City of Brunswick Income Tax Return
                              TAXABLE PERIOD JANUARY 1 to DECEMBER 31

                  READ GENERAL INSTRUCTIONS:              Failure to File This Return and/or Pay Tax
                  By April 15 Will Result in a Penalty and/or Interest. EXTENSION:
ENTER NAME AND ADDRESS BELOW          IF YOU MOVED DURING THE YEAR, THIS MUST BE COMPLETED.

                   Joint         
                                       
        A                     B   C        D                                       E                   F
                                                                                                                                         
Part II:
Income:

Credits:
                                                                                                     
        Credited                     Refund
        LATE FILING PENALTY
        LATE PAYMENT PENALTY
        INTEREST

    Make check or money order payable to Brunswick City Income Tax. Mail to City of Brunswick, P.O. Box 0816, Brunswick, Ohio 44212-0816

Sign
here

PART III. SCHEDULE A

                    STOP

PART IV. SCHEDULE B
 PROFIT OR (LOSS) ON FORM 1120, 1120-S, SCHEDULE C, E, & F FILERS FROM BUSINESS OR PROFESSION (SEE INSTRUCTIONS)
                                                                                                         
 CREDITS: TO BE COMPLETED BY RESIDENT ENTITIES OF BRUNSWICK ONLY

PART V. SCHEDULE X RECONCILIATION WITH FEDERAL INCOME TAX RETURN — BUSINESS FILERS ONLY
    ITEMS NOT DEDUCTIBLE  ADD                                    ITEMS NOT TAXABLE                                   DEDUCT

PART VI. SCHEDULE Y BUSINESS ALLOCATION FORMULA —    A.  Located                      B.  Located in  C.  Percentage
                                                       Everywhere                      Brunswick        (B ÷ A)
Step 1.                                                           
                                                                  
Step 2.                                                                                               
Step 3.
                                                                                                      
Step 4.                                                                                               
Step 5.                                                                                                              

PART VII. ALL OTHER TAXABLE INCOME: See Instructions

CREDITS: TO BE COMPLETED BY RESIDENTS OF BRUNSWICK ONLY

PART VIII. BRUNSWICK NET INCOME TAX LIABILITIES ON OTHER INCOMES FROM SCHEDULES A, B AND Part VII.
1.  TAX DUE: Add Line 16 of Schedule A, Line 9 of Schedule B, and Line 7 of Part VII. 
 

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