SECTION A: ATTACH ALL W-2S
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      
TO PAGE 1, LINE 1 TO PAGE 1, LINE 5A TO PAGE 1, LINE 5B (1)
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 $
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 $
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.
a. LOCATED
EVERYWHERE		 b. LOCATED IN
OAKWOOD		 c. PERCENTAGE
(b ÷ a)
STEP 1.   Average Original Cost of Real and Tangible Personal Property
Gross Annual Rentals Paid Multiplied by 8
Total Step 1
%
STEP 2.   Gross Receipts from Sales Made and/or Work or Services Performed
%
STEP 3.   Wages, Salaries, and Other Compensation Paid
%
STEP 4.   TOTAL PERCENTAGES
%
STEP 5.   AVERAGE PERCENTAGE: Divide Line 4 by Number of Percentages Used
%
Enter in Section B, Line 1B