PDF document
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                                             10/7/16

2D Schema, Test 

Scenarios and Instructions 

2016 Ohio IT 
                           4708

Important Note

New for Tax Year 2016- It is now required that vendors program the 
Ohio IT 4708 to include 2D barcodes. This document contains the 
schema,  test  scenarios  and  instructions  needed  to  assist  vendors 
with this new requirement. 

                           Ohio Department of Taxation

                           4485 Northland Ridge Blvd.

                           Columbus, OH 43229

                           tax.ohio.gov



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                    2016 Ohio IT 4708  

Pass-Thru Entity Composite Income Tax Return 

                   2D Barcode Instructions 

General Information 
 The Ohio 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
 Products must not print a 2D barcode prior to being approved in Ohio

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
  o    <CR> equals single carriage return character
  o    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 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

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       Note that the data format within the 2D barcode for the Weight, Ratio, Weighted Ratio
        and Percent of Ownership differs from the print version. Do not include the decimal
        point in the 2D data.
       Schedule VI has six available investor lines. Generate duplicate copies of page 6 to
        accommodate any additional investors, however omit both the 1D and 2D barcodes
        from the duplicate pages.

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                    1616<CR> 
  Spec Version                   0<CR> 
  Form Version                   1<CR> 
  Date Generated                 011516<CR> 
  Line Item Specific Data        IN<CR>   
  Line Item Specific Data        IT40<CR> 
  Line Item Specific Data        0<CR> 
  Trailer                        *EOD* <CR>

Submission Process 
 The deadline for submitting Ohio 4708 test packets is November 18, 2016
 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_ 16_4708
 Submissions must include
       Ohio form STF- Approval Request for Scannable Tax Forms
       One (1) full field sample in a PDF format
       Six (6) test scenarios for the 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_16_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 4708 packets commences on November 14, 2016
 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

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2D Barcode Data 
      Barcodes read as valid
      All test scenarios can be decoded
      2D Barcode data matches data on printed forms

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 is compiled from STF- Approval Request for Scannable Tax
  Forms but may also 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 containing 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, 2017 vendors will be notified and required to
  submit revised test packets.

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                                             Ohio Department of Taxation
                                             2016 4708 2D Barcode Schema

     RATIO LINES & % OWNERSHIP LINES : Send as whole 
     number. First digit is the whole number, the decimal 
     point is interpreted internally and starting from 2nd digit                   General Fields
     to end of data is the decimal portion of the ratio.                           Demographic Fields
     Ex.:  0.092461 should be -----> 0092461                                       Line Item Fields

Item Page           Field Name\Line Item                         Max                               Field Format
No.                                                              Char
1    N/A    header_version_number                                2   Always T1 
2    N/A    developer_code                                       4   Vendor’s NACTP code 
3    N/A    jurisdiction                                         2   Always: OH 
4    N/A    description                                          4   Form code: 1616
5    N/A    spec version                                         1   At this time: 0 
6    N/A    form version                                         1   At this time: 1 
7    N/A    Date_Generated                                       6   Numeric ; MMDDYY format
8    Page 1 amended return                                       1   Numeric; 1 = Amended, 0 = Original
9    Page 1 Final return                                         1   Numeric; 1 = Final, 0 = Regular
10   Page 1 Month                                                2   Numeric
11   Page 1 Year                                                 4   Numeric: 2016
12   Page 1 FEIN                                                 9   Numeric
13   Page 1 S-Corp                                               1   Numeric; 1 = S-Corp, 0 = Not S-Corp
14   Page 1 LLC                                                  1   Numeric; 1 = LLC, 0 = Not LLC
15   Page 1 Partnership                                          1   Numeric; 1 = Partnership, 0 = Not Partnership
16   Page 1 Other                                                1   Numeric; 1 = Other, 0 = Not Other
17   Page 1 Name                                                 35  Alpha-Numeric
18   Page 1 Address                                              35  Alpha-Numeric
19   Page 1 City                                                 20  Alpha
20   Page 1 State                                                2   Alpha
21   Page 1 ZipCode                                              5   Numeric
22   Page 1 Number of Investors                                  6   Numeric
23   Page 1 Apportionment Ratio                                  7   Numeric ; Whole number, no decimal point.
24   Page 1 Questionnaire_LineA_Yes                              1   Numeric; 1 = Yes, 0 = Not Yes
25   Page 1 Questionnaire_LineA_No                               1   Numeric; 1 = No, 0 = Not No
26   Page 1 Questionnaire_LineA_N/A                              1   Numeric; 1 = N/A, 0 = Not N /A
27   Page 1 Questionnaire_LineB_Yes                              1   Numeric; 1 = Yes, 0 = Not Yes
28   Page 1 Questionnaire_LineB_No                               1   Numeric; 1 = No, 0 = Not No
29   Page 1 Questionnaire_LineB_N/A                              1   Numeric; 1 = N/A, 0 = Not N/A
30   Page 1 Sch_I_Line1_Negative_Indicator                       1   Numeric; 1 - Negative, 0 - Positive
31   Page 1 Sch_I_Line_1                                         10  Numeric; do not put ‘– ‘ negative sign in front of the data
32   Page 1 Sch_I_Line_2                                         10  Numeric
33   Page 1 Sch_I_Line3_Negative_Indicator                       1   Numeric; 1 - Negative, 0 - Positive
34   Page 1 Sch_I_Line_3                                         10  Numeric; do not put ‘– ‘ negative sign in front of the data
35   Page 1 Sch_I_Line4_Negative_Indicator                       1   Numeric; 1 - Negative, 0 - Positive
36   Page 1 Sch_I_Line_4                                         9   Numeric; do not put ‘– ‘ negative sign in front of the data
37   Page 1 Sch_I_Line5_Negative_Indicator                       1   Numeric; 1 - Negative, 0 - Positive
38   Page 1 Sch_I_Line_5                                         9   Numeric; do not put ‘– ‘ negative sign in front of the data
39   Page 1 Sch_I_Line_6                                         7   Numeric; Send as a 7 digit whole number, no decimal point.
40   Page 1 Sch_I_Line7_Negative_Indicator                       1   Numeric; 1 - Negative, 0 - Positive
41   Page 1 Sch_I_Line_7                                         9   Numeric; do not put ‘– ‘ negative sign in front of the data
42   Page 1 Sch_I_Line8_Negative_Indicator                       1   Numeric; 1 - Negative, 0 - Positive
43   Page 1 Sch_I_Line_8                                         9   Numeric; do not put ‘– ‘ negative sign in front of the data
44   Page 1 Sch_I_Line_9                                         9   Numeric
45   Page 1 Sch_I_Line_10                                        9   Numeric
46   Page 1 Sch_I_Line_11                                        9   Numeric
47   Page 1 Sch_I_Line_12                                        9   Numeric
48   N/A    trailer                                              5   Always *EOD* 
                                Total Bytes/Characters           277

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                                  Ohio Department of Taxation
                                  2016 4708 2D Barcode Schema

Item Page           Field Name\Line Item          Max                     Field Format
No.                                               Char
1    N/A    header_version_number                 2   Always T1 
2    N/A    developer_code                        4   Vendor’s NACTP code 
3    N/A    jurisdiction                          2   Always: OH 
4    N/A    description                           4   Form code: 1616
5    N/A    spec version                          1   At this time: 0 
6    N/A    form version                          1   At this time: 1 
7    Page 2 FEIN                                  9   Numeric
8    Page 2 Sch_I_Line_13                         9   Numeric
9    Page 2 Sch_I_Line_14                         9   Numeric
10   Page 2 Sch_I_Line_15                         9   Numeric
11   Page 2 Sch_I_Line_16                         9   Numeric
12   Page 2 Sch_I_Line_17                         9   Numeric
13   Page 2 Sch_I_Line_18                         9   Numeric
14   Page 2 Sch_I_Line_19                         9   Numeric
15   Page 2 Sch_I_Line_20                         9   Numeric
16   Page 2 Sch_I_Line_21                         9   Numeric
17   Page 2 Sch_I_Line_22                         9   Numeric
18   Page 2 Sch_I_Line_23                         9   Numeric
19   Page 2 Sch_I_Line_24                         9   Numeric
20   Page 2 Sch_I_Line_25                         9   Numeric
21   Page 2 Sch_I_Line_26                         9   Numeric
22   N/A    trailer                               5   Always *EOD* 
                           Total Bytes/Characters 154

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                                  Ohio Department of Taxation
                                  2016 4708 2D Barcode Schema

Item Page           Field Name\Line Item           Max                     Field Format
No.                                                Char
1    N/A    header_version_number                  2   Always T1 
2    N/A    developer_code                         4   Vendor’s NACTP code 
3    N/A    jurisdiction                           2   Always: OH 
4    N/A    description                            4   Form code: 1616
5    N/A    spec version                           1   At this time: 0 
6    N/A    form version                           1   At this time: 1 
7    Page 3 FEIN                                   9   Numeric
8    Page 3 Sch_II_Line27_Negative_Indicator       1   Numeric; 1 - Negative, 0 - Positive
9    Page 3 Sch_II_Line_27                         10  Numeric
10   Page 3 Sch_II_Line28_Negative_Indicator       1   Numeric; 1 - Negative, 0 - Positive
11   Page 3 Sch_II_Line_28                         9   Numeric
12   Page 3 Sch_II_Line_29                         9   Numeric
13   Page 3 Sch_II_Line_30                         9   Numeric
14   Page 3 Sch_II_Line31_Negative_Indicator       1   Numeric; 1 - Negative, 0 - Positive
15   Page 3 Sch_II_Line_31                         10  Numeric
16   Page 3 Sch_II_Line_32A                        10  Numeric
17   Page 3 Sch_II_Line_32B                        10  Numeric
18   Page 3 Sch_II_Line_32C                        10  Numeric
19   Page 3 Sch_II_Line32D_Negative_Indicator      1   Numeric; 1 - Negative, 0 - Positive
20   Page 3 Sch_II_Line_32D                        10  Numeric
21   Page 3 Sch_II_Line32E_Negative_Indicator      1   Numeric; 1 - Negative, 0 - Positive
22   Page 3 Sch_II_Line_32E                        10  Numeric
23   Page 3 Sch_II_Line32F_Negative_Indicator      1   Numeric; 1 - Negative, 0 - Positive
24   Page 3 Sch_II_Line_32F                        10  Numeric
25   Page 3 Sch_II_Line33_Negative_Indicator       1   Numeric; 1 - Negative, 0 - Positive
26   Page 3 Sch_II_Line_33                         10  Numeric
27   Page 3 Sch_II_Line_34                         10  Numeric
28   Page 3 Sch_II_Line35_Negative_Indicator       1   Numeric; 1 - Negative, 0 - Positive
29   Page 3 Sch_II_Line_35                         10  Numeric
30   Page 3 Sch_II_Line_36                         10  Numeric
31   Page 3 Sch_II_Line_37                         10  Numeric
32   Page 3 Sch_II_Line_38                         10  Numeric
33   Page 3 Sch_II_Line_39                         10  Numeric
34   Page 3 Sch_II_Line40_Negative_Indicator       1   Numeric; 1 - Negative, 0 - Positive
35   Page 3 Sch_II_Line_40                         10  Numeric
36   N/A    trailer                                5   Always *EOD* 
                            Total Bytes/Characters 224

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                                   Ohio Department of Taxation
                                   2016 4708 2D Barcode Schema

Item Page           Field Name\Line Item           Max                           Field Format
No.                                                Char
1    N/A    header_version_number                  2   Always T1 
2    N/A    developer_code                         4   Vendor’s NACTP code 
3    N/A    jurisdiction                           2   Always: OH 
4    N/A    description                            4   Form code: 1616
5    N/A    spec version                           1   At this time: 0 
6    N/A    form version                           1   At this time: 1 
7    Page 4 FEIN                                   9   Numeric
8    Page 4 Sch_III_Line_41                        9   Numeric
9    Page 4 Sch_III_Line_42                        9   Numeric
10   Page 4 Sch_III_Line_43                        9   Numeric
11   Page 4 Sch_III_Line_44                        9   Numeric
12   Page 4 Sch_III_Line_45                        9   Numeric
13   Page 4 Sch_III_Line_46                        9   Numeric
14   Page 4 Sch_III_Line_47                        9   Numeric
15   Page 4 Sch_III_Line_48                        9   Numeric
16   Page 4 Sch_III_Line_49                        9   Numeric
17   Page 4 Sch_IV_Col_Ohio_Line50A (Owned)        11  Numeric
18   Page 4 Sch_IV_Col_Everywhere_Line50A (Owned)  11  Numeric
19   Page 4 Sch_IV_Col_Ohio_Line50B (Rented)       11  Numeric
20   Page 4 Sch_IV_Col_Everywhere_Line50B (Rented) 11  Numeric
21   Page 4 Sch_IV_Col_Ohio_Line50C (Total)        11  Numeric
22   Page 4 Sch_IV_Col_Everywhere_Line50C (Total)  11  Numeric
23   Page 4 Sch_IV_Line50_Ratio                    7   Numeric; Send as a 7 digit whole number, no decimal point.
24   Page 4 Sch_IV_Line50_Weight                   3   Numeric; allowed values 0,15,18,20,25,50,100; send 3 digit whole number
25   Page 4 Sch_IV_Line50_Wt_Ratio                 7   Numeric; Send as a 7 digit whole number, no decimal point.
26   Page 4 Sch_IV_Col_Ohio_Line51 (Payroll)       11  Numeric
27   Page 4 Sch_IV_Col_Everywhere_Line51 (Total)   11  Numeric
28   Page 4 Sch_IV_Line51_Ratio                    7   Numeric; Send as a 7 digit whole number, no decimal point.
29   Page 4 Sch_IV_Line51_Weight                   3   Numeric; allowed values 0,15,18,20,25,50,100; send 3 digit whole number
30   Page 4 Sch_IV_Line51_Wt_Ratio                 7   Numeric; Send as a 7 digit whole number, no decimal point.
31   Page 4 Sch_IV_Col_Ohio_Line52 (Sales)         11  Numeric
32   Page 4 Sch_IV_Col_Everywhere_Line52 (Total)   11  Numeric
33   Page 4 Sch_IV_Line52_Ratio                    7   Numeric; Send as a 7 digit whole number, no decimal point.
34   Page 4 Sch_IV_Line52_Weight                   3   Numeric; allowed values 0,60,70,75,82,100; send 3 digit whole number
35   Page 4 Sch_IV_Line52_Wt_Ratio                 7   Numeric; Send as a 7 digit whole number, no decimal point.
36   Page 4 Sch_IV_Line53_Wt_Ratio                 7   Numeric; Send as a 7 digit whole number, no decimal point.
37   N/A    trailer                                5   Always *EOD* 
                            Total Bytes/Characters 277

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                                       Ohio Department of Taxation
                                       2016 4708 2D Barcode Schema

Item Page           Field Name\Line Item          Max                     Field Format
No.                                               Char
1    N/A    header_version_number                 2   Always T1 
2    N/A    developer_code                        4   Vendor’s NACTP code 
3    N/A    jurisdiction                          2   Always: OH 
4    N/A    description                           4   form code: 1616
5    N/A    spec version                          1   At this time: 0 
6    N/A    form version                          1   At this time: 1 
7    Page 5 FEIN                                  9   Numeric
8    Page 5 Sch_V_Line54                          9   Numeric
9    Page 5 Sch_V_Line55                          9   Numeric
10   Page 5 Sch_V_Line56                          9   Numeric
11   Page 5 Sch_V_Line57                          9   Numeric
12   Page 5 Sch_V_Line58                          9   Numeric
13   Page 5 Sch_V_Line59                          9   Numeric
14   Page 5 Sch_V_Line60                          9   Numeric
15   Page 5 Sch_VI_Investor1_SSN                  9   Numeric
16   Page 5 Sch_VI_Investor1_FEIN                 9   Numeric
17   Page 5 Sch_VI_Investor1_PercentOwnership     5   Numeric; Send as a 5 digit whole number, no decimal point.
18   Page 5 Sch_VI_Investor1_TaxCredit            9   Numeric
19   Page 5 Sch_VI_Investor1_FirstName            15  Alpha
20   Page 5 Sch_VI_Investor1_M.I                  1   Alpha
21   Page 5 Sch_VI_Investor1_LastName             20  Alpha
22   Page 5 Sch_VI_Investor1_Address              35  AlphaNumeric
23   Page 5 Sch_VI_Investor1_City                 20  Alpha
24   Page 5 Sch_VI_Investor1_State                2   Alpha
25   Page 5 Sch_VI_Investor1_ZipCode              5   Numeric
26   Page 5 Sch_VI_Investor2_SSN                  9   Numeric
27   Page 5 Sch_VI_Investor2_FEIN                 9   Numeric
28   Page 5 Sch_VI_Investor2_PercentOwnership     5   Numeric; Send as a 5 digit whole number, no decimal point.
29   Page 5 Sch_VI_Investor2_TaxCredit            9   Numeric
30   Page 5 Sch_VI_Investor2_FirstName            15  Alpha
31   Page 5 Sch_VI_Investor2_M.I                  1   Alpha
32   Page 5 Sch_VI_Investor2_LastName             20  Alpha
33   Page 5 Sch_VI_Investor2_Address              35  AlphaNumeric
34   Page 5 Sch_VI_Investor2_City                 20  Alpha
35   Page 5 Sch_VI_Investor2_State                2   Alpha
36   Page 5 Sch_VI_Investor2_ZipCode              5   Numeric
37   N/A    trailer                               5   Always *EOD* 
                           Total Bytes/Characters 351

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                                       Ohio Department of Taxation
                                       2016 4708 2D Barcode Schema

Item Page           Field Name\Line Item          Max                     Field Format
No.                                               Char
1    N/A    header_version_number                 2   Always T1 
2    N/A    developer_code                        4   Vendor’s NACTP code 
3    N/A    jurisdiction                          2   Always: OH 
4    N/A    description                           4   Form code: 1616
5    N/A    spec version                          1   At this time: 0 
6    N/A    form version                          1   At this time: 1 
7    Page 6 FEIN                                  9   Numeric
8    Page 6 Sch_VI_Investor3_SSN                  9   Numeric
9    Page 6 Sch_VI_Investor3_FEIN                 9   Numeric
10   Page 6 Sch_VI_Investor3_PercentOwnership     5   Numeric; Send as a 5 digit whole number, no decimal point.
11   Page 6 Sch_VI_Investor3_TaxCredit            9   Numeric
12   Page 6 Sch_VI_Investor3_FirstName            15  Alpha
13   Page 6 Sch_VI_Investor3_M.I                  1   Alpha
14   Page 6 Sch_VI_Investor3_LastName             20  Alpha
15   Page 6 Sch_VI_Investor3_Address              35  AlphaNumeric
16   Page 6 Sch_VI_Investor3_City                 20  Alpha
17   Page 6 Sch_VI_Investor3_State                2   Alpha
18   Page 6 Sch_VI_Investor3_ZipCode              5   Numeric
19   Page 6 Sch_VI_Investor4_SSN                  9   Numeric
20   Page 6 Sch_VI_Investor4_FEIN                 9   Numeric
21   Page 6 Sch_VI_Investor4_PercentOwnership     5   Numeric; Send as a 5 digit whole number, no decimal point.
22   Page 6 Sch_VI_Investor4_TaxCredit            9   Numeric
23   Page 6 Sch_VI_Investor4_FirstName            15  Alpha
24   Page 6 Sch_VI_Investor4_M.I                  1   Alpha
25   Page 6 Sch_VI_Investor4_LastName             20  Alpha
26   Page 6 Sch_VI_Investor4_Address              35  AlphaNumeric
27   Page 6 Sch_VI_Investor4_City                 20  Alpha
28   Page 6 Sch_VI_Investor4_State                2   Alpha
29   Page 6 Sch_VI_Investor4_ZipCode              5   Numeric
30   Page 6 Sch_VI_Investor5_SSN                  9   Numeric
31   Page 6 Sch_VI_Investor5_FEIN                 9   Numeric
32   Page 6 Sch_VI_Investor5_PercentOwnership     5   Numeric; Send as a 5 digit whole number, no decimal point.
33   Page 6 Sch_VI_Investor5_TaxCredit            9   Numeric
34   Page 6 Sch_VI_Investor5_FirstName            15  Alpha
35   Page 6 Sch_VI_Investor5_M.I                  1   Alpha
36   Page 6 Sch_VI_Investor5_LastName             20  Alpha
37   Page 6 Sch_VI_Investor5_Address              35  AlphaNumeric
38   Page 6 Sch_VI_Investor5_City                 20  Alpha
39   Page 6 Sch_VI_Investor5_State                2   Alpha
40   Page 6 Sch_VI_Investor5_ZipCode              5   Numeric
41   Page 6 Sch_VI_Investor6_SSN                  9   Numeric
42   Page 6 Sch_VI_Investor6_FEIN                 9   Numeric
43   Page 6 Sch_VI_Investor6_PercentOwnership     5   Numeric; Send as a 5 digit whole number, no decimal point.
44   Page 6 Sch_VI_Investor6_TaxCredit            9   Numeric
45   Page 6 Sch_VI_Investor6_FirstName            15  Alpha
46   Page 6 Sch_VI_Investor6_M.I                  1   Alpha
47   Page 6 Sch_VI_Investor6_LastName             20  Alpha
48   Page 6 Sch_VI_Investor6_Address              35  AlphaNumeric
49   Page 6 Sch_VI_Investor6_City                 20  Alpha
50   Page 6 Sch_VI_Investor6_State                2   Alpha
51   Page 6 Sch_VI_Investor6_ZipCode              5   Numeric
52   N/A    trailer                               5   Always *EOD* 
                           Total Bytes/Characters 548

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                                                                                 2016 Ohio IT 4708 2D Scenarios
                                                                           Testing Information for Paper Returns ONLY 
                                                                           If any questions, please e-mail Forms@tax.state.oh.us
                     Note:  If there are any limitations to your software that will not allow you to follow the tests, please indicate what these are on a separate sheet of paper. 
Important Notes 
• The two-digit vendor number is used for the "XX" in the FEIN field
• Vendors must submit a full field version and all test scenarios.
• Please proof the static text and test the 1D barcodes prior to submission
• Data values on the printed form and in the 2D barcode must match each scenario
• For the Date Generated field (new for 2016) use the date the scenario was created by your staff
NEW for Tax Year 2016
• The IT 4708 now includes a 2D barcode 
• Schedule IV apportionment ratio weights are no longer static.  Note section language includes:  "if only one factor, use 100%"
• Schedule VI has six available investor lines. Generate duplicate copies of page 6 to accommodate any additional investors, however omit both the 1D and 2D barcodes from the duplicate pages.

                                                                                 Ohio IT 4708 Scenario Checklist
                                                                                                                                                                                               SCH II 
                VERSION                        ENTITY TYPE                                         AMOUNT OWED                                      SCHEDULE IV WEIGHT                         Line 34
                                                                  PARTNER                                                                  20/20/60                                            2/3, 5/6, 
           AMENDED   FINAL              S-CORP LLC                  SHIP   TRUST CREDIT          REFUND SPLIT                   B-DUE ZERO or NONE  25/75 50/50                     100        6/6 ADD 
SCENARIO 1           X                         X                                                 X                                         X
SCENARIO 2      X                                                          X                            X                                                 X                                    X
SCENARIO 3                              X                                                                                       X                                                   X          X
SCENARIO 4                                                          X                                                                 X    X                                                   X
SCENARIO 5                              X                                        X                                                                  X
SCENARIO 6                              X                                                                                             X                                                        X



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                                                    2016 IT4708
                                                    Test Scenario 1

For taxable year ending in                                                  12/2016

Check here if amended return

Check here if final return                                                  X

Federal employer I.D. no. (FEIN)                                            XX-0047081

Ohio charter or license no. (if S corp)

Entity Type:

S corporation

Limited liability corporation                                               X

Partnership

Other

Name of pass-through entity                                                 MERCURY HOLDINGS LIMITED LIABILITY

Address (if address change, check box)                                      201 INTERNATIONAL CIR STE 400

City                                                                        HUNT VALLEY

State                                                                       MD

ZIP code                                                                    21030

Number of investors included in return                                      3

Apportionment ratio, line 6                                                 0.000000

If the pass-through entity is an S corporation, did the pass-through entity 
pay any compensation or remuneration to any 

If the pass-through entity is, or is treated as, a partnership for federal 
income tax purposes, did the pass-through entity make any guaranteed 
payments to any of its partners or equity investors?

SCHEDULE I 

1. Total income (from Schedule II, line 40)                                 17745357

2. Total deductions (from Schedule III, line 49)                            493857

3. Income (loss) to be allocated and apportioned (line 1 minus line 2)      17251500

4. Net allocable nonbusiness income (loss) everywhere, if any               0

10/7/2016                                           4708 Scenario 1                                           Page 1



- 13 -
5. Apportionable income (loss) (line 3 minus line 4)                              17251500

6. Ohio apportionment ratio (from Schedule IV, line 53)                           0.000000

7. Income (loss) apportioned to Ohio (line 5 times line 6)                        0

8. Net nonbusiness income (loss) allocated to Ohio and gain
(loss) apportioned to Ohio per R.C. 5747.212                                      0

9. Ohio taxable income (sum of lines 7 and 8, but not less than -0-)              0

10. Tax before credits (multiply the amount on line 9 by .04997)                  0

11. Nonrefundable business credits (attach Schedule E)
                                                                                  0

12. Tax due after nonrefundable business credits.                                 0

13. Interest penalty on underpayment of estimated tax                             0

14. Ohio forms IT 4708ES and IT 4708P payments                                    0

15. Ohio forms IT 1140ES and IT 1140P payments transferred to
this form and any payments made with previously filed return(s) 
for this taxable year                                                             8055

16. Deduct Ohio forms IT 4708ES and IT 4708P payments transferred to
Ohio form IT 1140 and deduct overpayments, if any, previously claimed for 
this taxable year                                                                 0

17. Total net Ohio estimated tax payments for 2016                                8055

18. Amount of 2015 overpayment credited to 2016                                   0

19. Total refundable business credits (from Schedule V, line 60)                  25897

20. Total of lines 17, 18 and 19                                                  33952

21. Overpayment, if any                                                           33952

22. Amount of line 21 to be CREDITED to year 2017 tax liability                   0

23. Amount of line 21 to be REFUNDED                                              33952

24. Net amount due, if any                                                        0

25. Interest and penalty due on late-paid tax and/or late-filed return, if any    0

26. Total amount due, if any (sum of lines 24 and 25).                            0

SCHEDULE II – INCOME AND ADJUSTMENTS

27. Ordinary business income (loss)                                               -6876

28. The investors’ shares of expenses and losses incurred in connection
with all direct and indirect transactions between the pass-through entity and 
its related members, including certain investors’ family members.                 0

29. Guaranteed payments that the pass-through entity made to each
investor participating in the fi ling of this return if such investor directly or 
indirectly owns at least 20% of the pass-through entity.                          0

10/7/2016                                                  4708 Scenario 1                Page 2



- 14 -
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.                                      0

31. Net income or (loss) from rental activities other than amount shown on
line 27                                                                            -768068

32. Portfolio income (loss). See note below.
   a. Interest income                                                              1162941

   b. Dividends                                                                    1149333

   c. Royalties                                                                    39048

   d. Net short-term capital gain (loss)                                           325175

   e. Net long-term capital gain (loss).                                           15495811

   f. Other portfolio income (loss)                                                337067

33. Net gain (loss) under I.R.C. 1231                                              115069

34. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
and miscellaneous federal income tax adjustments. Attach a separate 
schedule showing calculations                                                      0

2/3
5/6
6/6

35. Other income (loss). Attach schedule                                           -104143

36. Pass-through entity add-back and financial institutions taxes paid             0

37. Non-Ohio state or local government interest and dividends earned by
the pass-through entity but not included above                                     0

38. State and local income taxes deducted in arriving at income                    0

39. Losses from the sale or other disposition of Ohio public obligations if
such losses have been deducted in determining federal taxable income               0

40. Total income (add lines 27 through 39; enter here and on Schedule I,
line 1)                                                                            17745357

SCHEDULE III – DEDUCTIONS
41. I.R.C. 179 expense not deducted in calculating line 27                         0

42. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
added back in applicable previous years and miscellaneous federal income 
tax adjustments. Attach a separate schedule showing calculations                   0

43. Net federal interest and dividends exempt from state taxation                  14717

44. Other separately stated K-1 amounts that are allowable as deductions
in arriving at federal adjusted gross income and amounts contributed to 
individual development accounts                                                    0

45. Exempt gains from the sale of Ohio state or local government bonds             479140

46. Wage and salary expense not otherwise deducted because of a federal
work opportunity tax credit                                                        0

10/7/2016                                                  4708 Scenario 1                 Page 3



- 15 -
47. Interest or income earned on Ohio public obligations and Ohio
purchase obligations if such interest or income is included on any of lines 
27-35                                                                       0

48. Net gain included in line 40 resulting from the sale, exchange or other
disposition of Ohio public obligations (do not enter amounts shown on line 
45)                                                                         0

49. Total deductions (add lines 41-48; enter here and on Schedule I, line 2)
                                                                            493857

SCHEDULE IV - APPORTIONMENT WORKSHEET

50. Property

a) Owned (average cost) Within Ohio                                         0

a) Owned (average cost) Total Everywhere                                    0

b) Rented (annual rental X 8) Within Ohio                                   0

b) Rented (annual rental X 8) Total Everywhere                              0

c) Total (lines 50a and 50b) Within Ohio                                    0

c) Total (lines 50a and 50b) Total Everywhere                               0

 Property Ratio                                                             0.000000

 Property Weighted Ratio                                                    0.000000

51. Payroll

Payroll Within Ohio                                                         0

Payroll Everywhere                                                          0

Payroll Ratio                                                               0.000000

Payroll Weighted Ratio                                                      0.000000

52. Sales

Sales Within Ohio                                                           0

Sales Everywhere                                                            300000

Sales Ratio                                                                 0.000000

Sales Weighted Ratio                                                        0.000000

53. Total weighted apportionment ratio                                      0.000000

SCHEDULE V – REFUNDABLE BUSINESS CREDITS

54. Ohio historic preservation credit                                       653

55. Business jobs credit                                                    9984

56. Pass-through entity credit                                              1235

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- 16 -
57. Losses on loans made to Ohio venture capital program                 9874

58. Motion picture production credit                                     2003

59. Financial Institutions Tax (FIT) credit                              2148

60. Total refundable business credits                                    25897

SCHEDULE VI – INVESTOR INFORMATION

Investor 1

Social Security no.

FEIN                                                                     986053791

Percent of ownership                                                     0.3333

Amount of PTE tax credit                                                 0

First name/entity                                                        THE DEVONSHIRE TRUST

M.I.

Last name

Address                                                                  CANONS CT22 VICTORIA STBOX HM1179

City                                                                     HAMILTON HM

State                                                                    FC

Zip Code                                                                 XBER

Investor 2

Social Security no.

FEIN                                                                     201316925

Percent of ownership                                                     0.3333

Amount of PTE tax credit

First name/entity                                                        MERCURY HOLDING

M.I.

Last name

Address                                                                  201 INTERNATIONAL CIRCLE SUITE 400

City                                                                     HUNT VALLEY

State                                                                    MD

Zip Code                                                                 21030

Investor 3

Social Security no.

10/7/2016                                                4708 Scenario 1                                   Page 5



- 17 -
FEIN                                    461614917

Percent of ownership                    0.3333

Amount of PTE tax credit

First name/entity                       MERCURY HOLDING

M.I.

Last name

Address                                 201 INTERNATIONAL CIRCLE SUITE 400

City                                    HUNT VALLEY

State                                   MD

Zip Code                                21030

10/7/2016               4708 Scenario 1                                   Page 6



- 18 -
                                                    2016 IT4708
                                                    Test Scenario 2

For taxable year ending in                                                  12/2016

Check here if amended return                                                X

Check here if final return

Federal employer I.D. no. (FEIN)                                            XX-0047082

Ohio charter or license no. (if S corp)                                     1951635

Entity Type:

S corporation

Limited liability corporation

Partnership

Other                                                                       X

Name of pass-through entity                                                 INTERNATIONAL MARKETING SYSTEMS, LTD

Address (if address change, check box)                                      TWO CORPORATE DRIVE SUITE 136

City                                                                        SHELTON

State                                                                       CT

ZIP code                                                                    06484

Number of investors included in return                                      1

Apportionment ratio, line 6                                                 0.014107

If the pass-through entity is an S corporation, did the pass-through entity 
pay any compensation or remuneration to any                                 X=NO

If the pass-through entity is, or is treated as, a partnership for federal 
income tax purposes, did the pass-through entity make any guaranteed 
payments to any of its partners or equity investors?

SCHEDULE I 

1. Total income (from Schedule II, line 40)                                 3472835

2. Total deductions (from Schedule III, line 49)                            42052

3. Income (loss) to be allocated and apportioned (line 1 minus line 2)      3430783

4. Net allocable nonbusiness income (loss) everywhere, if any               0

10/7/2016                                           4708 Scenario 2                                      Page 1



- 19 -
5. Apportionable income (loss) (line 3 minus line 4)                             3430783

6. Ohio apportionment ratio (from Schedule IV, line 53)                          0.014107

7. Income (loss) apportioned to Ohio (line 5 times line 6)                       48398

8. Net nonbusiness income (loss) allocated to Ohio and gain
(loss) apportioned to Ohio per R.C. 5747.212                                     0

9. Ohio taxable income (sum of lines 7 and 8, but not less than -0-)             48398

10. Tax before credits (multiply the amount on line 9 by .04997)                 2418

11. Nonrefundable business credits (attach Schedule E)
                                                                                 0

12. Tax due after nonrefundable business credits.                                2418

13. Interest penalty on underpayment of estimated tax                            0

14. Ohio forms IT 4708ES and IT 4708P payments                                   5736

15. Ohio forms IT 1140ES and IT 1140P payments transferred to
this form and any payments made with previously filed return(s) 
for this taxable year                                                            0

16. Deduct Ohio forms IT 4708ES and IT 4708P payments transferred to
Ohio form IT 1140 and deduct overpayments, if any, previously claimed for 
this taxable year                                                                0

17. Total net Ohio estimated tax payments for 2016                               5736

18. Amount of 2015 overpayment credited to 2016                                  0

19. Total refundable business credits (from Schedule V, line 60)                 0

20. Total of lines 17, 18 and 19                                                 5736

21. Overpayment, if any                                                          3318

22. Amount of line 21 to be CREDITED to year 2017 tax liability                  1306

23. Amount of line 21 to be REFUNDED                                             2012

24. Net amount due, if any                                                       0

25. Interest and penalty due on late-paid tax and/or late-filed return, if any   0

26. Total amount due, if any (sum of lines 24 and 25).                           0

SCHEDULE II – INCOME AND ADJUSTMENTS

27. Ordinary business income (loss)                                              3370340

28. The investors’ shares of expenses and losses incurred in connection
with all direct and indirect transactions between the pass-through entity and 
its related members, including certain investors’ family members.                0

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.                         0

10/7/2016                                                  4708 Scenario 2               Page 2



- 20 -
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.                                      0

31. Net income or (loss) from rental activities other than amount shown on
line 27

32. Portfolio income (loss). See note below.
   a. Interest income                                                              139

   b. Dividends                                                                    0

   c. Royalties                                                                    0

   d. Net short-term capital gain (loss)                                           0

   e. Net long-term capital gain (loss).                                           0

   f. Other portfolio income (loss)                                                0

33. Net gain (loss) under I.R.C. 1231                                              0

34. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
and miscellaneous federal income tax adjustments. Attach a separate 
schedule showing calculations                                                      102356

2/3
5/6                                                                                X
6/6

35. Other income (loss). Attach schedule                                           0

36. Pass-through entity add-back and financial institutions taxes paid             0

37. Non-Ohio state or local government interest and dividends earned by
the pass-through entity but not included above                                     0

38. State and local income taxes deducted in arriving at income                    0

39. Losses from the sale or other disposition of Ohio public obligations if
such losses have been deducted in determining federal taxable income               0

40. Total income (add lines 27 through 39; enter here and on Schedule I,
line 1)                                                                            3472835

SCHEDULE III – DEDUCTIONS

41. I.R.C. 179 expense not deducted in calculating line 27                         21200

42. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
added back in applicable previous years and miscellaneous federal income 
tax adjustments. Attach a separate schedule showing calculations                   20852

43. Net federal interest and dividends exempt from state taxation                  0

44. Other separately stated K-1 amounts that are allowable as deductions
in arriving at federal adjusted gross income and amounts contributed to 
individual development accounts                                                    0

45. Exempt gains from the sale of Ohio state or local government bonds             0

46. Wage and salary expense not otherwise deducted because of a federal
work opportunity tax credit                                                        0

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- 21 -
47. Interest or income earned on Ohio public obligations and Ohio
purchase obligations if such interest or income is included on any of lines 
27-35                                                                         0

48. Net gain included in line 40 resulting from the sale, exchange or other
disposition of Ohio public obligations (do not enter amounts shown on line 
45)                                                                           0

49. Total deductions (add lines 41-48; enter here and on Schedule I, line 2)
                                                                            42052

SCHEDULE IV - APPORTIONMENT WORKSHEET

50. Property

a) Owned (average cost) Within Ohio                                           0

a) Owned (average cost) Total Everywhere                                    8661929

b) Rented (annual rental X 8) Within Ohio                                     0

b) Rented (annual rental X 8) Total Everywhere                              3362112

c) Total (lines 50a and 50b) Within Ohio                                      0

c) Total (lines 50a and 50b) Total Everywhere                               12024041

     Property Ratio                            0.50                         0.000000

     Property Weighted Ratio                                                0.000000

51. Payroll

Payroll Within Ohio                                                         140959

Payroll Everywhere                                                          4996307

Payroll Ratio                                  0.50                         0.028213

Payroll Weighted Ratio                                                      0.014107

52. Sales

Sales Within Ohio                                                             0

Sales Everywhere                                                              0.00

Sales Ratio                                                                 0.000000

Sales Weighted Ratio                                                        0.000000

53. Total weighted apportionment ratio                                      0.005643

SCHEDULE V – REFUNDABLE BUSINESS CREDITS

54. Ohio historic preservation credit                                         0

55. Business jobs credit                                                      0

56. Pass-through entity credit                                                0

10/7/2016                                      4708 Scenario 2                      Page 4



- 22 -
57. Losses on loans made to Ohio venture capital program                 0

58. Motion picture production credit                                     0

59. Financial Institutions Tax (FIT) credit                              0

60. Total refundable business credits                                    0

SCHEDULE VI – INVESTOR INFORMATION

Investor 1

Social Security no.                                                      045-54-7808

FEIN

Percent of ownership                                                     1.0000

Amount of PTE tax credit                                                 2927

First name/entity                                                        THOMAS

M.I.

Last name                                                                O'HARA

Address                                                                  284 HEMLOCK ROAD

City                                                                     FAIRFIELD

State                                                                    CT

Zip Code                                                                 06430

Investor 2

Social Security no.

FEIN

Percent of ownership

Amount of PTE tax credit

First name/entity

M.I.

Last name

Address

City

State

Zip Code

10/7/2016                                                4708 Scenario 2                 Page 5



- 23 -
                                                     2016 IT4708
                                                     Test Scenario 3

For taxable year ending in                                                  12/2016

Check here if amended return

Check here if final return

Federal employer I.D. no. (FEIN)                                            XX-0047083

Ohio charter or license no. (if S corp)

Entity Type:

S corporation                                                               X

Limited liability corporation

Partnership

Other

Name of pass-through entity                                                 MARCELLUS/GASFIELD SERVICES LLC

Address (if address change, check box)                                      1498 EVANS ROAD

City                                                                        EVANS CITY

State                                                                       PA

ZIP code                                                                    16033

Number of investors included in return                                      1

Apportionment ratio, line 6                                                 0.252009

If the pass-through entity is an S corporation, did the pass-through entity 
pay any compensation or remuneration to any                                 X=NO

If the pass-through entity is, or is treated as, a partnership for federal 
income tax purposes, did the pass-through entity make any guaranteed 
payments to any of its partners or equity investors?                        X=N/A

SCHEDULE I 

1. Total income (from Schedule II, line 40)                                 5153745

2. Total deductions (from Schedule III, line 49)                            277884

3. Income (loss) to be allocated and apportioned (line 1 minus line 2)      4875861

4. Net allocable nonbusiness income (loss) everywhere, if any               0

10/7/2016                                            4708 Scenario 3                                       Page 1



- 24 -
5. Apportionable income (loss) (line 3 minus line 4)                              4875861

6. Ohio apportionment ratio (from Schedule IV, line 53)                           0.252009

7. Income (loss) apportioned to Ohio (line 5 times line 6)                        1228761

8. Net nonbusiness income (loss) allocated to Ohio and gain
(loss) apportioned to Ohio per R.C. 5747.212                                      0

9. Ohio taxable income (sum of lines 7 and 8, but not less than -0-)              1228761

10. Tax before credits (multiply the amount on line 9 by .04997)                  61401

11. Nonrefundable business credits (attach Schedule E)
                                                                                  0

12. Tax due after nonrefundable business credits.                                 61401

13. Interest penalty on underpayment of estimated tax                             0

14. Ohio forms IT 4708ES and IT 4708P payments                                    40000

15. Ohio forms IT 1140ES and IT 1140P payments transferred to
this form and any payments made with previously filed return(s) 
for this taxable year                                                             0

16. Deduct Ohio forms IT 4708ES and IT 4708P payments transferred to
Ohio form IT 1140 and deduct overpayments, if any, previously claimed for 
this taxable year                                                                 0

17. Total net Ohio estimated tax payments for 2016                                40000

18. Amount of 2015 overpayment credited to 2016                                   6156

19. Total refundable business credits (from Schedule V, line 60)                  0

20. Total of lines 17, 18 and 19                                                  46156

21. Overpayment, if any                                                           0

22. Amount of line 21 to be CREDITED to year 2017 tax liability                   0

23. Amount of line 21 to be REFUNDED                                              0

24. Net amount due, if any                                                        15245

25. Interest and penalty due on late-paid tax and/or late-filed return, if any    0

26. Total amount due, if any (sum of lines 24 and 25).                            15245

SCHEDULE II – INCOME AND ADJUSTMENTS

27. Ordinary business income (loss)                                               3370340

28. The investors’ shares of expenses and losses incurred in connection
with all direct and indirect transactions between the pass-through entity and 
its related members, including certain investors’ family members.                 0

29. Guaranteed payments that the pass-through entity made to each
investor participating in the fi ling of this return if such investor directly or 
indirectly owns at least 20% of the pass-through entity.                          0

10/7/2016                                                  4708 Scenario 3                Page 2



- 25 -
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.                                      0

31. Net income or (loss) from rental activities other than amount shown on
line 27                                                                            0

32. Portfolio income (loss). See note below.
   a. Interest income                                                              8

   b. Dividends                                                                    0

   c. Royalties                                                                    0

   d. Net short-term capital gain (loss)                                           0

   e. Net long-term capital gain (loss).                                           0

   f. Other portfolio income (loss)                                                0

33. Net gain (loss) under I.R.C. 1231                                              563

34. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
and miscellaneous federal income tax adjustments. Attach a separate 
schedule showing calculations                                                      1770628

2/3
5/6                                                                                X
6/6

35. Other income (loss). Attach schedule                                           0

36. Pass-through entity add-back and financial institutions taxes paid             0

37. Non-Ohio state or local government interest and dividends earned by
the pass-through entity but not included above                                     0

38. State and local income taxes deducted in arriving at income                    12206

39. Losses from the sale or other disposition of Ohio public obligations if
such losses have been deducted in determining federal taxable income               0

40. Total income (add lines 27 through 39; enter here and on Schedule I,
line 1)                                                                            5153745

SCHEDULE III – DEDUCTIONS
41. I.R.C. 179 expense not deducted in calculating line 27                         0

42. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
added back in applicable previous years and miscellaneous federal income 
tax adjustments. Attach a separate schedule showing calculations                   277884

43. Net federal interest and dividends exempt from state taxation                  0

44. Other separately stated K-1 amounts that are allowable as deductions
in arriving at federal adjusted gross income and amounts contributed to 
individual development accounts                                                    0

45. Exempt gains from the sale of Ohio state or local government bonds             0

46. Wage and salary expense not otherwise deducted because of a federal
work opportunity tax credit                                                        0

10/7/2016                                                  4708 Scenario 3                Page 3



- 26 -
47. Interest or income earned on Ohio public obligations and Ohio
purchase obligations if such interest or income is included on any of lines 
27-35                                                                       0

48. Net gain included in line 40 resulting from the sale, exchange or other
disposition of Ohio public obligations (do not enter amounts shown on line 
45)                                                                         0

49. Total deductions (add lines 41-48; enter here and on Schedule I, line 2)
                                                                            277884

SCHEDULE IV - APPORTIONMENT WORKSHEET

50. Property

a) Owned (average cost) Within Ohio                                         0

a) Owned (average cost) Total Everywhere                                    0

b) Rented (annual rental X 8) Within Ohio                                   0

b) Rented (annual rental X 8) Total Everywhere                              0

c) Total (lines 50a and 50b) Within Ohio                                    0

c) Total (lines 50a and 50b) Total Everywhere                               0

 Property Ratio                                                             0.000000

 Property Weighted Ratio                                                    0.000000

51. Payroll

Payroll Within Ohio                                                         0

Payroll Everywhere                                                          0.00

Payroll Ratio                                                               0.000000

Payroll Weighted Ratio                                                      0.000000

52. Sales

Sales Within Ohio                                                           5304919

Sales Everywhere                                                            21050540

Sales Ratio                                    1.00                         0.252009

Sales Weighted Ratio                                                        0.252009

53. Total weighted apportionment ratio                                      0.252009

SCHEDULE V – REFUNDABLE BUSINESS CREDITS

54. Ohio historic preservation credit                                       0

55. Business jobs credit                                                    0

56. Pass-through entity credit                                              0

10/7/2016                                      4708 Scenario 3                      Page 4



- 27 -
57. Losses on loans made to Ohio venture capital program                 0

58. Motion picture production credit                                     0

59. Financial Institutions Tax (FIT) credit                              0

60. Total refundable business credits                                    0

SCHEDULE VI – INVESTOR INFORMATION

Investor 1

Social Security no.                                                      204-42-7416

FEIN

Percent of ownership                                                     1.0000

Amount of PTE tax credit                                                 47975

First name/entity                                                        MICHAEL

M.I.                                                                     A

Last name                                                                VERONA

Address                                                                  137 CARDINAL DRIVE

City                                                                     NEW BRIGHTON

State                                                                    PA

Zip Code                                                                 15066

10/7/2016                                                4708 Scenario 3                   Page 5



- 28 -
                                                     2016 IT4708
                                                     Test Scenario 4

For taxable year ending in                                                  11/2016

Check here if amended return

Check here if final return

Federal employer I.D. no. (FEIN)                                            XX-0047084

Ohio charter or license no. (if S corp)                                     2029734

Entity Type:

S corporation                                                               X

Limited liability corporation

Partnership

Other

Name of pass-through entity                                                 DOSTER CONSTRUCTION COMPANY, INC.

Address (if address change, check box)                                      2100 INT'L PARK DR.

City                                                                        BIRMINGHAM

State                                                                       AL

ZIP code                                                                    35243

Number of investors included in return                                      3

Apportionment ratio, line 6                                                 0.002921

If the pass-through entity is an S corporation, did the pass-through entity 
pay any compensation or remuneration to any                                 X = YES

If the pass-through entity is, or is treated as, a partnership for federal 
income tax purposes, did the pass-through entity make any guaranteed 
payments to any of its partners or equity investors?                        X=N/A

SCHEDULE I 

1. Total income (from Schedule II, line 40)                                 102885

2. Total deductions (from Schedule III, line 49)                            128218

3. Income (loss) to be allocated and apportioned (line 1 minus line 2)      -25333

4. Net allocable nonbusiness income (loss) everywhere, if any               0

10/7/2016                                            4708 Scenario 4                                         Page 1



- 29 -
5. Apportionable income (loss) (line 3 minus line 4)                              -25333

6. Ohio apportionment ratio (from Schedule IV, line 53)                           0.002921

7. Income (loss) apportioned to Ohio (line 5 times line 6)                        -74

8. Net nonbusiness income (loss) allocated to Ohio and gain
(loss) apportioned to Ohio per R.C. 5747.212                                      0

9. Ohio taxable income (sum of lines 7 and 8, but not less than -0-)              0

10. Tax before credits (multiply the amount on line 9 by .04997)                  0

11. Nonrefundable business credits (attach Schedule E)
                                                                                  0

12. Tax due after nonrefundable business credits.                                 0

13. Interest penalty on underpayment of estimated tax                             0

14. Ohio forms IT 4708ES and IT 4708P payments                                    0

15. Ohio forms IT 1140ES and IT 1140P payments transferred to
this form and any payments made with previously filed return(s) 
for this taxable year                                                             0

16. Deduct Ohio forms IT 4708ES and IT 4708P payments transferred to
Ohio form IT 1140 and deduct overpayments, if any, previously claimed for 
this taxable year                                                                 0

17. Total net Ohio estimated tax payments for 2016                                0

18. Amount of 2015 overpayment credited to 2016                                   0

19. Total refundable business credits (from Schedule V, line 60)                  0

20. Total of lines 17, 18 and 19                                                  0

21. Overpayment, if any                                                           0

22. Amount of line 21 to be CREDITED to year 2017 tax liability                   0

23. Amount of line 21 to be REFUNDED                                              0

24. Net amount due, if any                                                        0

25. Interest and penalty due on late-paid tax and/or late-filed return, if any    0

26. Total amount due, if any (sum of lines 24 and 25).                            0

SCHEDULE II – INCOME AND ADJUSTMENTS

27. Ordinary business income (loss)                                               235074

28. The investors’ shares of expenses and losses incurred in connection
with all direct and indirect transactions between the pass-through entity and 
its related members, including certain investors’ family members.                 0

29. Guaranteed payments that the pass-through entity made to each
investor participating in the fi ling of this return if such investor directly or 
indirectly owns at least 20% of the pass-through entity.                          0

10/7/2016                                                  4708 Scenario 4                Page 2



- 30 -
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.                                      538521

31. Net income or (loss) from rental activities other than amount shown on
line 27                                                                            -930066

32. Portfolio income (loss). See note below.
   a. Interest income                                                              82678

   b. Dividends                                                                    0

   c. Royalties                                                                    0

   d. Net short-term capital gain (loss)                                           -1015

   e. Net long-term capital gain (loss).                                           50299

   f. Other portfolio income (loss)                                                0

33. Net gain (loss) under I.R.C. 1231                                              -6337

34. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
and miscellaneous federal income tax adjustments. Attach a separate 
schedule showing calculations                                                      43115

2/3
5/6                                                                                X
6/6

35. Other income (loss). Attach schedule                                           0

36. Pass-through entity add-back and financial institutions taxes paid             0

37. Non-Ohio state or local government interest and dividends earned by
the pass-through entity but not included above                                     90616

38. State and local income taxes deducted in arriving at income                    0

39. Losses from the sale or other disposition of Ohio public obligations if
such losses have been deducted in determining federal taxable income               0

40. Total income (add lines 27 through 39; enter here and on Schedule I,
line 1)                                                                            102885

SCHEDULE III – DEDUCTIONS
41. I.R.C. 179 expense not deducted in calculating line 27                         0

42. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
added back in applicable previous years and miscellaneous federal income 
tax adjustments. Attach a separate schedule showing calculations                   78513

43. Net federal interest and dividends exempt from state taxation                  0

44. Other separately stated K-1 amounts that are allowable as deductions
in arriving at federal adjusted gross income and amounts contributed to 
individual development accounts                                                    0

45. Exempt gains from the sale of Ohio state or local government bonds             49705

46. Wage and salary expense not otherwise deducted because of a federal
work opportunity tax credit                                                        0

10/7/2016                                                  4708 Scenario 4                Page 3



- 31 -
47. Interest or income earned on Ohio public obligations and Ohio
purchase obligations if such interest or income is included on any of lines 
27-35                                                                       0

48. Net gain included in line 40 resulting from the sale, exchange or other
disposition of Ohio public obligations (do not enter amounts shown on line 
45)                                                                         0

49. Total deductions (add lines 41-48; enter here and on Schedule I, line 2)
                                                                            128218

SCHEDULE IV - APPORTIONMENT WORKSHEET

50. Property

a) Owned (average cost) Within Ohio                                         0

a) Owned (average cost) Total Everywhere                                    8399877

b) Rented (annual rental X 8) Within Ohio                                   9760

b) Rented (annual rental X 8) Total Everywhere                              7197560

c) Total (lines 50a and 50b) Within Ohio                                    9760

c) Total (lines 50a and 50b) Total Everywhere                               15597437

 Property Ratio                                                             0.000626

 Property Weighted Ratio                                                    0.000125

51. Payroll

Payroll Within Ohio                                                         0

Payroll Everywhere                                                          13054077

Payroll Ratio                                                               0.000000

Payroll Weighted Ratio                                                      0.000000

52. Sales

Sales Within Ohio                                                           680046

Sales Everywhere                                                            145940017

Sales Ratio                                                                 0.004660

Sales Weighted Ratio                                                        0.002796

53. Total weighted apportionment ratio                                      0.002921

SCHEDULE V – REFUNDABLE BUSINESS CREDITS

54. Ohio historic preservation credit                                       0

55. Business jobs credit                                                    0

56. Pass-through entity credit                                              0

10/7/2016                                      4708 Scenario 4                       Page 4



- 32 -
57. Losses on loans made to Ohio venture capital program                 0

58. Motion picture production credit                                     0

59. Financial Institutions Tax (FIT) credit                              0

60. Total refundable business credits                                    0

SCHEDULE VI – INVESTOR INFORMATION

Investor 1

Social Security no.                                                      423111663

FEIN

Percent of ownership                                                     0.3333

Amount of PTE tax credit

First name/entity                                                        THOMAS

M.I.                                                                     E

Last name                                                                DOSTER IV

Address                                                                  343 WAHACKME ROAD

City                                                                     NEW CANAAN

State                                                                    CT

Zip Code                                                                 06840

Investor 2

Social Security no.                                                      423112419

FEIN

Percent of ownership                                                     0.3333

Amount of PTE tax credit

First name/entity                                                        JULIA

M.I.                                                                     D

Last name                                                                CROWELL

Address                                                                  156 GOWER ROAD

City                                                                     NEW CANAAN

State                                                                    CT

Zip Code                                                                 06840

Investor 3

Social Security no.                                                      423111633

10/7/2016                                                4708 Scenario 4                  Page 5



- 33 -
FEIN

Percent of ownership                    0.3333

Amount of PTE tax credit

First name/entity                       WALTON

M.I.                                    C

Last name                               DOSTER

Address                                 3033 CANTERBURY LANE

City                                    BIRMINGHAM

State                                   AL

Zip Code                                35223

10/7/2016               4708 Scenario 4                     Page 6



- 34 -
                                                     2016 IT4708
                                                     Test Scenario 5

For taxable year ending in                                                  12/2016

Check here if amended return

Check here if final return

Federal employer I.D. no. (FEIN)                                            XX-0047085

Ohio charter or license no. (if S corp)                                     01297605

Entity Type:

S corporation                                                               X

Limited liability corporation

Partnership

Other

Name of pass-through entity                                                 SIMLEY CORP

Address (if address change, check box)                                      P.O. BOX 1900

City                                                                        MARBLE FALLS

State                                                                       TX

ZIP code                                                                    78654

Number of investors included in return                                      1

Apportionment ratio, line 6                                                 0.418304

If the pass-through entity is an S corporation, did the pass-through entity 
pay any compensation or remuneration to any                                 X=YES

If the pass-through entity is, or is treated as, a partnership for federal 
income tax purposes, did the pass-through entity make any guaranteed 
payments to any of its partners or equity investors?                        X=N/A

SCHEDULE I 

1. Total income (from Schedule II, line 40)                                 894579

2. Total deductions (from Schedule III, line 49)                            0

3. Income (loss) to be allocated and apportioned (line 1 minus line 2)      894579

4. Net allocable nonbusiness income (loss) everywhere, if any               0

10/7/2016                                            4708 Scenario 5                     Page 1



- 35 -
5. Apportionable income (loss) (line 3 minus line 4)                              894579

6. Ohio apportionment ratio (from Schedule IV, line 53)                           0.418304

7. Income (loss) apportioned to Ohio (line 5 times line 6)                        374206

8. Net nonbusiness income (loss) allocated to Ohio and gain
(loss) apportioned to Ohio per R.C. 5747.212                                      0

9. Ohio taxable income (sum of lines 7 and 8, but not less than -0-)              374206

10. Tax before credits (multiply the amount on line 9 by .04997)                  18699

11. Nonrefundable business credits (attach Schedule E)
                                                                                  0

12. Tax due after nonrefundable business credits.                                 18699

13. Interest penalty on underpayment of estimated tax                             0

14. Ohio forms IT 4708ES and IT 4708P payments                                    28000

15. Ohio forms IT 1140ES and IT 1140P payments transferred to
this form and any payments made with previously filed return(s) 
for this taxable year                                                             0

16. Deduct Ohio forms IT 4708ES and IT 4708P payments transferred to
Ohio form IT 1140 and deduct overpayments, if any, previously claimed for 
this taxable year                                                                 0

17. Total net Ohio estimated tax payments for 2016                                28000

18. Amount of 2015 overpayment credited to 2016                                   662

19. Total refundable business credits (from Schedule V, line 60)                  0

20. Total of lines 17, 18 and 19                                                  28662

21. Overpayment, if any                                                           9963

22. Amount of line 21 to be CREDITED to year 2017 tax liability                   9963

23. Amount of line 21 to be REFUNDED                                              0

24. Net amount due, if any                                                        0

25. Interest and penalty due on late-paid tax and/or late-filed return, if any    0

26. Total amount due, if any (sum of lines 24 and 25).                            0

SCHEDULE II – INCOME AND ADJUSTMENTS

27. Ordinary business income (loss)                                               -77245

28. The investors’ shares of expenses and losses incurred in connection
with all direct and indirect transactions between the pass-through entity and 
its related members, including certain investors’ family members.                 0

29. Guaranteed payments that the pass-through entity made to each
investor participating in the fi ling of this return if such investor directly or 
indirectly owns at least 20% of the pass-through entity.                          0

10/7/2016                                                  4708 Scenario 5                Page 2



- 36 -
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.                                      45000

31. Net income or (loss) from rental activities other than amount shown on
line 27                                                                            895573

32. Portfolio income (loss). See note below.
   a. Interest income                                                              164

   b. Dividends                                                                    26582

   c. Royalties                                                                    0

   d. Net short-term capital gain (loss)                                           0

   e. Net long-term capital gain (loss).                                           4505

   f. Other portfolio income (loss)                                                0

33. Net gain (loss) under I.R.C. 1231                                              0

34. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
and miscellaneous federal income tax adjustments. Attach a separate 
schedule showing calculations                                                      0

2/3
5/6
6/6

35. Other income (loss). Attach schedule                                           0

36. Pass-through entity add-back and financial institutions taxes paid             0

37. Non-Ohio state or local government interest and dividends earned by
the pass-through entity but not included above                                     0

38. State and local income taxes deducted in arriving at income                    0

39. Losses from the sale or other disposition of Ohio public obligations if
such losses have been deducted in determining federal taxable income               0

40. Total income (add lines 27 through 39; enter here and on Schedule I,
line 1)                                                                            894579

SCHEDULE III – DEDUCTIONS
41. I.R.C. 179 expense not deducted in calculating line 27                         0

42. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
added back in applicable previous years and miscellaneous federal income 
tax adjustments. Attach a separate schedule showing calculations                   0

43. Net federal interest and dividends exempt from state taxation                  0

44. Other separately stated K-1 amounts that are allowable as deductions
in arriving at federal adjusted gross income and amounts contributed to 
individual development accounts                                                    0

45. Exempt gains from the sale of Ohio state or local government bonds             0

46. Wage and salary expense not otherwise deducted because of a federal
work opportunity tax credit                                                        0

10/7/2016                                                  4708 Scenario 5               Page 3



- 37 -
47. Interest or income earned on Ohio public obligations and Ohio
purchase obligations if such interest or income is included on any of lines 
27-35                                                                       0

48. Net gain included in line 40 resulting from the sale, exchange or other
disposition of Ohio public obligations (do not enter amounts shown on line 
45)                                                                         0

49. Total deductions (add lines 41-48; enter here and on Schedule I, line 2)
                                                                            0

SCHEDULE IV - APPORTIONMENT WORKSHEET

50. Property

a) Owned (average cost) Within Ohio                                         3763213

a) Owned (average cost) Total Everywhere                                    7542667

b) Rented (annual rental X 8) Within Ohio                                   0

b) Rented (annual rental X 8) Total Everywhere                              2016

c) Total (lines 50a and 50b) Within Ohio                                    3763213

c) Total (lines 50a and 50b) Total Everywhere                               7544683

 Property Ratio                                0.25                         0.498790

 Property Weighted Ratio                                                    0.124698

51. Payroll

Payroll Within Ohio                                                         0

Payroll Everywhere                                                          0

Payroll Ratio                                                               0.000000

Payroll Weighted Ratio                                                      0.000000

52. Sales

Sales Within Ohio                                                           402940

Sales Everywhere                                                            1029287

Sales Ratio                                    0.75                         0.391475

Sales Weighted Ratio                                                        0.293606

53. Total weighted apportionment ratio                                      0.418304

SCHEDULE V – REFUNDABLE BUSINESS CREDITS

54. Ohio historic preservation credit                                       0

55. Business jobs credit                                                    0

56. Pass-through entity credit                                              0

10/7/2016                                      4708 Scenario 5                      Page 4



- 38 -
57. Losses on loans made to Ohio venture capital program                 0

58. Motion picture production credit                                     0

59. Financial Institutions Tax (FIT) credit                              0

60. Total refundable business credits                                    0

SCHEDULE VI – INVESTOR INFORMATION

Investor 1

Social Security no.                                                      336-32-6673

FEIN

Percent of ownership                                                     1.0000

Amount of PTE tax credit                                                 18699

First name/entity                                                        MARVIN

M.I.                                                                     E

Last name                                                                FINN

Address                                                                  P O BOX 908

City                                                                     MARBLE FALLS

State                                                                    TX

Zip Code                                                                 78654

10/7/2016                                                4708 Scenario 5             Page 5



- 39 -
                                                     2016 IT4708
                                                     Test Scenario 6

For taxable year ending in                                                  11/2016

Check here if amended return

Check here if final return

Federal employer I.D. no. (FEIN)                                            XX-0047086

Ohio charter or license no. (if S corp)                                     2029734

Entity Type:

S corporation

Limited liability corporation

Partnership                                                                 X

Other

Name of pass-through entity                                                 DOSTER CONSTRUCTION COMPANY, INC.

Address (if address change, check box)                                      2100 INT'L PARK DR.

City                                                                        BIRMINGHAM

State                                                                       AL

ZIP code                                                                    35243

Number of investors included in return                                      3

Apportionment ratio, line 6                                                 0.002921

If the pass-through entity is an S corporation, did the pass-through entity 
pay any compensation or remuneration to any                                 X = YES

If the pass-through entity is, or is treated as, a partnership for federal 
income tax purposes, did the pass-through entity make any guaranteed 
payments to any of its partners or equity investors?                        X=N/A

SCHEDULE I 

1. Total income (from Schedule II, line 40)                                 102885

2. Total deductions (from Schedule III, line 49)                            128218

3. Income (loss) to be allocated and apportioned (line 1 minus line 2)      -25333

4. Net allocable nonbusiness income (loss) everywhere, if any               0

10/7/2016                                            4708 Scenario 6                                         Page 1



- 40 -
5. Apportionable income (loss) (line 3 minus line 4)                              -25333

6. Ohio apportionment ratio (from Schedule IV, line 53)                           0.002921

7. Income (loss) apportioned to Ohio (line 5 times line 6)                        -74

8. Net nonbusiness income (loss) allocated to Ohio and gain
(loss) apportioned to Ohio per R.C. 5747.212                                      0

9. Ohio taxable income (sum of lines 7 and 8, but not less than -0-)              0

10. Tax before credits (multiply the amount on line 9 by .04997)                  0

11. Nonrefundable business credits (attach Schedule E)
                                                                                  0

12. Tax due after nonrefundable business credits.                                 0

13. Interest penalty on underpayment of estimated tax                             0

14. Ohio forms IT 4708ES and IT 4708P payments                                    0

15. Ohio forms IT 1140ES and IT 1140P payments transferred to
this form and any payments made with previously filed return(s) 
for this taxable year                                                             0

16. Deduct Ohio forms IT 4708ES and IT 4708P payments transferred to
Ohio form IT 1140 and deduct overpayments, if any, previously claimed for 
this taxable year                                                                 0

17. Total net Ohio estimated tax payments for 2016                                0

18. Amount of 2015 overpayment credited to 2016                                   0

19. Total refundable business credits (from Schedule V, line 60)                  5280

20. Total of lines 17, 18 and 19                                                  5280

21. Overpayment, if any                                                           5280

22. Amount of line 21 to be CREDITED to year 2017 tax liability                   0

23. Amount of line 21 to be REFUNDED                                              5280

24. Net amount due, if any                                                        0

25. Interest and penalty due on late-paid tax and/or late-filed return, if any    0

26. Total amount due, if any (sum of lines 24 and 25).                            0

SCHEDULE II – INCOME AND ADJUSTMENTS

27. Ordinary business income (loss)                                               235074

28. The investors’ shares of expenses and losses incurred in connection
with all direct and indirect transactions between the pass-through entity and 
its related members, including certain investors’ family members.                 0

29. Guaranteed payments that the pass-through entity made to each
investor participating in the fi ling of this return if such investor directly or 
indirectly owns at least 20% of the pass-through entity.                          538521

10/7/2016                                                  4708 Scenario 6                Page 2



- 41 -
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.                                      0

31. Net income or (loss) from rental activities other than amount shown on
line 27                                                                            -930066

32. Portfolio income (loss). See note below.
   a. Interest income                                                              82678

   b. Dividends                                                                    0

   c. Royalties                                                                    0

   d. Net short-term capital gain (loss)                                           -1015

   e. Net long-term capital gain (loss).                                           50299

   f. Other portfolio income (loss)                                                0

33. Net gain (loss) under I.R.C. 1231                                              -6337

34. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
and miscellaneous federal income tax adjustments. Attach a separate 
schedule showing calculations                                                      43115

2/3
5/6                                                                                X
6/6

35. Other income (loss). Attach schedule                                           0

36. Pass-through entity add-back and financial institutions taxes paid             0

37. Non-Ohio state or local government interest and dividends earned by
the pass-through entity but not included above                                     90616

38. State and local income taxes deducted in arriving at income                    0

39. Losses from the sale or other disposition of Ohio public obligations if
such losses have been deducted in determining federal taxable income               0

40. Total income (add lines 27 through 39; enter here and on Schedule I,
line 1)                                                                            102885

SCHEDULE III – DEDUCTIONS
41. I.R.C. 179 expense not deducted in calculating line 27                         0

42. Adjustment for I.R.C. sections 168(k) and 179 depreciation expense
added back in applicable previous years and miscellaneous federal income 
tax adjustments. Attach a separate schedule showing calculations                   78513

43. Net federal interest and dividends exempt from state taxation                  0

44. Other separately stated K-1 amounts that are allowable as deductions
in arriving at federal adjusted gross income and amounts contributed to 
individual development accounts                                                    0

45. Exempt gains from the sale of Ohio state or local government bonds             49705

46. Wage and salary expense not otherwise deducted because of a federal
work opportunity tax credit                                                        0

10/7/2016                                                  4708 Scenario 6                Page 3



- 42 -
47. Interest or income earned on Ohio public obligations and Ohio
purchase obligations if such interest or income is included on any of lines 
27-35                                                                       0

48. Net gain included in line 40 resulting from the sale, exchange or other
disposition of Ohio public obligations (do not enter amounts shown on line 
45)                                                                         0

49. Total deductions (add lines 41-48; enter here and on Schedule I, line 2)
                                                                            128218

SCHEDULE IV - APPORTIONMENT WORKSHEET

50. Property

a) Owned (average cost) Within Ohio                                         0

a) Owned (average cost) Total Everywhere                                    8399877

b) Rented (annual rental X 8) Within Ohio                                   9760

b) Rented (annual rental X 8) Total Everywhere                              7197560

c) Total (lines 50a and 50b) Within Ohio                                    9760

c) Total (lines 50a and 50b) Total Everywhere                               15597437

 Property Ratio                                                             0.000626

 Property Weighted Ratio                                                    0.000125

51. Payroll

Payroll Within Ohio                                                         0

Payroll Everywhere                                                          13054077

Payroll Ratio                                                               0.000000

Payroll Weighted Ratio                                                      0.000000

52. Sales

Sales Within Ohio                                                           680046

Sales Everywhere                                                            145940017

Sales Ratio                                                                 0.004660

Sales Weighted Ratio                                                        0.002796

53. Total weighted apportionment ratio                                      0.002921

SCHEDULE V – REFUNDABLE BUSINESS CREDITS

54. Ohio historic preservation credit                                       0

55. Business jobs credit                                                    0

56. Pass-through entity credit                                              0

10/7/2016                                      4708 Scenario 6                       Page 4



- 43 -
57. Losses on loans made to Ohio venture capital program                 0

58. Motion picture production credit                                     0

59. Financial Institutions Tax (FIT) credit                              5280

60. Total refundable business credits                                    5280

SCHEDULE VI – INVESTOR INFORMATION

Investor 1

Social Security no.                                                      423111663

FEIN

Percent of ownership                                                     0.3333

Amount of PTE tax credit

First name/entity                                                        THOMAS

M.I.                                                                     E

Last name                                                                DOSTER IV

Address                                                                  343 WAHACKME ROAD

City                                                                     NEW CANAAN

State                                                                    CT

Zip Code                                                                 06840

Investor 2

Social Security no.                                                      423112419

FEIN

Percent of ownership                                                     0.3333

Amount of PTE tax credit

First name/entity                                                        JULIA

M.I.                                                                     D

Last name                                                                CROWELL

Address                                                                  156 GOWER ROAD

City                                                                     NEW CANAAN

State                                                                    CT

Zip Code                                                                 06840

Investor 3

Social Security no.                                                      423111633

10/7/2016                                                4708 Scenario 6                  Page 5



- 44 -
FEIN

Percent of ownership                    0.3333

Amount of PTE tax credit

First name/entity                       WALTON

M.I.                                    C

Last name                               DOSTER

Address                                 3033 CANTERBURY LANE

City                                    BIRMINGHAM

State                                   AL

Zip Code                                35223

10/7/2016               4708 Scenario 6                     Page 6



- 45 -
 2016 Ohio IT 
          4708

          Recent Updates

10/7/16- Schema updated to include additional allowed values in the 
Schedule IV Apportionment Worksheet; Scenario 2 Payroll Weighted 
Ratio value corrected; Scenario 6 values on lines 29 and 30 
corrected.

          Ohio Department of Taxation

          4485 Northland Ridge Blvd.

          Columbus, OH 43229

          tax.ohio.gov






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