2022 CITY OF WOOSTER BUSINESS INCOME TAX RETURN

        For calendar 2022 or tax year beginning __________________, __________, ending _________________, __________
Federal Identification Number                                                                                File Number
Company Name and Address                                                                                                                                                    Do not write 
                                                                                                          MAIL TO :                                                         in this area
                                                                                                          CITY OF WOOSTER
                                                                                                          INCOME TAX
                                                                                                          PO BOX 1088
                                                                                                          WOOSTER OH 44691
                                                                                                          Questions ?
                                                                                                          330-263-5226
             Wooster Business Location:
City Taxable Income - Attach Federal Return & Supporting Statements
1 Taxable income (loss)           per copy of complete federal return attached,see instructions                                                                           1
2 Adjustments complete schedule Z On back of return
   A. Items not deductible Schedule Z Line F                                                              2A
   B. Items not taxable Schedule Z Line L                                                                 2B (                                     )
3 Adjusted Net Income (Loss)      Add lines 1 and 2A, then subtract Line 2B *If a loss this is your NOL for 2022                                                          3
   A. Pre-Apportioned loss deduction                                                                      3A (                                     )
4 Wooster Taxable Income - Subtract line 3A from 3                                                                                                                        4
5  Amount allocable to Wooster income tax (multiply line 4 by schedule Y percentage of __________________%)                                                               5
6  Wooster income tax Multiply line 5 by .015 (1.5%)                                                                                                                      6
Payments
7  A. 2021 Overpayment                                                                                    7A
   B. 2022 Estimated tax payments                                                                         7B
   C. Amount paid with extension towards 2022 taxes                                                       7C
8 Total payments Add lines 7A, B, C                                                                                                                                       8
Refund or Amount Due                               ***Amounts $10.00 or Less Are Not Be Due and Will Not Be Refunded***
9  Amount overpaid If line 8 is greater than line 6, enter overpayment                                                                                                    9
10 Amount due If line 6 is greater than line 8, enter tax due if amount is $10.00 or less enter 0                                                                         10
11 Amount of Line 9 to be refunded No refund if amount on line 9 is $10.00 or less                                                                                        11
12 Amount of Line 9 to be applied towards 2023 estimated taxes                                                                                                            12
                               13 Late filing penalty $25.00 (Per month or fraction thereof, not to exceed $150.00)                                                       13
   Penalty & Interest          14 Penalty 15% of amount not paid timely                                                                                                   14
                               15 Interest .42% per month of tax not paid timely                                                                                          15
Declaration of Estimated Tax for 2023
16 2023 Tax estimate $ __________________                   Amount from Line 9 $                                                                   Remaining estimate due 16
17 AMOUNT DUE WITH RETURN (add lines 10, 13, 14, 15& 16 make check payable to "City of Wooster")                                                                          17
             I declare that I have examined this return and the accompanying schedules and statements, and to the best of my knowledge and belief, they are 
                 true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Do you authorize your preparer to contact us regarding this return? Yes  □ No □

       Signature of Officer                                         Date       Paid Preparer's Signature                                                                    Date

       Title                                                                   Firm (or individual)

       Telephone Number                                                        Preparer's address
       PLEASE SIGN ABOVE
                                                                               Preparer's telephone number

                                                                               3

  SCHEDULE Y                            BUSINESS ALLOCATION FORMULA

                                         A. Located Everywhere    B. Located in Wooster  C. Percentage (B/A)
1 Average original cost of real & 
  tangible personal property 
  Gross annual rental paid 
  multiplied by 8 

  Total Step 1                                                                                              %
2 Gross receipts from sales 
  and/or services provided                                                                                  %
3 Wages, salaries, paid 
  employees, etc.                                                                                           %

4 Total percentages                                                                                         %
5 Average percentage
  (divide total percentages by                                                                              %
  number of percentages used)

  SCHEDULE Z                            Reconciliation with Federal Income Tax Return 

  ITEMS NOT DEDUCTIBLE                                                     ITEMS NOT TAXABLE

A Capital/ IRS Section                                         G  Capital/IRS Section 
  1221/1231 losses                                                1221/1231 gains

B 5% of expenses 
  applicable to non-
  taxable income                                               H  Dividends

C Taxes based on income                                        I  Interest income
  Amounts paid or accrued to 
D qualified retirement, health and life 
  insurance plans on behalf of                                 J  Royalties (intangible)

E Other (please list):                                         K
                                                                  Other (please list):

F Total- Enter on line 2A                                      L  Total- Enter on line 2B

                                                                 4