Rev. 09/19/22 Scan Specifications for the 2022 Ohio IT 4708 Important Note The following document (2022 Ohio IT 4708) contains grids for place- ment of information on this specific tax form. To accurately print, do not reduce the size, rotate or center this document. Doing so jeopardizes the integrity of the grid. When printing from Adobe Reader, select “None” for “Page Scaling,” which is under “Page Handling.” The 2022 Ohio IT 4708 test samples must be initially submitted by December 1, 2022 and approved no later than April 1, 2023. Ohio Department of Taxation 4485 Northland Ridge Blvd. Columbus, OH 43229 tax.ohio.gov |
General information regarding this form |
General Information (2022 Ohio IT 4708): 1) Dimensions: Target or registration marks - 0.25” diameter circles. Follow grid layout for positioning. 1D barcode (2 of 5 interleaved) - .375”H x 1.5”W. Follow grid layout for positioning. Center the barcode number directly under the barcode. 2D barcode (PDF 417) - See 2D instructions and schema. Follow grid layout for positioning. There is one 2D barcode on each page of the Ohio IT 4708. 2) 1D barcode - The last two numbers of the 1D barcode represent the vendor number. Use the same vendor number as you did for last year’s return. If you have a question about your barcode assignment, e-mail the Forms Unit at Forms@tax.state.oh.us. The first six numbers are constant for this form (221601XX - 221608XX). 22 = tax year 16 = Ohio IT 4708 01-08 = page number XX = vendor number (assigned to you by the Ohio Dept. of Taxation, Forms Unit). NOTE: The vendor number also serves as the first two digits of the SSN and FEIN fields in the test scenarios. 3) Use Arial or Courier font for the static text on the form. The static text for all target marks and header informa- tion (target marks, logo, title and 1D barcode) must match grid. Note: Courier must be used for the static tax year in the form title. 4) Use Courier, monospaced Arial, or monospaced Sans-Serif font for the variable data fields on the form. 5) Follow the grid layout for the variable data fields shown in red. Ensure that the tax year, target or reg- istration marks, “For Department Use Only” area and the 1D and 2D barcodes follow grid layout. 6) Do not use commas, hyphens or decimals in the variable data fields except where shown in specs. 7) You must include a leading zero on ratio fields. For example, if the ratio is .000026, it should display as 0.000026. 8) The possible negative fields for this return are Schedule I, lines 1, 3, 4, 5, 7, and 8 and Schedule II, lines 27, 31, 32d, 32e, 33, 35, and 36. Do not hard-code negative signs. 9) Provide guidance to customers regarding duplex printing that instructs them to print pages 1 and 2 together; pages 3 and 4 together; and pages 5 and 6 together. Taxpayers have filed returns with pages 2 and 3 duplexed or a worksheet or software receipt on the back of a page of the return. This slows the processing of the tax return. 10) Any other documentation generate the following message for customers: “Do not enclose other docu- mentation unless it is specified on the tax return or instructions.” Taxpayers often submit worksheets and receipts from the vendor product, which slows the processing of tax returns. Any other documentation generated from the software must include a 1D barcode identifying it as an additional information. The preferred placement is centered on the top edge of the page within the print area, however placement at any location on the page will be accepted. Always use the following 1D barcode (2 of 5 interleaved): 10211411 11) The 4708 Schedule VII pages 5-8 can include up to 12 investors. Generate duplicate copies of page 8 to ac- commodate any additional investors, however omit the standard 1D and 2D barcodes from the duplicate pages and include the 10211411 barcode indicated above. |
12) IMPORTANT NOTE: Add this statement to your software programs. It should print out with the taxpayer’s return. “Do not hand write in any corrections on the printed paper return. Hand writing in corrections will result in capturing incorrect data and delaying the processing of this income tax return. Make any corrections to this income tax return within [the software program name], then print and mail.” 13) For all balance due returns, generate the proper payment voucher. 14)*Important Note* Non-applicable lines must populate blank in the 2D barcode and show blank on the forms. Do not populate zero on the form or in the 2D barcode for non-applicable lines. 15) See the 2D barcode instructions for submission details. |
Additional instructions for the 2D barcode, submissions, testing and notifications Important Note It is required that vendors program the Ohio IT 4708 to include 2D barcodes. |
2022 Ohio IT 4708 Pass-Through Entity Composite Income Tax Return 2D Barcode Instructions General Information • The Ohio IT 4708 must be enabled for 2D barcode decoding • A form enabled for 2D barcode should not allow users or practitioners the option to turn off/on the 2D barcode function • The minimum error correction code level is 4 • Optimal dpi level is 300 dpi. The minimum dpi level is 200 dpi 2D Barcode Size and Placement on the Form • 2D barcode must be placed on each page of form in the designated area indicated in the grid layout • The maximum size of the 2D barcode is 3.5 inches wide by 1 inch in height and must fit within the designated space in the grid layout • 2D barcode must not be bigger than the allocated area 2D Barcode Layout • Each field in the barcode is delimited by a single carriage return • <CR> equals single carriage return character • This separates each piece of data so it may be identified and processed. • Data included in the 2D barcode can be broken down into three general sections Header Header Version Number • Static for all barcodes, value is T1 Developer Code • A four-digit vendor code identifying the software developer whose application produced the barcode Jurisdiction • Static for all barcodes, value is OH Description • A four-digit form identifier, specific to each form Spec Version • A one-digit specification version control number starting with the number zero • This number identifies the version of the specifications used to produce the form barcode Form Version • A one-digit form version control number starting with the number one (1) • This number will only be incremented when there are changes made that would affect the content of the barcode Date Generated • Included on page 1 only • Indicates date return was generated from the product Form Specific Data – Please see encoding schemas for form specific data • All fields on the form are required and must be included in the 2D barcode • Fields with values are represented by the data followed by a carriage return • Fields with no values are represented by a carriage return only; this results in two adjacent carriage returns • Note that the data format within the 2D barcode for the Weight, Ratio and Weighted Ratio differs from the print ver- sion. Do not include the decimal point in the 2D data. Trailer • The last field in the barcode data stream is the trailer • The trailer is used to indicate the end of data has been reached • A static string of *EOD* is used as the trailer value Examples of 2D Barcode data streams Header Version Number T1<CR> Developer Code 1111<CR> Jurisdiction OH<CR> Description 2216<CR> Spec Version 0<CR> Form Version 1<CR> Date Generated 011523<CR> Line Item Specific Data IN<CR> Line Item Specific Data IT40<CR> Line Item Specific Data 0<CR> Trailer *EOD* <CR> |
Submission Process • Test packets may be submitted by email to Forms@tax.state.oh.us • The email subject line must include the vendor number, product name, tax year and form number in that order e.g. 12_ ABCTax_ 22_4708 • Submissions must include • One (1) full field sample in a PDF format • Six (6) test scenarios for the Ohio IT 4708 provided by the Ohio Department of Taxation • Each test scenario must be in a separate PDF using the following naming convention: vendor number, product name, tax year, form number, test number e.g.12_ABCTax_22_4708_Test 1 • An emailed confirmation is sent to the vendor indicating the packet was received • Submissions found to be missing any of the items above are rejected Testing Process • Testing of Ohio IT 1140 bundle packets commences on October 31, 2022 • The deadline for an initial submission of Ohio IT 1140 bundle test packets is December 1, 2022 • The deadline for approval of Ohio IT 1140 bundle test packets is April 18, 2023 • Test packets are reviewed in two (2) content areas- printed forms and 2D barcode data • A submission is approved in its entirety once all sample documents pass in both areas Printed forms • Vendor full field matches template provided in the specifications • All fields are present, are formatted properly and align with grid layout • Test scenarios contain values specified by Ohio Department of Taxation 2D Barcode Data • Barcodes read as valid • All test scenarios can be decoded • 2D barcode data matches data on printed forms Additional Instructions • The static text for all target marks and header information (target marks, logo, title and 1D barcode) must match grid. • Any other documentation generated from the software must include a 1D barcode identifying it as an additional information. The preferred placement is centered on the top edge of the page within the print area, however placement at any location on the page- will be accepted. Always use the following 1D barcode (2 of 5 interleaved): 10211411 Notifications • Communications from the Ohio Department of Taxation regarding submissions are sent from Forms@tax.state.oh.us to the vendor email address(es) on file for the product • Vendor contact information may be submitted by email to the address above. • If unapproved forms are released in software packages, vendors must include a visual indicator signifying the return cannot be filed. • If unapproved forms are released in software packages, vendors must ensure that taxpayers cannot print returns contain- ing 2D barcodes. • An emailed confirmation is sent to the vendor indicating the packet was approved, at which point the product is authorized to print with a 2D barcode. • An emailed confirmation is sent to the vendor for packets that are rejected • Feedback is provided regarding the errors found • Resubmit packets must include all test scenarios and the full field return • After the third submission of test materials, the department cannot guarantee timeliness of the review • If a tax form changes before January 1, 2023 vendors will be notified and required to submit revised test packets. |
Grid layout |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 Do not staple or paper clip 4 5 2022 Ohio IT 4708 6 Rev. 07/25/22 Pass-Through Entity 7 22160110 8 Composite Income Tax Return 88 88 88 9 10 Use only black ink and UPPERCASE letters. Use whole dollars only. If the amount on a line is negative, place a “-” in the box provided. 11 Check here if federal Reporting Period Start Date X Check here if amended return X Check here if final return X 12 extension filed XX XX XX 13 14 FEIN Entity Type: S corporation Partnership Reporting Period End Date (check only one) X X 15 88 8888888 Limited liability company Other X X XX XX XX 16 17 Name of pass-through entity 18 JOHNXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 19 20 Address Check here if address changed X 21 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 22 City State ZIP code CITYXXXXXXXXXXXXXXXX 23 88888 24 OH 25 Foreign State Code Country Code Foreign country (if the mailing address is outside the U.S.) Foreign postal code 26 ABC AB ANYCOUNTRYXXXXXXXXXX AB88888 27 Number of investors Ownership percentage 28 Total number of investors included on return of investors on return Apportionment ratio, line 6 Ohio charter or license no. (if S corp) 29 888888 888888 8.8888 8.888888 88888888 30 31 Questionnaire Yes No 32 A. S Corporations: Did the S corp pay compensation to any nonresident investors or members of an investor’s family? If YES, include a list of those individuals (including SSNs) and the amount of compensation paid.. ................................................ 33 X X 34 B. Partnerships and LLCs: Did the Partnership or LLC make guaranteed payments to any nonresident investors or members 35 of an investor’s family? If YES, include a list of those individuals (with FEINs and SSNs) and the amount of guaranteed 36 payment. ................................................................................................................................................................................ X X Do not staple or paper clip. 37 38 39 Schedule I – Taxable Income, Tax, Payments and Net Amount Due Calculations 40 1. Total income (loss) (from line 36) .............................................................................................................1. - 888888888888 41 42 2. Total deductions (from line 41) .................................................................................................................2. 888888888888 43 44 3. Income to be allocated and apportioned (line 1 minus line 2) ..................................................................3. - 888888888888 45 46 4. Net allocable nonbusiness income ...............................................................................................................4. - 888888888888 47 48 - 5. Apportionable income (line 3 minus line 4) ..............................................................................................5. 888888888888 49 50 6. Ohio apportionment ratio (from line 45) ...................................................................................................6. 8.888888 51 52 7. Income apportioned to Ohio (line 5 times line 6) ......................................................................................7. - 888888888888 53 54 8. Net nonbusiness income allocated to Ohio and gain (loss) apportioned to Ohio per R.C. section 5747.212. (Include explanation and supporting schedules.) .........................................8. - 888888888888 55 56 9. Ohio taxable income (add lines 7 and 8, if negative, enter zero) .............................................................9. 888888888888 57 58 59 60 Software vendors: Place 2D barcode in this location MM DD YY CODE 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 1 of 8 64 65 66 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 4 5 2022 IT 4708 6 Rev. 07/25/22 7 FEIN 22160210 8 88 8888888 9 Schedule I – Taxable Income, Tax, Payments and Net Amount Due Calculations...cont. 10 10. Tax liability before credits (see instructions for tax rate) ..................................................................... 10. 888888888888 11 12 11. Nonrefundable business credits (include Schedule E) ......................................................................... 11. 13 888888888888 14 12. Tax liability after nonrefundable business credits. (Line 10 minus line 11. If negative, enter zero) ..............12. 15 888888888888 16 13. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210) ................................... 13. 888888888888 17 18 14. Ohio IT 4708 estimated (UPC/electronic) payments for the taxable year ............................................ 14. 888888888888 19 15. Ohio IT 1140 estimated (UPC/electronic) payments, IT 4738 estimated (UPC/electronic) payments 20 and prior year IT 1140 overpayment claimed on this return (see instructions)..................................... 15. 888888888888 21 16. Ohio IT 4708 estimated (UPC/electronic) payments claimed on an IT 1140 instead of this 22 return (see instructions if amending) .................................................................................................... 16. 888888888888 23 24 17. Total net Ohio estimated tax payments for 2022 (sum of lines 14 and 15 minus line 16) .................... 17. 888888888888 25 26 18. Prior year IT 4708 overpayment credited to 2022 (see 2021 Ohio IT 4708, line 22) ............................ 18. 888888888888 27 19. Total refundable business credits (from line 52) ................................................................................... 19. 888888888888 28 29 20. Total Ohio tax payments (add lines 17, 18 and 19) .............................................................................. 20. 888888888888 30 21. Overpayment (line 20 minus sum of lines 12 and 13; If negative, enter zero) ..................................... 21. 888888888888 31 If line 21 is a positive amount, continue to line 22. OTHERWISE, continue to line 24. 32 22. Amount of line 21 to be CREDITED toward next year’s liability 33 (if this is an amended return, enter zero) ............................................... CREDIT CARRYFORWARD 22. 888888888888 34 23. Amount of line 21 to be REFUNDED (line 21 minus line 22)................................................ REFUND 23. 35 888888888888 36 24. Net amount due (sum of lines 12 and 13 minus line 20, if negative, enter zero) ..........................................24. 888888888888 37 38 25. Interest due on late payment of tax (see instructions) ......................................................................... 25. 888888888888 39 26. Total amount due (add lines 24 and 25). Make check payable to Ohio Treasurer of State, 40 include Ohio IT 4708 UPC and write FEIN on check ............................................. AMOUNT DUE26. 888888888888 41 42 If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary. 43 44 Sign Here (required): I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the return and all enclosures are true, correct and complete. Do not staple or paper clip. 45 Place any supporting documents, including 46 Ohio IT K-1s, after the last page of this return. 47 Pass-through entity officer or agent (print) 48 49 Title of officer or agent (print) Phone number Mail to: 50 Ohio Dept. of Taxation 51 Signature of pass-through entity officer or agent Date (MM/DD/YY) P.O. Box 181140 52 Columbus, OH 43218-1140 Preparer’s name (print) Phone number 53 54 Preparer’s e-mail address PTIN P 88888888 Instructions for this form are 55 available at tax.ohio.gov 56 Check here if you authorize your preparer to contact us regarding this return. X 57 58 59 60 Software vendors: Place 2D barcode in this location 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 2 of 8 64 65 66 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 4 5 2022 IT 4708 6 Rev. 07/25/22 7 22160310 8 FEIN 9 88 8888888 10 11 12 Schedule II – Income and Adjustments 13 14 Amounts reflected in Schedule II and Schedule III are the combined amounts from the federal Schedule K-1s for the taxable year for only those investors who 15 are participating in the filing of this return. Include with this return a copy of the applicable federal 1120S or 1065 and K-1s of participating investors. 16 17 27. Ordinary business income (loss) ......................................................................................................27. - 888888888888 18 19 28. Related member adjustments for expenses or losses incurred by the taxpayer ...........................................28. 888888888888 20 21 29. Guaranteed payments that the pass-through entity made to each investor participating in the filing of this return if such investor directly or indirectly owns at least 20% of the 22 pass-through entity ...........................................................................................................................29. 888888888888 23 24 30. Compensation that the pass-through entity paid to each investor participating in the filing 25 of this return if such investor directly or indirectly owns at least 20% of the pass-through entity. Reciprocity agreements do not apply ...............................................................................................30. 26 888888888888 27 31. Net income (loss) from rental activities other than amount shown on line 27 .................................. 31. - 888888888888 28 29 32a Interest income ............................................................................................................................. 32a. 888888888888 30 31 32b Dividends ......................................................................................................................................32b. 888888888888 32 33 32c Royalties ........................................................................................................................................ 32c. 888888888888 34 35 32d Net short-term capital gain (loss)...................................................................................................32d. - 888888888888 36 37 32e Net long-term capital gain (loss). Exclude from this line any capital loss carryforward 38 amount. Note: If adding lines 32d and 32e results in a net loss, the net allowable loss 39 for the sum of these two lines cannot exceed the product of $3,000 and the number of participating investors included in this return .................................................................................32e. 40 - 888888888888 41 32f Reserved .........................................................................................................................................32f. 42 43 33. Net gain (loss) under IRC §1231 ......................................................................................................33. - 888888888888 44 45 34. IRC §168(k) bonus depreciation and §179 expense add-back. Complete Schedule VI .................. 34. 888888888888 46 47 X 2/3 X 5/6 X 6/6 (check applicable box) 48 49 35. Other income or deduction and federal conformity additions (include explanation and supporting schedule) ........................................................................................................................35. - 888888888888 50 51 36. Total income (loss)(add lines 27-35; enter here and on line 1) .........................................................36. - 888888888888 52 53 54 55 56 57 58 59 60 Software vendors: Place 2D barcode in this location 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 3 of 8 64 65 66 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 4 5 2022 IT 4708 6 Rev. 07/25/22 7 22160410 8 FEIN 9 88 8888888 10 11 12 Schedule III – Deductions 13 List only those deductions that have not already been used to reduce any income items included on Schedule II. 14 37. IRC §179 expense not deducted in calculating line 27 ........................................................................... 37. 888888888888 15 16 38. Deduction of prior year IRC §168(k) bonus depreciation and §179 expense add-backs (complete Schedule VI) .....38. 888888888888 17 18 39. Net federal interest/dividends exempt from state taxation & federal conformity adjustments ................. 39. 888888888888 19 20 40. Exempt gains from the sale of Ohio state or local government bonds .................................................... 40. 888888888888 21 22 41. Total deductions (add lines 37-40; enter here and on line 2) .................................................................. 41. 888888888888 23 24 25 26 Schedule IV – Apportionment Worksheet 27 Use this schedule to calculate the apportionment ratio for a pass-through entity that is not a financial institution. Financial institutions should refer 28 to page 14 of the instructions. Note: Carry all ratios to six decimal places. 29 30 42. Property Within Ohio Total Everywhere 31 a) Owned (original cost) 888888888888 888888888888 32 33 Within Ohio Total Everywhere 34 b) Rented (annual rental X 8) 888888888888 888888888888 35 36 Within Ohio Total Everywhere 37 c) Total (lines 42a and 42b) 888888888888 ÷ 888888888888 38 Ratio Weight Weighted Ratio 39 x = 40 = 8.888888 8.88 8.888888 41 Within Ohio Total Everywhere 42 43. Payroll 888888888888 ÷ 888888888888 43 Ratio Weight Weighted Ratio 44 x 45 = 8.888888 8.88 8.888888 46 Within Ohio Total Everywhere 47 44. Sales 888888888888 ÷ 888888888888 48 Ratio Weight Weighted Ratio 49 x = 50 = 8.888888 8.88 8.888888 51 52 45. Ohio apportionment ratio (add lines 42c, 43 and 44). Enter ratio here and on line 6 ......................................45. 8.888888 53 54 Note: If the “Total Everywhere” of any factor is zero, the weight given to the other factors must be proportionately increased so that the total weight given to the combined number of factors used is 100%, i.e., if no property/payroll, use 25% and 75%; if no sales, use 50% property/payroll; if only one 55 factor, use 100%. 56 57 58 59 60 Software vendors: Place 2D barcode in this location 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 4 of 8 64 65 66 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 4 5 2022 IT 4708 6 Rev. 07/25/22 7 22160510 8 FEIN 9 88 8888888 10 11 12 Schedule V – Refundable Business Credits 13 Note: Certificates from the Ohio Department of Development and/or Ohio IT K-1s must be included to verify each refundable credit claimed. 14 15 46. Refundable Ohio historic preservation credit (include a copy of the credit certificate) ............................46. 888888888888 16 17 47. Refundable job creation credit and job retention credit (include a copy of the credit certificate) ............47. 888888888888 18 19 48. Pass-through entity credit (include a copy of the Ohio IT K-1) ................................................................48. 888888888888 20 21 49. Venture capital credit (include a copy of the credit certificate) ................................................................49. 888888888888 22 23 50. Motion picture / Broadway theatrical production credit (include a copy of the credit certificate) .............50. 888888888888 24 25 51. Reserved ................................................................................................................................................. 51. 26 27 52. Total refundable business credits (add lines 46-50; enter here and on line 19) ...................................... 52. 888888888888 28 29 Schedule VI – IRC § 168K Bonus Depreciation and § 179 Expense Add-back Schedule 30 Check the box if partial or full depreciation add-back has been waived. X 31 53. Current year IRC §168(k) bonus depreciation and §179 expense add-back ..........................................53. 888888888888 32 54. Prior years add-back amount and applicable add-back ratio 33 Column (A) – Amount Column (B) – Ratio 34 54a. Year Prior.................................. 888888888888 X 2/3 X 5/6 X6/6 35 36 54b. 2 Years Prior ............................. 888888888888 X 2/3 X 5/6 X6/6 37 38 54c. 3 Years Prior ............................. 888888888888 X 2/3 X 5/6 X6/6 39 40 54d. 4 Years Prior ............................. 888888888888 X 2/3 X 5/6 X6/6 41 42 54e. 5 Years Prior .............................. 888888888888 X 2/3 X 5/6 X6/6 43 44 Schedule VII – Investor Information 45 First list the investors whose income is included on this return in order from highest to lowest ownership percentage. Then list all remaining investors from 46 highest to lowest ownership percentage. Use an additional sheet, if necessary. 47 Check here if the investor is included on the return. X 48 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 49 888 88 8888 88 8888888 8.8888 888888888 50 First name/entity M.I. Last name 51 PUBLICXXXXXXXXXXXXXX JOHNXXXXXXXXXXX Q 52 Address 53 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 54 City State ZIP code 55 88888 CITYXXXXXXXXXXXXXXXX 56 OH 57 58 59 60 Software vendors: Place 2D barcode in this location 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 5 of 8 64 65 66 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 4 5 2022 IT 4708 6 Rev. 07/25/22 7 22160610 FEIN 8 9 88 8888888 10 Schedule VII – Investor Information...cont. 11 12 Check here if the investor is included on the return. X 13 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 14 888 88 8888 88 8888888 8.8888 888888888 15 First name/entity M.I. Last name 16 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 17 Address 18 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 19 City State ZIP code 20 21 CITYXXXXXXXXXXXXXXXX OH 88888 22 23 Check here if the investor is included on the return. X 24 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 25 888 88 8888 88 8888888 8.8888 888888888 26 First name/entity M.I. Last name 27 PUBLICXXXXXXXXXXXXXX JOHNXXXXXXXXXXX Q 28 Address 29 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 30 City State ZIP code 31 88888 CITYXXXXXXXXXXXXXXXX OH 32 33 34 Check here if the investor is included on the return. X 35 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 36 888 88 8888 88 8888888 8.8888 888888888 37 First name/entity M.I. Last name 38 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 39 Address 40 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 41 City State ZIP code 42 43 CITYXXXXXXXXXXXXXXXX OH 88888 44 45 Check here if the investor is included on the return. X 46 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 47 888 88 8888 88 8888888 8.8888 888888888 48 First name/entity M.I. Last name 49 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 50 Address 51 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 52 City State ZIP code 53 54 CITYXXXXXXXXXXXXXXXX OH 88888 55 56 57 58 59 60 Software vendors: Place 2D barcode in this location 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 6 of 8 64 65 66 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 4 5 2022 IT 4708 6 Rev. 07/25/22 7 22160710 FEIN 8 9 88 8888888 10 Schedule VII – Investor Information...cont. 11 12 Check here if the investor is included on the return. X 13 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 14 888 88 8888 88 8888888 8.8888 888888888 15 First name/entity M.I. Last name 16 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 17 Address 18 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 19 City State ZIP code 20 21 CITYXXXXXXXXXXXXXXXX OH 88888 22 23 Check here if the investor is included on the return. X 24 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 25 888 88 8888 88 8888888 8.8888 888888888 26 First name/entity M.I. Last name 27 PUBLICXXXXXXXXXXXXXX JOHNXXXXXXXXXXX Q 28 Address 29 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 30 City State ZIP code 31 88888 CITYXXXXXXXXXXXXXXXX OH 32 33 34 Check here if the investor is included on the return. X 35 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 36 888 88 8888 88 8888888 8.8888 888888888 37 First name/entity M.I. Last name 38 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 39 Address 40 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 41 City State ZIP code 42 43 CITYXXXXXXXXXXXXXXXX OH 88888 44 45 Check here if the investor is included on the return. X 46 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 47 888 88 8888 88 8888888 8.8888 888888888 48 First name/entity M.I. Last name 49 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 50 Address 51 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 52 City State ZIP code 53 54 CITYXXXXXXXXXXXXXXXX OH 88888 55 56 57 58 59 60 Software vendors: Place 2D barcode in this location 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 7 of 8 64 65 66 |
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 2 3 4 5 2022 IT 4708 6 Rev. 07/25/22 7 22160810 FEIN 8 9 88 8888888 10 Schedule VII – Investor Information...cont. 11 12 Check here if the investor is included on the return. X 13 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 14 888 88 8888 88 8888888 8.8888 888888888 15 First name/entity M.I. Last name 16 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 17 Address 18 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 19 City State ZIP code 20 21 CITYXXXXXXXXXXXXXXXX OH 88888 22 23 Check here if the investor is included on the return. X 24 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 25 888 88 8888 88 8888888 8.8888 888888888 26 First name/entity M.I. Last name 27 PUBLICXXXXXXXXXXXXXX JOHNXXXXXXXXXXX Q 28 Address 29 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 30 City State ZIP code 31 88888 CITYXXXXXXXXXXXXXXXX OH 32 33 34 Check here if the investor is included on the return. X 35 SSN FEIN Percent of ownership Share of PTE tax (tax credit) 36 888 88 8888 88 8888888 8.8888 888888888 37 First name/entity M.I. Last name 38 JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX 39 Address 40 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX 41 City State ZIP code 42 43 CITYXXXXXXXXXXXXXXXX OH 88888 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Software vendors: Place 2D barcode in this location 61 Do not place a box around the 2D barcode. The box 62 is only here for placement purposes. 63 2022 IT 4708 – pg. 8 of 8 64 65 66 |
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Do not staple or paper clip 2022 Ohio IT 4708 Rev. 07/25/22 Pass-Through Entity 22160110 88 88 88 Composite Income Tax Return Use only black ink and UPPERCASE letters. Use whole dollars only. If the amount on a line is negative, place a “-” in the box provided. Check here if federal Reporting Period Start Date X Check here if amended return X Check here if final return X extension filed XX XX XX FEIN Entity Type: S corporation Partnership Reporting Period End Date (check only one) X X 88 8888888 X Limited liability company X Other XX XX XX Name of pass-through entity JOHNXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Address Check here if address changed X 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Foreign State Code Country Code Foreign country (if the mailing address is outside the U.S.) Foreign postal code ABC AB ANYCOUNTRYXXXXXXXXXX AB88888 Number of investors Ownership percentage Total number of investors included on return of investors on return Apportionment ratio, line 6 Ohio charter or license no. (if S corp) 888888 888888 8.8888 8.888888 88888888 Questionnaire Yes No A. S Corporations: Did the S corp pay compensation to any nonresident investors or members of an investor’s family? If YES, include a list of those individuals (including SSNs) and the amount of compensation paid.. ................................................ X X B. Partnerships and LLCs: Did the Partnership or LLC make guaranteed payments to any nonresident investors or members of an investor’s family? If YES, include a list of those individuals (with FEINs and SSNs) and the amount of guaranteed payment. ................................................................................................................................................................................ X X Do not staple or paper clip. Schedule I – Taxable Income, Tax, Payments and Net Amount Due Calculations 1. Total income (loss) (from line 36) .............................................................................................................1. - 888888888888 2. Total deductions (from line 41) .................................................................................................................2. 888888888888 3. Income to be allocated and apportioned (line 1 minus line 2) ..................................................................3. - 888888888888 4. Net allocable nonbusiness income ...............................................................................................................4. - 888888888888 5. Apportionable income (line 3 minus line 4) ..............................................................................................5. - 888888888888 6. Ohio apportionment ratio (from line 45) ...................................................................................................6. 8.888888 7. Income apportioned to Ohio (line 5 times line 6) ......................................................................................7. - 888888888888 8. Net nonbusiness income allocated to Ohio and gain (loss) apportioned to Ohio per R.C. section 5747.212. (Include explanation and supporting schedules.) .........................................8. - 888888888888 9. Ohio taxable income (add lines 7 and 8, if negative, enter zero) .............................................................9. 888888888888 Software vendors: Place 2D barcode in this location MM DD YY CODE Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 1 of 8 |
2022 IT 4708 Rev. 07/25/22 FEIN 22160210 88 8888888 Schedule I – Taxable Income, Tax, Payments and Net Amount Due Calculations...cont. 10. Tax liability before credits (see instructions for tax rate) ..................................................................... 10. 888888888888 11. Nonrefundable business credits (include Schedule E) ......................................................................... 11. 888888888888 12. Tax liability after nonrefundable business credits. (Line 10 minus line 11. If negative, enter zero) ..............12. 888888888888 13. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210) ................................... 13. 888888888888 14. Ohio IT 4708 estimated (UPC/electronic) payments for the taxable year ............................................ 14. 888888888888 15. Ohio IT 1140 estimated (UPC/electronic) payments, IT 4738 estimated (UPC/electronic) payments and prior year IT 1140 overpayment claimed on this return (see instructions)..................................... 15. 888888888888 16. Ohio IT 4708 estimated (UPC/electronic) payments claimed on an IT 1140 instead of this return (see instructions if amending) .................................................................................................... 16. 888888888888 17. Total net Ohio estimated tax payments for 2022 (sum of lines 14 and 15 minus line 16) .................... 17. 888888888888 18. Prior year IT 4708 overpayment credited to 2022 (see 2021 Ohio IT 4708, line 22) ............................ 18. 888888888888 19. Total refundable business credits (from line 52) ................................................................................... 19. 888888888888 20. Total Ohio tax payments (add lines 17, 18 and 19) .............................................................................. 20. 888888888888 21. Overpayment (line 20 minus sum of lines 12 and 13; If negative, enter zero) ..................................... 21. 888888888888 If line 21 is a positive amount, continue to line 22. OTHERWISE, continue to line 24. 22. Amount of line 21 to be CREDITED toward next year’s liability (if this is an amended return, enter zero) ............................................... CREDIT CARRYFORWARD 22. 888888888888 23. Amount of line 21 to be REFUNDED (line 21 minus line 22)................................................ REFUND 23. 888888888888 24. Net amount due (sum of lines 12 and 13 minus line 20, if negative, enter zero) ..........................................24. 888888888888 25. Interest due on late payment of tax (see instructions) ......................................................................... 25. 888888888888 26. Total amount due (add lines 24 and 25). Make check payable to Ohio Treasurer of State, include Ohio IT 4708 UPC and write FEIN on check ............................................. AMOUNT DUE26. 888888888888 If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary. Sign Here (required): I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the return and all enclosures are true, correct and complete. Do not staple or paper clip. Place any supporting documents, including Ohio IT K-1s, after the last page of this return. Pass-through entity officer or agent (print) Title of officer or agent (print) Phone number Mail to: Ohio Dept. of Taxation Signature of pass-through entity officer or agent Date (MM/DD/YY) P.O. Box 181140 Columbus, OH 43218-1140 Preparer’s name (print) Phone number Preparer’s e-mail address PTIN P 88888888 Instructions for this form are available at tax.ohio.gov Check here if you authorize your preparer to contact us regarding this return. X Software vendors: Place 2D barcode in this location Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 2 of 8 |
2022 IT 4708 Rev. 07/25/22 22160310 FEIN 88 8888888 Schedule II – Income and Adjustments Amounts reflected in Schedule II and Schedule III are the combined amounts from the federal Schedule K-1s for the taxable year for only those investors who are participating in the filing of this return. Include with this return a copy of the applicable federal 1120S or 1065 and K-1s of participating investors. 27. Ordinary business income (loss) ......................................................................................................27. - 888888888888 28. Related member adjustments for expenses or losses incurred by the taxpayer ...........................................28. 888888888888 29. Guaranteed payments that the pass-through entity made to each investor participating in the filing of this return if such investor directly or indirectly owns at least 20% of the pass-through entity ...........................................................................................................................29. 888888888888 30. Compensation that the pass-through entity paid to each investor participating in the filing of this return if such investor directly or indirectly owns at least 20% of the pass-through entity. Reciprocity agreements do not apply ...............................................................................................30. 888888888888 31. Net income (loss) from rental activities other than amount shown on line 27 .................................. 31. - 888888888888 32a Interest income ............................................................................................................................. 32a. 888888888888 32b Dividends ......................................................................................................................................32b. 888888888888 32c Royalties ........................................................................................................................................ 32c. 888888888888 32d Net short-term capital gain (loss)...................................................................................................32d. - 888888888888 32e Net long-term capital gain (loss). Exclude from this line any capital loss carryforward amount. Note: If adding lines 32d and 32e results in a net loss, the net allowable loss for the sum of these two lines cannot exceed the product of $3,000 and the number of participating investors included in this return .................................................................................32e. - 888888888888 32f Reserved .........................................................................................................................................32f. 33. Net gain (loss) under IRC §1231 ......................................................................................................33. - 888888888888 34. IRC §168(k) bonus depreciation and §179 expense add-back. Complete Schedule VI .................. 34. 888888888888 X 2/3 X 5/6 X 6/6 (check applicable box) 35. Other income or deduction and federal conformity additions (include explanation and supporting schedule) ........................................................................................................................35. - 888888888888 36. Total income (loss)(add lines 27-35; enter here and on line 1) .........................................................36. - 888888888888 Software vendors: Place 2D barcode in this location Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 3 of 8 |
2022 IT 4708 Rev. 07/25/22 22160410 FEIN 88 8888888 Schedule III – Deductions List only those deductions that have not already been used to reduce any income items included on Schedule II. 37. IRC §179 expense not deducted in calculating line 27 ........................................................................... 37. 888888888888 38. Deduction of prior year IRC §168(k) bonus depreciation and §179 expense add-backs (complete Schedule VI) .....38. 888888888888 39. Net federal interest/dividends exempt from state taxation & federal conformity adjustments ................. 39. 888888888888 40. Exempt gains from the sale of Ohio state or local government bonds .................................................... 40. 888888888888 41. Total deductions (add lines 37-40; enter here and on line 2) .................................................................. 41. 888888888888 Schedule IV – Apportionment Worksheet Use this schedule to calculate the apportionment ratio for a pass-through entity that is not a financial institution. Financial institutions should refer to page 14 of the instructions. Note: Carry all ratios to six decimal places. 42. Property Within Ohio Total Everywhere a) Owned (original cost) 888888888888 888888888888 Within Ohio Total Everywhere b) Rented (annual rental X 8) 888888888888 888888888888 Within Ohio Total Everywhere c) Total (lines 42a and 42b) 888888888888 ÷ 888888888888 Ratio Weight Weighted Ratio = 8.888888 x 8.88 = 8.888888 Within Ohio Total Everywhere 43. Payroll 888888888888 ÷ 888888888888 Weight Ratio Weighted Ratio = 8.888888 x 8.88 8.888888 Within Ohio Total Everywhere 44. Sales 888888888888 ÷ 888888888888 Ratio Weight Weighted Ratio = 8.888888 x 8.88 = 8.888888 45. Ohio apportionment ratio (add lines 42c, 43 and 44). Enter ratio here and on line 6 ......................................45. 8.888888 Note: If the “Total Everywhere” of any factor is zero, the weight given to the other factors must be proportionately increased so that the total weight given to the combined number of factors used is 100%, i.e., if no property/payroll, use 25% and 75%; if no sales, use 50% property/payroll; if only one factor, use 100%. Software vendors: Place 2D barcode in this location Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 4 of 8 |
2022 IT 4708 Rev. 07/25/22 22160510 FEIN 88 8888888 Schedule V – Refundable Business Credits Note: Certificates from the Ohio Department of Development and/or Ohio IT K-1s must be included to verify each refundable credit claimed. 46. Refundable Ohio historic preservation credit (include a copy of the credit certificate) ............................46. 888888888888 47. Refundable job creation credit and job retention credit (include a copy of the credit certificate) ............47. 888888888888 48. Pass-through entity credit (include a copy of the Ohio IT K-1) ................................................................48. 888888888888 49. Venture capital credit (include a copy of the credit certificate) ................................................................49. 888888888888 50. Motion picture / Broadway theatrical production credit (include a copy of the credit certificate) .............50. 888888888888 51. Reserved ................................................................................................................................................. 51. 52. Total refundable business credits (add lines 46-50; enter here and on line 19) ...................................... 52. 888888888888 Schedule VI – IRC § 168K Bonus Depreciation and § 179 Expense Add-back Schedule Check the box if partial or full depreciation add-back has been waived. X 53. Current year IRC §168(k) bonus depreciation and §179 expense add-back ..........................................53. 888888888888 54. Prior years add-back amount and applicable add-back ratio Column (A) – Amount Column (B) – Ratio 54a. Year Prior.................................. 888888888888 X 2/3 X 5/6 X6/6 54b. 2 Years Prior ............................. 888888888888 X 2/3 X 5/6 X6/6 54c. 3 Years Prior ............................. 888888888888 X 2/3 X 5/6 X6/6 54d. 4 Years Prior ............................. 888888888888 X 2/3 X 5/6 X6/6 54e. 5 Years Prior .............................. 888888888888 X 2/3 X 5/6 X6/6 Schedule VII – Investor Information First list the investors whose income is included on this return in order from highest to lowest ownership percentage. Then list all remaining investors from highest to lowest ownership percentage. Use an additional sheet, if necessary. Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Software vendors: Place 2D barcode in this location Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 5 of 8 |
2022 IT 4708 Rev. 07/25/22 22160610 FEIN 88 8888888 Schedule VII – Investor Information...cont. Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Software vendors: Place 2D barcode in this location Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 6 of 8 |
2022 IT 4708 Rev. 07/25/22 22160710 FEIN 88 8888888 Schedule VII – Investor Information...cont. Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Software vendors: Place 2D barcode in this location Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 7 of 8 |
2022 IT 4708 Rev. 07/25/22 22160810 FEIN 88 8888888 Schedule VII – Investor Information...cont. Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Check here if the investor is included on the return. X SSN FEIN Percent of ownership Share of PTE tax (tax credit) 888 88 8888 88 8888888 8.8888 888888888 First name/entity M.I. Last name JOHNXXXXXXXXXXX Q PUBLICXXXXXXXXXXXXXX Address 8888 CHERRY LANEXXXXXXXXXXXXXXXXXXX City State ZIP code CITYXXXXXXXXXXXXXXXX OH 88888 Software vendors: Place 2D barcode in this location Do not place a box around the 2D barcode. The box is only here for placement purposes. 2022 IT 4708 – pg. 8 of 8 |