Form 1040-R - Springboro Individual Income Tax Return - 2006

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1040-R
2006
2006
FOR ASSISTANCE
SPRINGBORO INDIVIDUAL INCOME TAX RETURN
CALL (937) 748-9701
APRIL 16, 2007
320 W. Central Ave., Springboro, OH 45066 – DUE ON OR BEFORE
FAX (937) 748-6185
FOR FAILURE TO FILE BY APRIL 16, 2007, A MINIMUM $40.00 PENALTY WILL BE ASSESSED
IF NAME OR ADDRESS IS INCORRECT, MAKE NECESSARY CHANGES
TAXPAYER SSN: ______________________________________________
(LIST BOTH NAMES AND SOCIAL SECURITY NUMBERS IF FILING A JOINT RETURN)
SPOUSE SSN: _________________________________________________
HOME PHONE NUMBER:_______________________________________
IF YOU MOVED DURING THE YEAR, COMPLETE THIS SECTION:
DATE OF MOVE: ______________________________________________
FORMER ADDRESS: ___________________________________________
I AM NOT REQUIRED TO COMPLETE SECTION B OF THIS RETURN BECAUSE:
A
______ ACTIVE DUTY MILITARY (Attach W-2)
_______ TAXPAYER DECEASED, LIST DATE OF DEATH __________________________________________
______ NO EMPLOYMENT IN 2006
_______ MOVED FROM SPRINGBORO PRIOR TO 1-1-06, LIST DATE OF MOVE ______________________
______ ONLY INCOME IS FROM A NON-TAXABLE SOURCE – LIST SOURCE: _________________________________________________________________________
(INTEREST, DIVIDENDS, STOCKS, BONDS, CAPITAL GAINS, UNEMPLOYMENT, RETIREMENT INCOME, ETC. IS NOT TAXABLE)
.Number of W-2s attached
1.
Total from Worksheet A, Column 2 . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .1. ____________________
B
(Attach Federal Schedules)
2.
Total from Worksheet B
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2. ____________________
3.
Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3. ____________________
(Attach Federal Schedules)
4.
Total From Worksheet C
. . . . . . . . . . .4A. (__________________) . . . . . . .4B. ____________________
(Attach W-2G)
5.
Other Income
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5. ____________________
6.
Total Income (Add lines 3, 4B and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6. ____________________
7.
Tax Liability – Multiply line 6 by 1.5% (0.015) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7. ____________________
8.
A. Springboro tax withheld (See worksheet A, column 3) . . . . . . . . . . . . . . . . . . . . . . . . . .8A. ___________________
(Max. credit 1.0%, see worksheet A, column 6)
B. Credit for other city tax withheld
. . . .B. ___________________
C. Estimated taxes paid for 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C. ___________________
D. Prior year credit carried forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D. ___________________
8E. Total of credits. Add 8A, 8B, 8C and 8D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8E. ____________________
If line 7 is greater than box 8E, enter your balance due here (If less than $10.00, enter 0) . . . . . . . . . . . . . .9. ____________________
9.
10. If line 8E is greater than line 7, enter your overpayment here (If less than $10.00, enter 0) . . . . . . . . . . . . .10. ____________________
Amount to be: REFUNDED:____________________
or CREDITED TO 2007:___________________
11. Late filing penalty:_____________
Penalty:______________ Interest:____________ . . . . . . . . . . . . . . . .11. ____________________
12. BALANCE DUE
(Add line 9 and line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12. ____________________
DECLARATION OF ESTIMATED TAX DUE FOR TAX YEAR 2007
MANDATORY IF LIABILITY
$25.00 FAILURE TO FILE FEE IF NOT COMPLETED AND
IS $500.00 OR MORE
$75.00 FAILURE TO PAY ACCORDING TO PAY SCHEDULES
13. Total estimated tax due for tax year 2007 (Gross taxable income multiplied by 1.5%) . . . . . . . . . . . . . . . . . . . . .13. _____________________
14. Less credits (including prior year credit from line 10 and local taxes withheld) . . . . . . . . . . . . . . . . . . . . . . . . . . .14. _____________________
15. Net taxes owed for tax year 2007 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15. _____________________
16. Amount paid with this declaration (1/4 of amount in box 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16. _____________________
17. TOTAL DUE – ADD BOXES 12 and 16 to arrive at total due with this return . . . . . . . . . . . . . . . . . . . . . . . . . .17. _____________________
The undersigned declares that this return (and accompanying W-2’s, schedules and statements) is a true, correct and complete return for the taxable
period stated and that the figures used herein are the same as used for Federal Income Tax purposes. If this return was prepared by a tax
practitioner, may we contact your practitioner directly with questions regarding the preparation of this return? _____ Yes _____ No.
TO MAKE A CREDIT CARD OR ELECTRONIC
C
CHECK PAYMENT PLEASE CALL
Your Signature
DATE
1-866-549-1010 OR VISIT THE WEB-SITE AT
(A CONVENIENCE FEE OF 2.5% OF THE
CREDIT CARD PAYMENT AMOUNT AND/OR
Spouse’s Signature
DATE
A FLAT FEE OF $3.00 FOR EACH
ELECTRONIC CHECK WILL APPLY. FEES
MAY BE SUBJECT TO CHANGE).
Signature and telephone number of preparer (if other than taxpayer)
DATE

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