w
CHECK #: __________________
FOR CALENDAR YEAR OR FISCAL YEAR BEGINNING
AND ENDING
The federal return with applicable schedules and 1099’s MUST be attached to be considered a complete tax return.
BUSINESS:
Check if:
Initial RITA Return
Amended Return
Consolidated Return (Attach Form 851)
Moved out of RITA
Out of Business
C CORPORATION PARTNERSHIP LLC
S CORPORATION ESTATE TRUST
Page
1
Federal Business Activity Code #
Business
Activity
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
1
Add 2A
Deduct 2B
2C
3A
3B
3C
4
5
6A
6B
6C
7A
7B
Company Name
Address # Street
R
C
1. ADJUSTED FEDERAL TAXABLE INCOME
(per attached Federal Form 1120 (Line 28), 1120S (Sch. K - Line 18), 990T (Line 30),
1065 (Sch. K - Analysis of Net Income (Loss), Page 5 - Line 1), 1041 (Line 17) or the equivalent)
2. A. ITEMS NOT DEDUCTIBLE (from Page 3, Schedule X, Line G)
B. ITEMS NOT TAXABLE (from Page 3, Schedule X, Line Q)
C. ENTER EXCESS OF LINE 2A OR 2B
3. A. ADJUSTED NET PROFIT / LOSS
(Line 1 plus or minus Line 2C) if Schedule X is used
B. AMOUNT ALLOCABLE TO RITA
If Schedule Y, Page 4 is used
% of Line 3A
C. LESS ALLOWABLE NET LOSS
Per previous Municipal Income Tax Returns (submit schedule)
4. AMOUNT SUBJECT T
O MUNICIPAL INCOME TAX
(Line 3A or 3B less Line 3C)
5. MUNICIPAL INCOME TAX DUE (see instructions)
NOTE: Must equal Schedule B on Page 2
6. A. PAYMENTS ON DECLARATIONS OF ESTIMATED MUNICIPAL INCOME TAX
B. AMOUNT OF PREVIOUS YEAR CREDITS
C. TOTAL CREDITS ALLOWABLE (Line 6A + 6B)
7. A. BALANCE DUE (Line 5 less Line 6C)
REMITTANCE PAYABLE TO RITA MUST ACCOMPANY THIS FORM
B. OVERPAYMENT CLAIMED
(if Line 6C exceeds Line 5 enter difference here and check the desired box)
Refund .............................
Credit ...............................
(Overpayments cannot be split between refund and credit)
!
City
Suite #
State Zip Code
Regional Income Tax Agency
RITA
Net Profits Tax Return
27
Form
RITA’s eFile
Easy, Fast, Free & Secure
www.ritaohio.com
Contact us toll free:
Cleveland
800.860.7482
Columbus
866.721.7482
Youngstown
866.750.7482
TDD 440.526.5332
Fax 440.922.3536
PRINT FORM
RESET FORM
OPEN BLANK FORM
FORM 27
SCHEDULE B - DISTRIBUTION OF TAX WITHIN RITA MUNICIPALITIES
TOTAL TAX DISTRIBUTED BELOW MUST EQUAL AMOUNT FROM PAGE 1, LINE 5
(if more space is needed, attach additional schedule)
COMPUTATION OF ESTIMATED TAX
Municipality Name
.00 .%
Taxable Income / Loss
.00
Tax DueTax Rate
.00 .% .00
.00 .% .00
Municipality Name
.00 .%
Taxable Income / Loss
.00
Tax DueTax Rate
.00 .% .00
.00 .% .00
ESTIMATED TAX DISTRIBUTION FROM LINE 8A
(if more space is needed, attach additional schedule)
MAKE CHECKS PAYABLE TO RITA
8A
.00
8B
.00
8C
.00
8D
.00
9
.00
SIGNATURE OF OFFICER OR PARTNER
PRINT NAME
TITLE PHONE DATE
REGIONAL INCOME TAX AGENCY
P.O. BOX 89475
CLEVELAND, OH 44101-6475
WEB SITE: www.ritaohio.com
Page
2
27F14
PREPARER’S SIGNATURE
PREPARER’S ADDRESS
PREPARER’S PHONE
PRINT NAME
I CERTIFY I HAVE EXAMINED THIS RETURN, INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS AND TO THE
BEST OF MY KNOWLEDGE AND BELIEF, IT IS TRUE, CORRECT, COMPLETE, AND THAT THE FIGURES USED HEREIN ARE
THE SAME AS USED FOR FEDERAL INCOME TAX PURPOSES.
May RITA discuss
this return with the
preparer shown above?
Yes No
8. A. ESTIMATED TAX (from distribution above)
8. B. CREDIT (if any) FROM PRIOR YEAR (7B)
8. C. LINE 8A LESS LINE 8B
9. A. TOTAL OF 7A + 8D
D. AMOUNT PAID (not less than 1/4 of estimated tax)
D. (IF LINE 8A IS LEFT BLANK AN ESTIMATE WILL BE CREATED FOR YOU BASED
D. ON YOUR PRIOR YEAR’S TAX LIABILITY AND MUNICIPAL DISTRIBUTION)
FIRM NAME
The federal return with applicable schedules and 1099’s MUST be attached to be considered a complete tax return.
FORM 27
SCHEDULE X – ADJUSTMENT TO FEDERAL INCOME TAX RETURN
ITEMS NOT DEDUCTIBLE
.00
.00
ITEMS NOT TAXABLE
AFTI WORKSHEET
ADJUSTED FEDERAL TAXABLE INCOME
Federal Form 1120S (S Corporations) - Sch. K - Line 18(1)
Federal Form 1065 (Partnerships, LLC’s, LLP’s) - Sch. K - Analysis of Net Income (Loss), Page 5 - Line 1
(2)
Federal Form 1041 (Estates, Trusts) - Page 1 - Line 17(3)
From Federal Return (above)
a)
Excess 179 Deduction / Carryover
b)
Charitable Contribution - In Excess of
c)
Other:
d)
10% Limitation
“ADJUSTED FEDERAL TAXABLE INCOME”
e)
$
$
$
$
$
$
Form 1120S Form 1065 Form 1041
D.
C.
LOSSES THAT DIRECTLY RELATE TO THE SALE, EXCHANGE, OR OTHER
DISPOSITION OF AN ASSET DESCRIBED IN 1221 OR 1231 OF THE IRC
A.
TAXES BASED ON INCOME
B.
INCOME AND GAINS - FEDERALLY REPORTED INCOME AND GAINS FROM IRC
1221 OR 1231 PROPERTY DISPOSITIONS EXCEPT TO THE EXTENT THE INCOME
AND GAINS APPLY TO THOSE DESCRIBED IN 1245 OR 1250 OF THE IRC
N.
.00
.00
.00
.00
.00
.00
.00
.00
F.
G.
.00
5% OF THE AMOUNT DEDUCTED AS INTANGIBLE INCOME EXCLUDING
THE PORTION DIRECTLY RELATED TO THE SALE, EXCHANGE, OR
OTHER DISPOSITION OF PROPERTY DESCRIBED IN 1221 OF THE IRC
AMOUNTS PAID OR ACCRUED TO QUALIFIED SELF-EMPLOYED RETIREMENT
AND HEALTH AND LIFE INSURANCE PLANS FOR OWNERS OR OWNER-
EMPLOYEES OF NON-C CORPORATION ENTITIES
For use by taxpayers that are NOT C Corporations
REIT’S AND RIC’S - ALL AMOUNTS WITH RESPECT TO DIVIDENDS,
DISTRIBUTIONS, OR AMOUNTS SET ASIDE FOR OR CREDITED TO
THE BENEFIT OF INVESTORS AND ALLOWED AS A DEDUCTION
E.
Page
3
OTHER: (ATTACH EXPLANATION)
TOTAL ADDITIONS (ENTER ON PAGE 1, LINE 2A)
O.
INTANGIBLE INCOME SUCH AS INTEREST, DIVIDEND, PATENT, AND COPYRIGHT INCOME
ALSO INCLUDE ROYALTY INCOME EXCEPT ROYALTIES DERIVED FROM
INTEREST IN LAND (i.e. OIL AND GAS RIGHTS, ETC.)
P.
Q.
OTHER : PASS-THROUGH INCOME (LOSS)
TOTAL DEDUCTIONS (ENTER ON LINE 2B)
(attach supporting statement for line items utilized below)
FORM 27
SCHEDULE Y-1: RECONCILIATION OF SCHEDULE Y WAGES TO WITHHOLDING RETURNS
1. Total workplace RITA wages shown on your withholding tax returns filed for the year covered by this return.
2. Explanation of any difference between total wages remitted and total wages shown on Schedule Y above:
TOTAL Sum all STEP 5 percentages for each municipality, enter on Page 1, Line 3B
$
3. Provide the EIN, name, and address under which the withholding tax was remitted if different.
Address:EIN:
Name:
SCHEDULE Z: PASS-THROUGH DISTRIBUTIVE SHARES OF NET INCOME
Attach a schedule of each partner’s/shareholder’s name, social security number, distributive share,
guaranteed payments (if applicable) and taxable percentage.
SCHEDULE Y - BUSINESS APPORTIONMENT FORMULA (See Instructions)
Page
4
27F14
STEP 1.
AVERAGE ORIGINAL COST OF REAL & TANGIBLE PERSONAL PROPERTY
GROSS ANNUAL RENTALS MULTIPLIED BY 8
TOTAL OF STEP 1
TOTAL WAGES, SALARIES, COMMISSION AND OTHER
COMPENSATION PAID TO ALL EMPLOYEES
GROSS RECEIPTS FROM SALES AND WORK OR
SERVICES PERFORMED
TOTAL OF PERCENTAGES
AVERAGE PERCENTAGE (DIVIDE TOTAL PERCENTAGES BY NUMBER OF PERCENTAGES USED)
AVERAGE PERCENTAGE (DIVIDE TOTAL PERCENTAGES BY NUMBER OF PERCENTAGES USED)
AVERAGE PERCENTAGE (DIVIDE TOTAL PERCENTAGES BY NUMBER OF PERCENTAGES USED)
STEP 2.
STEP 3.
STEP 4.
STEP 5.
STEP 5.
STEP 5.
$ $
$ $
$ $
$ $
$ $
A. LOCATED
EVERYWHERE
C. PERCENTAGE
(B / A)
B. RITA MUNICIPALITY
%
%
%
%
%
STEP 1.
AVERAGE ORIGINAL COST OF REAL & TANGIBLE PERSONAL PROPERTY
GROSS ANNUAL RENTALS MULTIPLIED BY 8
TOTAL OF STEP 1
TOTAL WAGES, SALARIES, COMMISSION AND OTHER
COMPENSATION PAID TO ALL EMPLOYEES
GROSS RECEIPTS FROM SALES AND WORK OR
SERVICES PERFORMED
TOTAL OF PERCENTAGES
STEP 2.
STEP 3.
STEP 4.
$ $
$ $
$ $
$ $
$ $
A. LOCATED
EVERYWHERE
C. PERCENTAGE
(B / A)
B. RITA MUNICIPALITY
%
%
%
%
%
STEP 1.
AVERAGE ORIGINAL COST OF REAL & TANGIBLE PERSONAL PROPERTY
GROSS ANNUAL RENTALS MULTIPLIED BY 8
TOTAL OF STEP 1
TOTAL WAGES, SALARIES, COMMISSION AND OTHER
COMPENSATION PAID TO ALL EMPLOYEES
GROSS RECEIPTS FROM SALES AND WORK OR
SERVICES PERFORMED
TOTAL OF PERCENTAGES
STEP 2.
STEP 3.
STEP 4.
$ $
$ $
$ $
$ $
$ $
A. LOCATED
EVERYWHERE
C. PERCENTAGE
(B / A)
B. RITA MUNICIPALITY
%
%
%
%
%
%