Schedule IT S
Prescribed 11/13
20
Federal Adjusted Gross Income To Be Reported by
Same-Gender Taxpayers Filing a Joint or Married Filing Separately Federal Return
Legal last name (Taxpayer 1)
Legal fi rst name
M.I.
Social Security number
Legal last name (Taxpayer 2)
Legal fi rst name
M.I.
Social Security number
Allocation of Income
(a)
(b)
(c)
(d)
Amount reported on
Amount reported
Taxpayer 1
Taxpayer 2
federal joint return
on federal married
(see instructions)
(see instructions)
10211411
or married fi ling
fi ling separately
separately return
return for
for Taxpayer 1
Taxpayer 2
.00
.00
.00
.00
1. Wages, salaries, tips, etc. (box 16 from W-2) ....
.00
.00
.00
.00
2. Taxable interest ..............................................
.00
.00
.00
.00
3. Ordinary dividends .........................................
4. Taxable refunds, credits, or offsets of state
.00
.00
.00
.00
and local income taxes...................................
.00
.00
.00
.00
5. Alimony received ............................................
.00
.00
.00
.00
6. Business income (or loss) ..............................
.00
.00
.00
.00
7. Capital gain (or loss) ......................................
.00
.00
.00
.00
8. Other gains (or losses) ...................................
.00
.00
.00
.00
9. IRA distributions .............................................
.00
.00
.00
.00
10. Pensions and annuities ..................................
11. Rental real estate, royalties, partnerships,
.00
.00
.00
.00
S corporations, trusts, etc ..............................
.00
.00
.00
.00
12. Farm income (or loss) ....................................
.00
.00
.00
.00
13. Unemployment compensation........................
.00
.00
.00
.00
14. Social Security benefi ts ..................................
.00
.00
.00
.00
15. Other income..................................................
16. Combine the amounts in each column of lines
.00
.00
.00
.00
1 through 15 ...................................................
.00
.00
.00
.00
17. Educator expenses ........................................
18. Certain business expenses of reservists, per-
.00
.00
.00
.00
forming artists and fee-basis govt. offi cials ....
.00
.00
.00
.00
19. Health savings account deduction .................
.00
.00
.00
.00
20. Moving expense .............................................
.00
.00
.00
.00
21. Deductible part of self-employment tax ..........
22. Self-employed SEP, SIMPLE and qualifi ed
.00
.00
.00
.00
plans...............................................................
.00
.00
.00
.00
23. Self-employed health insurance deduction ....
.00
.00
.00
.00
24. Penalty on early withdrawal of savings ..........
.00
.00
.00
.00
25. Alimony paid...................................................
.00
.00
.00
.00
26. IRA deduction .................................................
.00
.00
.00
.00
27. Student loan interest deduction......................
.00
.00
.00
.00
28. Tuition and fees ..............................................
.00
.00
.00
.00
29. Domestic production activities deduction .......
.00
.00
.00
.00
30. Add lines 16 through 29 .................................
31. Subtract line 30 from line 16. The amounts
in columns c and d are your federal adjusted
.00
.00
.00
.00
gross income for Ohio ....................................