$ $
m. Income from Patents & Copyrights…………………………………………
h. Other (explain)……………………………………………………………………………………….
i. Total Additions (enter on line 27a)
…..........................................................
$ $
STEP 1 Avg. Original Cost of Real & Tangible personal property
Gross annual rentals paid multiplied by 8
Total Step 1
STEP 2 Gross receipts from sales made and/or work or services performed %
STEP 3 Wages, salaries, and other compensation paid %
STEP 4 Total percentages %
STEP 5 Average percentage (Divide total percentages by number of percentages used)
Carry to line 28b below %
29. Amount subject to Canfield Income Tax (Carry to Page 1 Line 2)…...................................................................................................................................................................
I have no taxable income because of the reason indicated below:
RETIRED - I received only pension, social security and/or interest or dividend income for the entire year.
UNDER 18 for the entire year of _________. My date of birth is ____/____/____ (Attach copy of driver's license).
ACTIVE MEMBER OF THE U.S. ARMED FORCES for the entire year of _______.
NO EARNED INCOME for the entire year of ________. (Public assistance, SSI, Unemployment, etc. is not considered earned income).
SCHEDULE OF INCOME FROM OTHER THAN WAGES
INCOME OR LOSS FROM
FEDERAL SCHEDULE
FORM OR SCHEDULE TAX CREDIT ALLOWED FOR TAX PAID
TO OTHER CITIES
(LIMITED TO 0.5% OF INCOME)
RETURNS WILL NOT BE ACCEPTED WITHOUT COPIES OF FEDERAL SCHEDULES C, E, F, FORMS 1120, 1120S, FORM 1065 WHEN APPLICABLE. MUST INCLUDE ALL PAGES,
SCHEDULES & STATEMENTS
(Attach copy of form and any referenced schedules)
5. FORM 1120, 1120S, 1065, 1041
3. SCHEDULE F - FARM INCOME (Attach copy of Schedule F)
4. SCHEDULE K-1 (Residents enter profit/loss from entities that do not pay Canfield tax on entire distributive share
)
(Attach copy of K-1)
1. SCHEDULE C - BUSINESS INCOME
(Attach copy of Schedule C)
2. SCHEDULE E - RENTAL INCOME (Residents enter profit/loss from ALL properties. Nonresidents enter
only profit/loss from Canfield properties)(Attach copy of Schedule E)
7. Previous Year Net Losses (Starting in 2018, losses from tax years beginning on or after 1/1/17 can be used at 50%
for 5 years- Attach schedule)
6. TOTAL OF LINES 1 THROUGH 5
a. Capital Losses (Excluding Ordinary Losses)…..............................................
b. Interest and/or other expenses incurred in the production of non-
taxable income …..................................................................................
c. Taxes based on income (Including Franchise Tax)…....................................
10. TOTAL INCOME (LOSS) (Combine Lines 8 & 9. INDIVIDUAL TAXPAYERS STOP HERE and enter income from 10A
on pg.1, line 2 and enter amount from 10B on pg.1, line 8.) (Businesses enter amount from 10A on line 26 below.)
10A
RECONCILIATION WITH FEDERAL INCOME TAX RETURN (NOT FOR INDIVIDUAL NON-BUSINESS USE)
10B
8. SUBTRACT LINE 7 FROM LINE 6
9. MISCELLANEOUS INCOME - 1099 MISC, ETC.
(Attach copy of supporting document)
d. Net operating loss carry forward from Federal Return…............................
retirement plans, health insurance and/or life insurance…........................
f. Officers Compensation not included in W-2 wages….............................
….......................................................................................................
j. Capital Gains (Excluding Ordinary Gains)…....................................
k. Interest Income…..........................................................................
l. Dividend Income….........................................................................
n. Other (explain)…...........................................................................
c. PERCENTAGE
(b
BUSINESS ALLOCATION FORMULA
e. Amounts paid or accrued on behalf of owners/partners for qualified sef employed
g. Five percent (5%) of intagible income reported on lines k, l, & m…...........
a. Items Not Deductibe ….....................................................................................................................................................................
b. Items Not Taxable….....................................................................................................................................................................
c. Enter excess of Line 26a or 26b…............................................................................................................................................................................................................
o. Total Deductions (enter on line 27b)…......................................
….......................................................................................................
….......................................................................................................
EXEMPTION CERTIFICATE (Signature is required on page 1)
26. Total from Schedule of Income From Other Than Wages above (Line 10A)…...................................................................................................................................................
28. a. Adjusted Net Income (Line 26 plus or minus 27c)…...............................................................................................................................................................................
b. Amount allocable to Canfield. If Schedule Y is used then, _______________% of Line 28a….................................................................................................................
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