City Of Hubbard Income Tax Return

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CITY OF HUBBARD INCOME TAX RETURN
FOR TAX OFFICE USE ONLY
Amount Paid
qCash
Please Enter Tax Year u
YEAR _______
qCHECK NO.
AUDITED
OR PERIOD FROM _____________ TO _____________
BY
DUE DATE APRIL 15
Were you a Hubbard resident for the entire year? qYes qNo If no:
Make Check or Money Order Payable to:
Date moved into Hubbard: __________ Date moved out of Hubbard: __________
HUBBARD CITY INCOME TAX
Ph: 330-534-6299
IF YOU RENT, GIVE NAME AND ADDRESS OF LANDLORD
MAIL TO:
Fax: 330-534-6282
P.O. Box 307
Name ____________________________________________________________
Hubbard, OH 44425-0307
Address __________________________________________________________
PLEASE READ GENERAL INSTRUCTIONS BEFORE PREPARING THIS RETURN
Indicate here if you are q Retired and have no taxable income.
PLEASE ENTER NAME AND ADDRESS BELOW
SOCIAL SECURITY NO. (SELF)
SOCIAL SECURITY NO. (SPOUSE)
FEDERAL ID NO.
Credit for Taxes Paid
Actual Work Location
Gross Wages - Highest
Hubbard
Other City
to another City
City/Township
Wage on W-2
Tax Withheld
Tax Withheld
A. PRINT EMPLOYER’S NAME
B.
C.
D.
E.
F.
1% Max Credit Per W-2
TOTALS: 1C. $
1D. $
1F. $
1. WAGES, SALARIES, TIPS & OTHER COMPENSATION (Enclose Forms) (1C) ...................................................................................................... $ _______________
_
2. PROFIT AND LOSS
(LOSSES MAY NOT BE USED TO OFFSET SALARIES, WAGES, COMMISSIONS OR OTHER PERSONAL SERVICES COMPENSATION)
A. Business or Profession} (
LOSS ($ ___________ )
Attach Schedule C, C-EZ, Include cost of goods sold
PROFIT $ ________________
..............................
Form 1120, 1120A. 1065 or 1120S)
LOSS ($ ___________ )
B. Rents, Partnerships, Estates, Trusts, etc. (Attach Schedule E) ........
PROFIT $ ________________
LOSS ($ ___________ )
C. Farm (Attach Schedule F) .................................................................
PROFIT $ ________________
D. NET TAXABLE INCOME: Add line A,B,C. of Profit only (losses cannot be used to offset profit).............. $ ________________
3. TAXABLE INCOME (Line 1 plus 2. D.) ................................................................................................................................................................................................. $ __________________
4. CITY TAX DUE 1.5% (.015) of Line 3 ................................................................................................................................................................................................... $ __________________
5. CREDITS
A. Hubbard Income Tax Withheld (1D) .................................................................................... $ ______________
B. Credit for tax paid to other cities (1%) per W-2. (1F) ........................................................... $ ______________
(Use your local wage box on your W-2)
C. Payments made on Declaration/Credits and amount paid on extension ............................. $ ______________
D. TOTAL CREDITS (Add lines A,B,C) ...................................................................................................................................................................... $ ________________
6. BALANCE TAX DUE IF LINE 4 is larger than LINE 5D (Payment in full must accompany this form) .............................................................................................. $ _________________
7. LATE FILING PENALTY ($25.00) PENALTY $ ______________
NO N PAYMEN T PENA LT Y $ ____________
INTEREST $ ______________
( Enter TOTAL PENALTY AND I NTEREST
$ _________________
8. T O TA L A MOUNT DUE P AYA BLE TO CITY OF HUBBARD (Line 6 plus Line 7) PAYMENT IS REQUIRED WITH RETURN
$ _________________
9. OVERPAYMENT • AMOUNT to be REFUNDED $ ________
AMOUNT to be CREDITED to next years return $ __________
NOTE: Amount of 99¢ or less is not refundable or payable.
DECLARATION OF ESTIMATED TAX FOR CURRENT YEAR
(SEE GENERAL TAX FILING INFORMATION)
1. Total estimated income subject to tax $ _____________ Multiply the tax rate .015 (1.5%) for gross tax ...................................
$ _______________
2. Less any CITY TAX to be withheld - 1% limit per W-2 ................................................................................................................
$ _______________
3. Balance Hubbard City Income Tax declared ...............................................................................................................................
$ _______________
4. Less Credits: A. Overpayment on previous years return .............................................................................................................
$ _______________
B. Previous payment, If this is an amended estimate ............................................................................................
$ _______________
5. Unpaid balance of net tax due .....................................................................................................................................................
$ _______________
6. FIRST QUARTER ESTIMATE AMOUNT (DUE APRIL 15 WITH THIS RETURN) ....................................................................
$ _______________
PAY THIS AMOUNT
$
GRAND TOTAL Line 8 ABOVE and FIRST QUARTER ESTIMATE PAYMENT (line 6)
I certify that I have examined this return (including accompanying schedules, forms and statement) and believe it is true, correct and complete.
S
I
G
Your Signature
DATE
Preparer’s signature (other than taxpayer)
DATE
N
H
Phone:
E
SPOUSE SIGNATURE If living jointly. BOTH must sign, even if only one had income)
DATE
Address (and zip code)
R
If this return was prepared by a tax preparer, may we contact him/her with questions regarding the
E
preparation of this return?
q Yes
q No
Your telephone number (optional) _____________________________________________________
12/10 Rev.

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