2022 TIPP CITY                  File with:
                                                                                                   Tipp City Tax 
                                                           BUSINESS TAX RETURN                     Department
                                                                                              260 S Garber Dr
                                                   DUE ON OR BEFORE APRIL 18, 2023            Tipp City OH 45371
                                                                                              Phone (937) 667-8426
                                                   OR 3 1/2 MONTHS AFTER YEAR END             Fax (937) 667-6734
                                                                                              www.tippcityohio.gov
                                           FISCAL YEAR ______________ TO ______________

 Account Number   ______________                                                           
                                                                                                                                                                                                               Federal ID #             ______ - _____________________
 Business Name      _________________________________________________________________                                                                                                                               Final 
                                                                                                                                                                                                               □
 Mailing Address     _________________________________________________________________                                                                                                                              Amended
                                                                                                                                                                                                               □
 City/State/Zip        _________________________________________________________________                                                                                                                       □  Short Year     ______________ to ______________

 Section A          2022 Tax Calculations - Attach copy of Federal return

1 Total federal taxable income                                                                                                                                                                                 1
2 Add items not deductible (from line K Schedule X on page 2)                                                                                                                                                  2                                  
3 Subtract items not taxable (from line R Schedule X on page 2)                                                                                                                                                3 (                                 )
4 Adjusted federal taxable income before apportionment (sum of lines 1 and 2 less line 3)                                                                                                                      4
5 Pre-apportioned loss deduction from tax years beginning on or after 1/1/17 (from page 2)                                                                                                                     5 (                                 )
6 Pre-apportioned net profit (line 4 less line 5)                                                                                                                                                              6
7 Apportionment percentage from page 2, Schedule Y, step 5                                                                                                                                                     7           %
8 Municipal taxable income (multiply line 6 by line 7)                                                                                                                                                                                                                                        8
9 Tipp City income tax due (multiply line 8 by 1.5%)                                                                                                                                                                                                                                          9
10 Estimated payments and/or credits                                                                                                                                                                                                                                                          10
11 If line 9 is greater than line 10, enter balance due (if not greater than, enter 0)                                                                                                                                                                                                        11
12 If line 10 is greater than line 9, enter amount overpaid and record as a refund or credit below                                                                                                             12
 Overpayment refund ____________ credit ____________ (no refund or credit if $10 or less)
13a Underpayment penalty ____________ interest ____________ (if applicable - see instructions)                                                                                                                 13a
13b Penalty (15% of the tax due - if filed after due date)                                                                                                                                                     13b
13c Interest (see instructions)                                                                                                                                                                                13c
13d Late fee ($25 per month [or fraction thereof] maximum $150 - if filed after the due date)                                                                                                                  13d
14 Total penalty, interest and late filing fee (add lines 13a, 13b, 13c and 13d)                                                                                                                                                                                                              14
15 Total tax and penalties (add lines 11 and 14) (payable to Tipp City Tax) (no payment due if $10 or less)                                                                                                                                                                                   15

 Section B          2023 Declaration of Estimated Tax - Must be completed by taxpayers who anticipate a tax liability of $200 or more

16 Total estimated income subject to tax ____________ multiplied by tax rate of 1.5%                                                                                                                           16
17 Declaration due (multiply line 16 by 25%)                                                                                                                                                                   17
 Overpayment credit from 2022                                                                                                                                                                                  18
19 Declaration due (line 17 less line 18) (subsequent payments are due 6/15, 9/15 and 12/15)                                                                                                                                                                                                  19

 Total due with this return (add lines 15 and 19) (payable to Tipp City Tax)                                                                                                                                                                                                                  $ ________________

 If this return was prepared by a tax practitioner, may we contact him/her directly with questions regarding the preparation of this return?   □ Yes     □No
 The undersigned declares that this return (and all accompanying documents) is a true, correct and complete return for the taxable period stated.

 ____________________________________________________________        ____________________________________________________________
  Signature of preparer (other than taxpayer)                                                                 Date                                             Taxpayer signature                                                                                                         Date

 ____________________________________________________________        ____________________________________________________________
  Preparer's telephone number                                                                                                                                                         Preparer's e-mail address

  Net operating losses (Pre-apportioned)
  2017 _____________ 2018 _____________ 2019 _____________
  2020 _____________ 2021 _____________
  Amount used to offset 2022 net income (see instructions for limitations)
  Schedule X - Reconciliation with federal income tax return

                              Items not deductible (additions)
A Capital losses and IRC Section 1231 losses                                                 A
B Taxes on or measured by net income                                                         B
C Expenses attributable to intangible income (5% of total intangible income, excluding       C
  capital gains)
D Guaranteed payments to current or former partners, shareholders or members                 D
E Amounts paid or accrued to a qualified self-employed retirement plan for current or        E
  former partners, shareholders or members of non-C Corporation entities
F Amounts paid or accrued to or for health or life insurance for current or former partners, F
  shareholders or members of non-C Corporation entities
G Depreciation recovery (non-C corporation entities are subject to IRC Section 291           G
  depreciation recovery on Section 1250 property)
H Loss incurred by a pass-through entity owned directly or indirectly by a taxpayer and      H
  included in the taxpayer's federal taxable income unless the loss is included in the net
  profit of an affiliated group in accordance with ORC 718.06(E)(3)(b)
I Real Estate Investment Trust (REIT) distributions                                          I
J Other - please list _________________________________________________________              J
K Total additions (add lines A through J)                                                                    K

                              Items not taxable (deductions)
L Capital gains and IRC Section 1231 gains (do not deduct IRC Section 1245 and 1250 gains)   L
M Dividend income                                                                            M
N Interest income                                                                            N
O Other intangible income as defined in ORC 718.01(S)                                        O
P Net profit of a pass-through entity owned directly or indirectly by the taxpayer and
  included in the taxpayer's federal taxable income unless the net profit is included in the
  net profit of an affiliated group in accordance with ORC 718.06(E)(3)(b)                   P
Q Other - please list _________________________________________________________              Q
R Total deductions (add lines L through Q)                                                                   R

  Schedule Y - Business apportionment formula
                                                                           (A) Located        (B) Located in          Percentage               
                                                                           Everywhere         Tipp City               (B / A)
  Step 1 - Original cost of real and tangible personal property          ______________       ______________
                 Gross annual rents paid multiplied by 8                 ______________       ______________
                 Total step 1                                            ______________       ______________          ______________
  Step 2 - Wages, salaries and other compensation paid                   ______________       ______________          ______________
  Step 3 - Gross receipts from sales made and/or work/services performed ______________       ______________          ______________
  Step 4 - Total percentages (add percentages from steps 1, 2 and 3)                                                  ______________
  Step 5 - Apportionment percentage (divide step 4 by number of percentages used) enter on page 1, line 4             ______________