Form It 1140 - Pass-Through Entity And Trust Withholding Tax Return - 2012 Page 4

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IT 1140
Rev. 12/12
2012
Pass-Through Entity
12170406
and Trust Withholding
FEIN
Tax Return
SCHEDULE C – QUALIFYING PASS-THROUGH ENTITIES – APPORTIONMENT RATIO...cont.
Total Everywhere
Within Ohio
÷
00
00
.
.
2. Payroll
Ratio (carry to
Weight
Weighted Ratio (carry to
six decimal places)
six decimal places)
=
x .20 =
Total Everywhere
Within Ohio
÷
00
00
.
.
3. Sales
Ratio (carry to
Weight
Weighted Ratio (carry to
six decimal places)
six decimal places)
=
x .60 =
Weighted Ratio (carry to
six decimal places)
4. Total weighted apportionment ratio (add lines 1(c), 2 and 3). Enter ratio here and on page 3, line 8.
Note: If the denominator of any factor is zero, the weight given to the other factors must be proportionately increased so that the total weight given to
the combined number of factors used is 100%, i.e., if no property/payroll, use 25% and 75%; if no sales, use 50% property/payroll.
SCHEDULE D – TRUSTS – TAX DUE
Use this schedule to calculate the adjusted qualifying amounts and withholding tax due for nonresident individuals who are benefi ciaries of trusts that
made distributions of either income or gain attributable to the trust’s ownership of or disposition of either tangible personal property located in Ohio or
real property located in Ohio.
1. Sum of all distributions to nonresident individuals of income or gain attributable to the trust’s
ownership of or disposition of either tangible personal property located in Ohio or real property
00
.
located in Ohio
...................................................................................................................................... 1.
2a. Add the I.R.C. 168(k) bonus depreciation and miscellaneous federal tax adjustments attributed
to nonresident individuals who are benefi ciaries of trusts (see page 6 of the instructions for
00
.
Schedule B)
........................................................................................................................................ 2a.
2b. Other statutory adjustments and miscellaneous federal tax adjustments attributed to nonresi-
dent individuals who are benefi ciaries of trusts (see page 6 of the instructions for Schedule
00
.
B, line 2(b)
.......................................................................................................................................... 2b.
3. Adjusted qualifying amount: sum of lines 1 and 2a minus line 2b. Complete the remainder of
00
.
the worksheet only if line 3 exceeds $1,000
......................................................................................... 3.
X .05
.................................................................................................................................................. 4.
4. Tax rate
5. Tax (carry amount to Ohio form IT 1140, page 1, line 1, column l). Round tax to the nearest
00
.
dollar
..................................................................................................................................................... 5.
SCHEDULE E – INVESTOR INFORMATION
Check the box if this year’s investor information either (i) includes names that were not listed on last year’s return or (ii) excludes names that were listed
on last year’s return. Provide investor information for all (resident and nonresident) investors in the pass-through entity or trust. List investors by high-
est to lowest ownership percentage. Use an additional sheet, if necessary. See Note 5 on page 7 for the amount of pass-through entity tax credits.
First name/entity
M.I.
Last name
Address
City
State
ZIP code
Social Security no./FEIN
Percent of ownership
Amount of PTE tax credit
00
.
2012 IT 1140
2012 IT 1140
pg. 4 of 6

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