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FORM BR file with: CITY OF BROOKVILLE CHECK ONE:
Income Tax Office Corporation
P.O. Box 727 2023 BUSINESS INCOME TAX RETURN Partnership
333 J.E. Bohanan Memorial Dr. Other ______________
Vandalia, OH 45377 FILING REQUIRED EVEN IF NO TAX DUE
Phone: (937) 415-2240; Fax: (937) 415-2361 DUE ON OR BEFORE APRIL 15, 2024 OR WITHIN
Toll free: (866) 898-5891 3½ MONTHS FROM END OF FISCAL YEAR FEDERAL ID NO. _______________________________
BEGINNING __________ AND ENDING __________
Email: tax@vandaliaohio.org
www.vandaliaohio.org Nature of Business _______________________________

LIST NAME AND ADDRESS BELOW. Old Address ____________________________________

Date Moved (in) ______________ (out) ______________
DID YOU FILE A CITY INCOME TAX RETURN THE
PREVIOUS YEAR? Yes No

Email address ____________________________________

SECTION A

1. Income per attached Federal Return ………………………………………………………………………………………………... 1.
2. Adjustment from Schedule X ………………………………………………………………………………………………………. 2.
3. Adjusted Federal Taxable Income (Line 1 +/ -Line 2) ……………………………………………………………………………... 3.
4. Total Unutilized Pre-apportioned Losses from tax years beginning on or after 1/1/17 (see worksheet on Page 2) ……………….. 4.
5. Pre-apportioned Losses from tax years beginning on or after 1/1/17 utilized in tax year 2023 (see worksheet on Page 2) ……….. 5.
6. Income/Loss Subject to Apportionment (Line 3 -Line 5 if applicable) ……………………………………………………………. 6.
7. Amount Allocable to Brookville (If Schedule Y is used __________% of Line 6) MUNICIPAL TAXABLE INCOME ………... 7.
8. TAX DUE (2% x Line 7) …………………………………………………………………………………………………………… 8.
9. TAX CREDITS
9-A. Estimated Tax Paid ………………………………………………………………………………………………………….. 9- A.
9-B. Credit from Prior Year ………………………………………………………………………………………………………. 9- B.
9-C. Total Credits Available ……………………………………………………………………………………………………… 9- C.
10. BALANCE OF TAX DUE (Line 8 -Line 9-C) ………………………………………………………………………………….. 10.
11. Penalty $________________ Interest $________________ Late Fee $________________ ………………………………….. 11.
12. TOTAL AMOUNT DUE (Make check payable to City of Vandalia)
(No payment due if $10.00 or less) ………………………………………………………………………………………………... 12.
13. If overpayment ($10.01 minimum), please indicate below:
13-A. CREDIT TO NEXT YEAR ………………………………………………………………………………………………... 13- A.
13-B. REFUND …………………………………………………………………………………………………………………... 13- B.

Reviewed by _____________ Check No. __________________ Cash __________________ Amt. Received _________________

SECTION B -Declaration of Estimated Tax for 2024

14. Income Subject to Tax x Tax Rate (2%) …………………………………………………………………………………………………. 14.
15. Quarterly Amount Due (1/4 of Line 14) ………………………………………………………………………………………….. 15.
16. Credit from Line 13-A ($10.01 minimum) ……………………………………………………………………………………….. 16.
17. Amount of Estimated Tax Due with this Return (Line 15 -Line 16) …………………………………………………………….. 17.
18. Total Payment Due (Line 12 + Line 17) ………………………………………………………………………………………….. 18.

SECTION C
Please refer to the website, www.vandaliaohio.org, to access the online payment center to pay by credit card or electronic check.
Credit card payments are now accepted in person in the tax office as well.
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, adjusted to the ordinance requirements for local tax purposes. If an audit of the federal return is made which affects the tax liability shown on the return, an amended return is required to be filed within 90 days.
If this return was prepared by a Tax Practitioner, may we contact your practitioner directly with questions regarding the preparation of this return? Yes No

Signature of Person Preparing Return (If Other Than Taxpayer) Date Signature of Taxpayer Date

Phone Number Title

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ALL FEDERAL SCHEDULES AND OTHER SUPPORTING DOCUMENTS SHOULD BE ATTACHED TO THIS RETURN

SCHEDULE X -Reconciliation with Federal Income Tax Return

ITEMS NOT DEDUCTIBLE ADD ITEMS NOT TAXABLE DEDUCT
N. Capital Gains from sale, exchange or other disposition (including
A. Capital Losses (including IRC 1221 & 1231 property) ……………. $ IRC 1221 & 1231 property) …………………………………………… $
B. Expenses attributable to non-taxable income ………………………. $ O. Interest earned or accrued ………………………………………….. $
C. City & State income taxes and other taxes based on income ………. $ P. Dividends …………………………………………………………… $
D. Net Operating Loss deduction per federal return…………………… $ Q. Other intangible income (please explain) ………………………….. $
E. Payments to Partners (including former partners) ………………….. $ _______________________________________________________
F. Amounts distributed or set aside for REIT & RIC investors ……….. $ R. Federal Tax Credits (if expense reduction) ………………………… $
G. Amounts deducted for self-employment retirement, health and life
insurance plans ………………………………………………………… $ S. Other income exempt from city tax (please explain) ………………. $
H. Special Deduction (Line 29b from Form 1120) ……………………. $ _______________________________________________________
I. Rental activities by Partnership, S-Corp, LLC, Trusts ……………… $ Z. Total of Lines N through S …………………………………………. $
J. Other expenses not deductible (please explain) …………………….. $
______________________________________________________
M. Total of Lines A through J …………………………………………. $

1. INCOME PER ATTACHED FEDERAL RETURN ………………………………………………………………………………………………………………... $
2. A. ITEMS NOT DEDUCTIBLE (From Line M Schedule X above) …………………………………………………… Add
B. ITEMS NOT TAXABLE (From Line Z Schedule X above) ………………………………………………………… Deduct
C. ENTER EXCESS OF LINE 2A OR 2B (Carry to Line 2 Page 1) ………………………………………………………………………………………………. $
SCHEDULE Y -Business Apportionment Formula
Use this schedule if engaged in business in more than one locality, and you do not have books and records which will disclose with reasonable accuracy what portion of the net profits is
attributed to that part of the business done within the boundaries of Brookville.
A. Located Everywhere CITY OF BROOKVILLE
Step 1. Original cost of real and tangible personal property …. $ $
Gross annual rentals multiplied by 8 …………………. $ Step 1
%
Total Step 1 …………………………………………………………………………………... $
$
Step 2. Total wages, salaries, commissions and other compensation of all employees ……………… $ Step 2
%
Step 3. Gross receipts from sales made and work or services performed ……………………………. $
B. List city portion of the above 3 steps in spaces to the right and compute percentage for Brookville (B divided by A) $
Step 3
%
Determine average percentage by dividing total Average
percentages by number of percentages used. Percentage %
*Enter average percentage on Line 7 Page 1. Multiply percentage by Income/Loss Subject to Apportionment on Line 6 Page 1 to calculate the Municipal Taxable Income.

NET OPERATING LOSS CARRYFORWARD WORKSHEET Net operating losses for businesses are pre-apportionment.
COLUMN A COLUMN B COLUMN C COLUMN D COLUMN E
Prior Years Current Taxable Year Future Taxable Year
Prior Taxable Year NOL NOL Utilized Carryforward Carryforward NOL Used Carryforward
2018
2019
2020
2021
2022
TOTALS
Column A: Enter the dollar amount of net operating loss (NOL) for each prior year in which a loss was incurred. Column B: Enter the portion of NOL already utilized in prior years. Column C: Enter
carryforward available (Column A minus Column B). Column D: Enter carryforward utilized on current year’s tax return. Column E: Enter carryforward available for future years (Column C minus
Column D). TOTALS: Total Columns C, D, and E. Enter Column C total on Line 4 Page 1. Enter Column D total on Line 5 Page 1.
Are any employees leased in the year covered by this return? (Check box) Yes No If yes, please provide Name _________________________________ FEIN ________________________
and Address of the leasing company ________________________________________________________

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