1/2012

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    G

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Percentage (F)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Income Taxable to Akron                                                                                                Income (B)   X   Taxable 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $        $                    $              $ $ $ $ $ $ $ $              $

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    F
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           (Rate                                                                                                                      2.25)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Taxable                                                                                                                                                                                                                                                                                           100%     100%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            11.11%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Percentage                                                                                                                                                                                           Differential / 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           TOTAL  INCOME

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    E                                                                                                                                                                                                                                                                                                         ----     2.25                 0.25
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Rate                                                                                                                                                                                                                                                       Rate)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Differential                                                                                                       (2.25 - Tax 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2.25     0.00                 2.00
Akron Account Number ____________________________________ Name ___________________________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Tax Rate

                                                                                                                                            )

                                                                                                                                                                                                                                                                                                                                                                                                                                                                     D

                                                                                                                   (Self-Employment & Rental

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Name of Taxing Authority (City or JEDD)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              AKRON    NON-TAXING AUTHORITY CUYAHOGA FALLS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Income Tax Division  *  1 Cascade Plaza - 11th Floor  *  Akron,  OH  44308  *  330-375-2290 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    BC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Rental Income                                                                                                     [Report both                                                           profit & (loss)]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Self-Employment & 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              $        $                    $              $ $ $ $ $ $ $ $               INSTRUCTIONS  FOR  COMPLETING  WORKSHEET SE                                                                                                                                                    1) Column A ... enter the letter of the federal Schedule being reported.  2) Column B ... amount of self-employment or rental income reported for each separate taxing jurisdiction, including Akron.                                                                                                                          3) Column C … name of taxing authority, if other than listed.   (The income figures reported on this Worksheet come from                        Schedule C - Line 31, Schedule C-EZ  - Line 3, Schedule E - Line 22, and Schedule F - Line 36.) 4) Column D … tax rate of taxing jurisdiction listed in column C  ( Rates can be found at www.columbustax.net/Muni_List/ ) 5) Column E … subtract column D from 2.25 to find Rate Differential (If Akron, skip this step). 6) Column F … divide column E by 2.25 to find Taxable Percentage in decimal format (If Akron,  show 1.000 which is 100%). 7) Column G … multiply column B by column F. 8) TOTAL INCOME ...Total the entries in column G and enter the result here and on Line 5 of Worksheet B.                                                                                    If more space is needed, make a copy of this worksheet and number them pages 1 & 2.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           F
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    A
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Enter                                Sch                                                                             letter                                                                                                            C, E                                                          or 
Tax Year  ________________                                                                                                                   WORKSHEET  SE Determination of reportable income:  for Akron residents who have sources of self-employment or rental income from locations outside of Akron. Enter the result of this worksheet on Line 1 of Worksheet B.     See line-by-line instructions below.     Attach copies of Federal Schedules which apply.                                                                                                                                                                                                                                                                                                                                                                                                                                  This worksheet must be completed by Akron residents who have some or all of their self-employment or rental income from locations other than Akron.