IT 2023
Taxpayer/business name
SSN/FEIN
Rev. 12/12
If the taxpayer has a distributive share of income/gain from a fi nan-
Complete a separate Part II and Part III for each separate unitary
cial institution, please see “Special Rule for Investments in Financial
business group in which you hold an ownership interest. For as-
sistance, please contact the department at (888) 405-4039.
Institutions” on page 3 of the instructions.
Part II
A. Business Income Before Deductions
1. Self-employment income (federal Schedule C, C-EZ or F), guaranteed payments and/or compen-
sation received from each pass-through entity in which you have at least a 20% direct or indirect
00
ownership interest. Note: Reciprocity agreements do not apply (see line instructions) ......................... 1.
2. Add-back for expenses paid to related members and to certain investors’ family members (see
00
instructions) ............................................................................................................................................ 2.
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3. Ordinary income (loss) from trade or business activities (to the extent not shown on line 1)................. 3.
00
4. Net income (loss) from rental activities, net royalties, interest income and dividend income ................. 4.
00
5. Net capital gain (loss) and other gain (loss) ........................................................................................... 5.
00
6. Add adjustments from I.R.C. section 168(k) and qualifying 179 expenses (see line instructions) ......... 6.
7. Other items of income and gain separately stated on federal Schedule K-1 and miscellaneous
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federal income tax adjustments, if any ................................................................................................... 7.
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8. Total business income (loss) .................................................................................................................. 8.
B. Deductions From Business Income
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9a. Keogh deduction, self-employment tax deduction and self-employed health insurance deduction ....... 9a.
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b. Deduct adjustments for the depreciation expenses added back in prior years (see line instructions) ..... 9b.
c. Other items of deduction and loss separately stated on federal Schedule K-1 if such deductions are
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allowable in computing federal adjusted gross income (individuals) or federal taxable income (estates) .........9c.
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d. Other business income deductibles (describe) and miscellaneous federal income tax adjustments, if any ......... 9d.
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e. Total of lines 9a through 9d .................................................................................................................. 9e.
C. Net Business Income, Apportionment
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10. Net business income (line 8 minus line 9e). Enter here and on Part I, line 1, column A ...................... 10.
11. Less: Gain described in Ohio Revised Code section (R.C.) 5747.212 (add losses described in that
00
section) if such gain (loss) is included in any one or more lines above .................................................11.
00
12. Line 10 minus line 11 (if line 11 is a gain); line 10 plus line 11 (if line 11 is a loss) ............................... 12.
.
13. Ohio apportionment ratio (Part III, line 4) ............................................................................................. 13.
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14. Total business income apportioned to Ohio (multiply line 12 by line 13) .............................................. 14.
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14a. Amount of the line 11 gain (loss) apportioned to Ohio (enclose detailed computations) .................... 14a.
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14b. Enter the total of lines 14 and 14a here and on Part I, line 1, column B ............................................ 14b.
15. Total business income not apportioned to Ohio (line 10 minus line 14b). Enter here and on Part I,
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line 1, column C .................................................................................................................................... 15.
Part III – Apportionment Formula for Business Income
See detailed instructions on pages 3-5 of the instructions. If the
to the combined number of factors used is 100%. Any request for
denominator of any factor is zero, the weight given to the other fac-
deviation from the statutory allocation and apportionment provisions
tors must be proportionately increased so that the total weight given
must be in writing and must accompany this form.
(3)
(1)
(2)
(4)
(5)
Total
Weighted
Ratio
Within Ohio
Everywhere
Weight
Ratio
(carry to six
(carry to six
decimal places)
decimal places)
1. Property
(a) Owned (average cost) ...............
(b) Rented (annual rental x 8) .........
.
.
÷
=
=
1c.
(c) Total (lines 1a and 1b) ...............
x .20
2. Payroll (see Exclusions on page 4
.
.
=
=
÷
2.
of the instructions) ...........................
x .20
3. Sales (see Exclusions on page 5
.
.
=
=
÷
3.
of the instructions) ...........................
x .60
.
4.
4. Ohio apportionment ratio. Add lines 1c, 2 and 3 (enter ratio here and on Part II, Part C, line 13) .....................
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