Form It 1140 - Pass-Through Entity And Trust Withholding Tax Return - 2013 Page 2

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IT 1140

Rev. 10/13

2013

Pass-Through Entity

13170206

and Trust Withholding

FEIN

Tax Return

SCHEDULE A – RECONCILIATION TAX AND PAYMENTS...cont.

5. If the sum of line 4, columns (I) and (II) is an overpayment, enter that sum here ....OVERPAYMENT

6. Amount of line 5 to be CREDITED to year 2014 ................................................. CREDIT TO 2014

7. Amount of line 5 to be REFUNDED (line 5 minus line 6) ...................................... YOUR REFUND

8. If the sum of line 4, columns (I) and (II) is a balance due or zero, enter here the amount you owe .... 8.

9. Interest and penalty due on late-paid tax and/or late-ﬁ led return, if any .................................................. 9.

10. Total amount owed (sum of lines 8 and 9). Make check payable to Ohio Treasurer of State, include

Ohio form IT 1140P and place FEIN on check ....................................... TOTAL AMOUNT OWED

10.

If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary.

SIGN HERE (required)

I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and

For Department Use Only

belief, the return and all enclosures are true, correct and complete.

Pass-through entity ofﬁ cer or agent (please print)

Title of ofﬁ cer or agent (please print)

Telephone number

Signature of pass-through entity ofﬁ cer or agent

Date

Preparer’s name (please print)

Telephone number

Code

Do you authorize your preparer to contact us regarding this return? Yes

SCHEDULE B – QUALIFYING PASS-THROUGH ENTITIES – TAX DUE

Use this schedule to calculate the adjusted qualifying amounts and tax due for all qualifying investors in qualifying pass-through entities. Attach federal

K-1s and a listing of pass-through credits of participating investors. See “Special Notes” beginning on page 4 of the instructions, which are available on

our Web site at tax.ohio.gov. If the amount below is negative, type a negative sign (“-”) before the ﬁ gure.

(A)

(B)

Qualifying Investors Who Are

Qualifying Investors Other

Nonresident Individuals

Than Nonresident Individuals

1. Sum of all qualifying investors’ distributive

...

...1.

shares of income, gain, expenses and losses

2a. Add the qualifying investors’ distributive