line 1)...........................................................................................................
(09)
 
4.
Less
Less
Less
Less
Less: Operating expenses and other costs (Detail in Part III).....................................................................................
(10)
 
5.
Net income ......................................................................................................................................................................
(11)
 
6.
Less
Less
Less
Less
Less: Net operating loss from previous years (Submit schedule, see instructions) .........................................
(12)
 
7.
Adjusted net income ......................................................................................................................................................
(13)
 
%
8.
Less
Less
Less
Less
Less: Exempt amount
of line 7 (See instructions).........................................................................
(14)
9.
Gain (or loss)
Gain (or loss)
Gain (or loss)
Gain (or loss)
Gain (or loss) (If it is a gain determined under provisions not considered under Act No. 135 of 1997 or Act 362
 
of 1999, transfer the amount to page 1, Part II, line 2K of the return. If it is a loss, see instructions) ........................
(15)
G
10.
Special Tax Rate: Net income from Film Projects or Infrastructure Projects
7%; Business with exemption
G
G
G
G
G

decree under Act 135 of 1997
10%
7%
4%
2%
Other _____ % (Multiply line 9 by the


 
corresponding %. Transfer to page 2, Part 4, line 22 of the return) (See instructions) ....................................
(20)
Part III
Part III
Part III
Part III
Part III
Operating Expenses and Other Costs
Operating Expenses and Other Costs
Operating Expenses and Other Costs
Operating Expenses and Other Costs
Operating Expenses and Other Costs
81
(01)
 
1.
Salaries, commissions and allowances to employees .....................................................................................................
 
(02)
2.
Commissions to businesses ............................................................................................................................................
 
(03)
3.
Payroll expenses ..............................................................................................................................................................
 
(04)
4.
Contributions to pension plans ..........................................................................................................................................
 
(05)
5.
Contributions to deferred income plans ............................................................................................................................
 
(06)
6.
Medical or hospitalization insurance .................................................................................................................................
 
(07)
7.
Interest on business debts ...............................................................................................................................................
 
(08)
8.
Rent paid ...........................................................................................................................................................................
 
(09)
9.
Property taxes ..................................................................................................................................................................
 
(10)
10.
Other taxes, patents and licenses ....................................................................................................................................
 
(11)
11.
Repairs ..............................................................................................................................................................................
 
(12)
12.
Motor vehicles expenses ..................................................................................................................................................
 
(13)
13.
Utilities ...............................................................................................................................................................................
 
(14)
14.
Insurance ..........................................................................................................................................................................
 
(15)
15.
Advertising ........................................................................................................................................................................
 
(16)
16.
Travel expenses ...............................................................................................................................................................
 
(17)
17.
Meal and entertainment expenses (Total expenses $_______________) (See instructions) ........................................
 
(18)
18.
Professional services........................................................................................................................................................
 
(19)
19.
Materials and supplies ......................................................................................................................................................
 
(20)
20.
Depreciation and amortization (Submit Schedule E) ........................................................................................................
 
(21)
21.
Bad debts ..........................................................................................................................................................................
 
(22)
22.
Other expenses (Submit detailed schedule) ....................................................................................................................
 
(30)
23.
Total
Total
Total
Total
Total (Transfer to Part II, line 4 of this Schedule) ...........................................................................................................

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