Form R-B - Business Income Tax Return - Xenia City - 2008

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2008 – XENIA CITY
BUSINESS
INCOME TAX RETURN – 2008
101 North Detroit Street, P.O. Box 490, Xenia, OH 45385-0490
T H
DUE ON OR BEFORE APRIL 15, 2009 OR BY THE 15
DAY OF THE FOURTH MONTH FOLLOWING THE END OF THE FISCAL YEAR
FISCAL YEAR BEGINNING ________________ ENDING ________________
LATE FILING OF THIS RETURN SUBJECTS YOU TO INTEREST AND A MINIMUM $25.00 PENALTY
For Assistance – Call 937-376-7248 or visit our website –
Make checks payable to City of Xenia
CHECK ONE:
ENTER COMPLETE NAME AND ADDRESS INCLUDING ANY DBA (Doing Business
Corporation
As) INFORMATION
Partnership
Other _______________________________
FEDERAL ID NUMBER:________________________________________________
NATURE OF BUSINESS:_______________________________________________
BUSINESS CONTACT NAME:___________________________________________
CONTACT PHONE NUMBER:___________________________________________
DID YOU FILE A XENIA CITY INCOME TAX RETURN FOR THE PREVIOUS YEAR?
YES
NO
IF YOUR BUSINESS MOVED DURING THE YEAR, YOU M UST COMPLETE LINES
BELOW:
DATE OF MOVE:______________________________________________________
PRESENT ADDRESS:__________________________________________________
IMPORTANT:
All Federal Schedules (including “Statements”) MUST be attached. Returns received
____________________________________________________________________
without ALL completed schedules will be marked “INCOMPLETE” and returned to the taxpayer,
along with any remittance enclosed with the return.
AN “INCOMPLETE” RETURN IS NOT A
PREVIOUS ADDRESS:_________________________________________________
FILED RETURN AND CAN CAUSE LATE CHARGES! YOU MUST OBTAIN A XENIA
EXTENSION IF A FEDERAL EXTENSION HAS BEEN GRANTED. THIS EXTENSION MUST BE
____________________________________________________________________
REQUESTED PRIOR TO FILING DUE DATE.
SECTION A
Tax Office Use Only – Do not
use this space
1. TOTAL INCOME PER ATTACHED FEDERAL RETURN ………………………………………………………….....
1.______________________
_____________________
2. ADJUSTMENT FROM SCHEDULE X (May be positive or negative)………………………………………………..
2.______________________
_____________________
3. TOTAL INCOME (LINE 1 PLUS OR MINUS LINE 2)………………………………………………………………….
3.______________________
_____________________
4. AMOUNT ALLOCABLE TO XENIA (if Schedule Y is used) ______% [XENIA TAXABLE INCOME]...................
4.______________________
_____________________
5. TAX DUE (LINE 4 MULTIPLIED BY 1.75% or .0175)………………………………………………………………….
5.______________________
_____________________
6A. 2008 ESTIMATED PAYMENTS……………………………………………………….
6A._______________
6B. CREDIT FROM PRIOR YEAR…………………………………………………………
6B._______________
6C. TOTAL TAX CREDITS (ADD 6A and 6B)…………………………………………………………………………..
6C._____________________
_____________________
7. IF LINE 5 IS GREATER THAN LINE 6C ENTER BALANCE DUE (Not less than $2.00)
7______________________
_____________________
8. IF LINE 6C IS GREATER THAN LINE 5 ENTER OVERPAYMENT (Not less than $2.00)…………………….
8______________________
_____________________
AMOUNT TO BE: REFUNDED $_________ OR CREDITED TO 2008 $________
9. PENALTY $__________ INTEREST $__________
9______________________
_____________________
(After filing due date)……………………………………………………...
10. BALANCE DUE (ADD LINES 7 AND 9) Payable to City of Xenia………………………………………………….
10______________________
_____________________
SECTION B – DECLARATION OF ESTIMATED TAXES FOR 2009
11. TOTAL ESTIMATED TAX FOR 2009 (1.75% MULTIPLIED BY XENIA TAXABLE INCOME)…………..…….
11. _____________________
12. LESS CREDITS (INCLUDING PRIOR YEAR CREDIT FROM LINE 8)…………...
12._______________
13. NET TAXES OWED……………………………………………………………………………………………..…….
13. _____________________
14. AMOUNT PAID WITH THIS DECLARATION (1/4 OF LINE 13)………………………………………………….
14. _____________________
15. TOTAL DUE (ADD LINES 10 AND 14)………………………………………………………………………………
15. __________________
SECTION C
The undersigned declares that this return (and the accompanying schedules) is a true, correct, and complete return for the taxable period stated and that the
figures used herein are the same as used for Federal income tax purposes, adjusted to the ordinance requirements for local tax purposes, and if an audit of the
Federal return is made which affects the tax liability shown on the return, an amended return will be filed within three months with the City of Xenia. If this return
was prepared by a Tax Preparer, I am authorizing them to disclose information concerning this return to the Xenia Tax Office.
YES
NO
_______________________________________________________________
___________________________________________________________
Signature of Person Preparing Return (if other than Taxpayer)
Date
Taxpayer’s Signature
Date
_______________________________________________________________
___________________________________________________________
Phone Number of Person Preparing Return
Taxpayer’s Printed Name and Title
PAID ___________________
PRE-AUDITED BY _________ ON _________
AUDITED BY __________ ON _____________ FILE DATE ______________________

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