IT 2023
Taxpayer/business name
SSN/FEIN
Rev. 12/12
Part IV – Nonbusiness Income and Deductions
(See defi nitions and discussion on pages 1 and 5 of the instructions.)
Use Part IV to allocate, in accordance with R.C. 5747.20, 5747.22,
Note: Do not include in Part IV either guaranteed payments or
compensation you received from each pass-through entity in which
5747.212, 5747.221, 5747.23 and 5747.231, all items of nonbusi-
ness income and deductions included in either Ohio adjusted gross
you have at least a 20% direct or indirect ownership interest. Do
income for individuals or Ohio taxable income for estates. Unless the
not include in this part any compensation you received from any
taxpayer establishes otherwise, pass-through income, deductions,
pass-through entity in which any of your family members directly or
gains and losses recognized by a limited liability company, sole
indirectly own at least 40% of that pass-through entity. Show such
proprietorship, partnership or S corporation are items of business
guaranteed payments and compensation in Part II, Part A, line 1.
income that the taxpayer must apportion (rather than allocate) using
the business income portion of the worksheet (see Part II).
(A)
(B)
(C)
Total
Ohio Portion
Non-Ohio Portion
A. Nonbusiness Income
1. Wages, salaries, tips, guaranteed payments
00
00
00
(see note above) ............................................ 1.
00
00
00
2. State and local tax refunds........................... 2.
00
00
00
3. Alimony received .......................................... 3.
00
00
00
4. Pensions, annuities, IRA distributions .......... 4.
5. Unemployment compensation, taxable
00
00
00
Social Security benefi ts ................................ 5.
6. Nonbusiness income and gain/loss
described in R.C. 5747.212 (enclose
00
00
00
detailed computations) ................................. 6.
6a. Interest, dividends, capital gain (loss) and
other income (loss), but only if these items
are nonbusiness items (describe these
00
00
00
items of income)
6a.
7. Add adjustments for I.R.C. 168(k) and
qualifying section 179 expenses (see
instructions) and add miscellaneous
00
00
00
federal income tax adjustments, if any ......... 7.
8. Net income (loss) from rental activity not
constituting “business income” reported on
00
00
00
Part II of this return....................................... 8.
9. Total nonbusiness income (add lines 1
00
00
00
through 8) ..................................................... 9.
B. Deductions From Nonbusiness Income
Note: Do not show here any amount shown on Ohio form IT 1040, Schedule A or Ohio form IT 1041, Schedule A, except for any
depreciation adjustment(s).
00
00
00
10. IRA deduction ............................................. 10.
11. Health savings account from IRS form
00
00
00
1040 ............................................................11.
00
00
00
12. Penalty on early withdrawal of savings ...... 12.
00
00
00
13. Moving expense/alimony paid .................... 13.
14. Deduct adjustments for the depreciation
expense added back in prior year (see
instructions) and deduct miscellaneous
00
00
00
federal income tax adjustments, if any ....... 14.
15. Other deductions shown on IRS form 1040,
page 1 and not shown on page 2, line 9 of
00
00
00
Ohio form IT 2023 (describe)
15.
00
00
00
16. Total deductions (add lines 10 through 15) .. 16.
17. Net nonbusiness income (line 9 minus line
16; enter here and in Part I, line 2, columns
00
00
00
A, B and C, respectively)............................ 17.
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