Business Tax Return City of West Carrollton
Income Tax Division
20__ 300 Central Ave
West Carrollton, OH 45449
OR
Phone: (937) 859-8288
FISCAL PERIOD _______ TO _______th Fax: (937) 859-3366
Calendar Year Taxpayers file on or before April 15
Fiscal Year Due on 15 thDay of 4 thMonth After Year End Website: www.westcarrollton.org
Did you file a City return last year? Is this a combined corporate return? Should your account be inactivated? YES NO
YES NO YES NO If YES, please explain:
Account Number FID# ____-_____________ Filing Status (Check one)
C-Corporation
Name S-Corporation
LLC
Partnership/Association
Address
Fiduciary (Trusts and Estates)
Other __________________
City/State/Zip Amended Return
Tax Year: _______
If the information above is incorrect, please make corrections.
Part A TAX CALCULATION
1. Adjusted Federal Taxable Income (Attach Copy of Federal Return) From Form ________ Line ________………. $
2. Adjustments (From Line L, Schedule X)…………………………………………………………………………………… $
3. Taxable income before apportionment (Line 1 plus/minus Line 2)……………………………………………………… $
4. Apportionment percentage (From Step 5, Schedule Y) _________%…………………………………………………
5. West Carrollton taxable income (Multiply Line 3 by Line 4)…………………………………………………………… $
6. Other separately stated items. Net operating loss carryforward, West Carrollton stock options and West $
Carrollton rental income/(loss)………………………………………………………………………………………
7. Amount subject to West Carrollton income tax (Line 5 plus/minus Line 6)……..…………………………………… $
8. West Carrollton income tax (Multiply Line 7 by 2.25% [.0225])……………………………………………………… $
9 a. Estimates paid on this year’s liability……………………………………… $
9 b. Credits applied to this year’s liability………………………………………. $
10. Total payments and credits (Lines 9a + 9b) …………………………………………………………………………….. $
11. Tax due (Subtract Line 10 from Line 8)……………………………………………………………………………………. $
12. Overpayment (Line 10 greater than Line 8)……………………………… $
13. Amount to be refunded (Amounts less than $5 will not be refunded)……….. $
14. Credit to next year………………………………………………………….. $
Part B DECLARATION OF ESTIMATED TAX
15. Total estimated income subject to tax……………………………………………………………………………………… $______________________
16. West Carrollton income tax declared (Multiply Line 15 by 2.25% [.0225])……………………………………………. $______________________
17. Tax due before credits (at least 25% of Line 16)………………………………………………………………………….. $______________________
18. Less credits (from Line 14 above)…………………………………………………………………………………………... $______________________
19. Net estimated tax due if Line 17 minus Line 18 is greater than zero*………………………………………………….. $______________________
20. TOTAL AMOUNT DUE—Combine Line 11 above with Line 19 (Make checks payable to the City of West $______________________
Carrollton)
* Subsequent estimated payments are due by the last day of the 7th, 10 thand 13 thmonths after the beginning of the taxable year.
Check here to give us permission to contact your paid tax practitioner directly if we have questions regarding the preparation of this return.
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for the taxable period stated
and that the figures used herein are the same as used for Federal Income Tax purposes, and understands that this information may be
released to the Internal Revenue Service.
Signature of Person Preparing Return Date Signature of Officer or Agent Date
Name of Person Preparing Return Phone Number Name and Title Phone Number