Form 482.0 R - Individual Income Tax Return - 2001 Page 23

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Schedule N Individual
Rev. 05.01
RENTAL INCOME
200__
Taxable year beginning on ______________, _____ and ending on _____________, _____
Taxpayer's name
Social Security Number
68
Part I
Part I
Part I
Part I
Part I
Questionnaire
Questionnaire
Questionnaire
Questionnaire
Questionnaire
Rental Income (check one):
Check here if this is your principal industry or business
Code
G
G
G
Taxpayer
1 1 1 1 1
Spouse
2 2 2 2 2
Location of rented property - Number, Street and City
G
Fully Taxable
(01)
Tax Incentives under:
G
(02)
Act No. 78 of 1993
G
Act No. 52 of 1983
(03)
G
Act No. 8 of 1987
(04)
G
Act No. 135 of 1997
(05)
Nature of rented property (i.e. residence, apartment, etc.)
Case or concession number
Number of employees
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
77
77
77
77
77
 
1.
Income .............................................................................................................................................................................
(01)
 
2.
Less:
Less:
Less:
Less:
Less: Operating expenses and other costs (Detail in Part III) .............................................................................
(10)
 
3.
Net income ......................................................................................................................................................................
(11)
 
4.
Less:
Less:
Less:
Less:
Less: Net operating loss from previous years (Submit schedule, see instructions) .......................................
(12)
 
5.
Adjusted net income .....................................................................................................................................................
(13)
 
%
6.
Less:
Less:
Less:
Less:
Less: Exempt amount
of line 5 (See instructions) ..................................................................
(14)
7.
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, transfer
 
to page 1, Part 2, line 2N of the return. If it is a loss, see instructions) .......................................................................
(15)
8.
Tax on income derived from the operation of a business with exemption decree under Act 135 of 1997:
G
G
G
G
G



10%
7%
4%
2%
Other _____ % (Multiply line 7 by the corresponding %.

 
Transfer to page 2, Part 4, line 22 of the return) .......................................................................................................
(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
87
87
87
87
87
 
1.
Salaries, commissions and allowances to employees ..........................................................................................
(01)
 
2.
Payroll expenses ...........................................................................................................................................................
(02)
 
3.
Contributions to pension plans ...................................................................................................................................
(03)
 
4.
Contributions to deferred income plans ....................................................................................................................
(04)
 
5.
Medical or hospitalization insurance .........................................................................................................................
(05)
 
6.
Interest on business debts ...........................................................................................................................................
(06)
 
7.
Property taxes ................................................................................................................................................................
(07)
 
8.
Other taxes, patents and licenses ..............................................................................................................................
(08)
 
9.
Repairs ............................................................................................................................................................................
(09)
 
10.
Motor vehicles expenses .............................................................................................................................................
(10)
 
11.
Utilities .............................................................................................................................................................................
(11)
 
12.
Insurance ........................................................................................................................................................................
(12)
 
13.
Advertising ......................................................................................................................................................................
(13)
 
14.
Travel expenses ............................................................................................................................................................
(14)
 
15.
Professional services ...................................................................................................................................................
(15)
 
16.
Maintenance ..................................................................................................................................................................
(16)
 
17.
Depreciation and amortization (Submit Schedule E) .............................................................................................
(17)
 
18.
Other expenses (Submit detailed schedule) ............................................................................................................
(18)
19.
Total
Total
Total
Total
Total (Transfer to Part II, line 2 of this Schedule) ....................................................................................................
(30)
 

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