SECTION A: ATTACH ALL W-2S
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Column 1 Physical Work Address
(May not be W-2 Address)
Column 2 Wages (Typically
Box 5 From W-2)
Column 3 Oakwood Tax
Withheld
Column 4 Other Work City Tax
Withheld (Dayton, etc.)
1
2
3
4
5 TAX PAID ON INCOME REPORTED IN SECTION B (ATTACH SUPPORT)
TOTAL
SECTION B: INCOME OTHER THAN WAGES
1. SCHDULE C – PROFIT OR <LOSS> FROM BUSINESS
1A. NET INCOME OR <LOSS> FROM SCHEDULE C – ATTACH SCHEDULE C
1A $
1B. % ALLOCABLE TO OAKWOOD. RESIDENTS USE 100%;
NONRESIDENTS FROM SCHEDULE Y (BELOW)
1B $ 100.0000%
1C. OAKWOOD INCOME OR <LOSS> (LINE 1A MULTIPLIED BY 1B)
1C $
2. SCHEDULE E – INCOME/<LOSS> FROM RENTS – ATTACH SCHEDULE E
2 $
3. SCHEDULE E – INCOME/<LOSS> FROM TAXABLE ROYALTIES – ATTACH SCHEDULE E
3 $
4. SCHEDULE E – INCOME/<LOSS> FROM PARTNERSHIPS – ATTACH SCHEDULE E
4 $
5. SCHEDULE F – INCOME/<LOSS> FROM FARMING – ATTACH SCHEDULE F
5 $
6. FORM 4797 – ORDINARY GAIN/<LOSS> – ATTACH FORM 4797
6 $
7. OTHER INCOME/<LOSS> – TRUST/ESTATE – ATTACH SCHEDULE E
7 $
8. SUBTOTAL – ADD LINES 1C THROUGH 7
8 $
9. LESS: NET OPERATING LOSS CARRYOVER – ATTACH SCHEDULE
9 $
10. SUB-TOTAL – LINE 8 LESS LINE 9. IF LESS THAN ZERO, ENTER -0-
10 $ 0.00
11. OTHER INCOME – COMMISSIONS, TIPS, GAMBLING INCOME, DIRECTOR’S FEE, ETC.
(DO NOT INCLUDE INTEREST, DIVIDENDS OR CAPITAL GAIN INCOME)
11 $
12. TOTAL – LINE 10 PLUS LINE 11. ENTER ON LINE 2, PAGE 1
12 $
SECTION C: SCHEDULE Y – BUSINESS ALLOCATION FORMULA
TO BE USED ONLY BY NON – RESIDENT SOLE PROPRIETORSHIPS
The business allocation factor should be applied to adjusted net income or loss using all three factors. A factor may be excluded only when that factor does not exist anywhere.
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a. LOCATED
EVERYWHERE
b. LOCATED IN
OAKWOOD
c. PERCENTAGE
(b Ă· a)
STEP 1. Average Original Cost of Real and Tangible Personal Property
Gross Annual Rentals Paid Multiplied by 8
Total Step 1
0.0000%
STEP 2. Gross Receipts from Sales Made and/or Work or Services Performed
0.0000%
STEP 3. Wages, Salaries, and Other Compensation Paid
0.0000%
STEP 4. TOTAL PERCENTAGES
0.0000%
STEP 5. AVERAGE PERCENTAGE: Divide Line 4 by Number of Percentages Used
100.0000%
Enter in Section B, Line 1B