Jedd Income Tax Form
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1
2
3HARPERSFIELD GENEVA JEDD
JEDD INCOME TAX
ACCOUNT NUMBER
TAX YEAR
BUSINESS RETURN
FEDERAL EIN
--- FOR TAX OFFICE USE ONLY ---
DAYTIME PHONE NUMBER
DUE BY
FISCAL FILERS
Check
the appropriate box for
:
REFUND
……
(If no amount shows on Line 12
Name & Address:
Fiscal period ______________ to __________________
If incorrect or missing, please
this will not be considered a valid request.)
FISCAL YEAR IS YEAR WHEN FISCAL TERM ENDS
EXTENSION ATTACHED ……………..
print or type the correct information in the space below.
Filing Status - check only one:
DATE MOVED IN OR OUT OF JEDD
Self-employment
(attach Schedule C)
IN
OUT
DATE_________
Rentals
(attach Schedule E & 4797 if used)
LOCATION OF JEDD ACTIVITY IF OTHER
C Corp
(attach Form 1120 complete)
THAN ADDRESS SHOWN AT RIGHT:
S Corp
(attach Form 1120S complete)
Partnership
(attach Form 1065 complete)
_________
Other
(attach federal return)
HARPERSFIELD GENEVA JEDD I
Check The Proper JEDD
HARPERSFIELD GENEVA JEDD II
ONLY ONE JEDD PER RETURN
1.
1. Enter JEDD Net Profit (Line 7 from Worksheet X
1. Enter JEDD Net Profit (Line 7 from Worksheet X) – If the business had a loss, enter zero….......
2.
2.
[ _____ %]
Amount allocable to the JEDD
(If 100%, enter Line 1. Otherwise, enter total from Worksheet Y Line 6).
3.
3. Allowable Net Loss Carryforward from Worksheet F (figure cannot exceed amount on Line 2)....
4.
4. Adjusted Net Income subject to the JEDD tax (subtract Line 3 from Line 2) …………..………..….
5.
5. JEDD Income Tax 1.50% of Line 4 .................................................................................………....
6.
6. Estimated payments made for this tax year (do not include penalty & interest payments) …….....
7.
7. Amount of prior year credits ......................…….................................................................….….....
8.
8. Total credits allowable (add Lines 6 & 7) ........................................................................................
9.
PAYMENT IS REQUIRED WITH RETURN
9. Balance due (subtract Line 8 from Line 5) …...
………
Make check payable to the proper JEDD and write your JEDD tax account number on check
HARPERSFIELD GENEVA JEDD 44 NORTH FOREST STREET GENEVA OHIO 44041
Mail to
No taxes, refunds or credits of $1.00 or less will be collected, refunded or allowed.
10.
10. If Line 8 is greater than Line 5, enter the difference here.................................................………...
11.
Disburse as follows: 11.
................…....................................
CREDIT APPLIED TO NEXT YEAR.
12.
12.
…….......…...
REFUND
(PLEASE CHECK REFUND BOX ABOVE & ON RETURN ENVELOPE)
P
Website address:
I
JEDD phone number: 440-466-3913 JEDD fax number: 440-466-0685
*
_____________________________________________________________________________________________________
If you used the services of a tax preparer, the Income Tax Division may need to discuss your tax return, estimated paym
en
ts and federal schedules
with him or her.
.
CHECK
THE FOLLOWING BOX IF YOU WISH TO ALLOW US TO DISCUSS YOUR JEDD TAX RETURN WITH YOUR PREPARER
Under penalties of perjury, the undersigned declares that this return (and accompanying schedules) is a true, correct and complete income tax return for the
taxable period stated, and that the figures used are the same as used for Federal income tax purposes.
______________________
________________
WORKSHEET F
LOSS CARRYFORWARD CALCULATION
SIGNATURE OFOFFICER
DATE
(Five year limit)
________________________________________
TAX YR
5YRS
4YRS
3 YRS
2 YRS
1 YR
PRINT NAME OF OFFICER
OF
TOTAL
(See Instructions)
PRIOR
PRIOR
PRIOR
PRIOR
PRIOR
FILING
________________________________________
Unused Loss
PAID PREPARER
Carryforward
___________ _________
____________
Loss Used THIS
PAID PREPARER -
PRINT OR TYPE NAME
PHONE #
YEAR
(Enter Total
on Line 3 above)
_____________________
DATE
Loss Carried
Forward to
_________________________________________________________________
NEXT TAX
PREPARER SS# / FED ID#
PREPARER ADDRESS
YEAR
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