Form W-2 - Income Tax Worksheet - City Of Lorain - 2014
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1
22014
CITY OF LORAIN
INCOME TAX DEPARTMENT
(440) 204-1002 FAX (440) 204-1006
605 WEST 4TH ST, LORAIN, OH 44052-1605
th
DUE DATE APRIL 15 2015
OR
If under 18 - Attach proof of age
FISCAL YEAR FILERS MUST FILE ON OR BEFORE THE 15TH DAY OF
THE FOURTH MONTH AFTER THE CLOSE OF THAT FISCAL YEAR.
FISCAL PERIOD
TO
FOR INCOME TAX DEPARTMENT USE ONLY
YOUR NAME AND ADDRESS AS THEY APPEAR ON OUR RECORDS:
MAKE NECESSARY CORRECTIONS
PAID W/RETURN:
CK NO.
DUE
CR TO 2015
REFUND
NO EARNED INCOME
IF YOU MOVED DURING THE TAX YEAR, COMPLETE THIS BLOCK
Date moved into Lorain
Email Address
Phone#
Previous Address
Your Social Security No. or Federal ID
Spouse's Social Security No.
Date moved out of Lorain
Present Address
W-2 WORKSHEET
SEE INSTRUCTIONS BEFORE COMPLETING
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5
OTHER CITY
MAX CREDIT LIMIT
GROSS WAGES–HIGHEST
2106 EXPENSES, REDUCES
LORAIN
CITY WHERE EMPLOYED
W-2
WAGE ON W-2
CREDIT ALLOWED IN COL. 5
TAX WITHHELD
2.5% OF WAGES
TAX WITHHELD
COPIES
MUST
BE
ATTACHED
TOTALS
ATTACH A COPY OF 1040 (FEDERAL), ALL APPLICABLE W-2S, FEDERAL SCHEDULES, EXPLANATIONS ETC.
INCOME
1. Total W-2 wages from column 2 ...............................................................................................................1
$
$
2. 2106 Expenses from column 3, Sch. A & Form 2106 Must Be Attached ..................................................2
3. TAXABLE WAGES. SUBTRACT LINE 2 FROM LINE 1 ...........................................................................3
$
4. Other income. From Schedule C, E or H on reverse ................................................................................4
$
$
5. TOTAL LORAIN INCOME. ADD LINE 3 AND 4 ........................................................................................5
TAX
$
6. LORAIN INCOME TAX. MULTIPLY LINE 5 BY 2.5% (.025) ....................................................................6
TAX
$
7. Lorain income tax withheld from column 4 ....................................................7
WITHHELD,
$
8. Prior year credits ...........................................................................................8
PAYMENTS
9. Estimated payments .....................................................................................9
$
AND
10. Credit for taxes withheld to other cities from column 5 ...............................10
$
CREDITS
11. TOTAL PAYMENT AND CREDITS. ADD LINES 7 THROUGH 10 ............
11
$
12. BALANCE DUE. If line 6 is more than 11, enter balance due here ........................................................12
$
BALANCE
13. Late Filing Penalty. $25, plus 10% of balance due (If paid after April 15
) .............................................13
$
th
DUE,
14. Interest. 1.0% per month, if applicable ....................................................................................................14
$
REFUND
15. TOTAL DUE. Add lines 12 through 14. Carry to line 25 below (No tax due if less than $2.01) ...............15
$
OR
16. OVERPAYMENT. If line 6 is less than line 11, enter overpayment here ....16
$
$
CREDIT
$
17. AMOUNT FROM LINE 16 TO BE REFUNDED
......17
(No refund if less than $2.01)
18. AMOUNT FROM LINE 16 TO BE CREDITED TO NEXT YEAR ................18
$
DECLARATION OF ESTIMATED TAX FOR 2015 (MANDATORY - When tax due is $100.00 or more)
ESTIMATE
19. Total estimated income subject to tax $__________ Multiply by tax rate of 2.5% (.025) ..........................19
$
$
FOR
20. Subtract tax to be withheld or paid to other cities (limit 2.5% of wages) ...................................................20
21. Balance of city income tax declared. Subtract line 20 from line 19 ..........................................................21
$
NEXT
22. Tax due before credits. Enter at least 25% of line 21 ...............................................................................22
$
YEAR
23. Less credits. Enter line 18 from above ......................................................................................................23
$
24. Net estimated tax due. Subtract line 23 from line 22 ................................................................................24
$
25. Enter balance due from line 15 above (No tax due if less than $2.00) .....................................................25
$
TAX DUE
26. TOTALTAX DUE ADD LINES 24 & 25. PLEASE MAKE CHECK PAYABLE TO LORAIN INCOME TAX DEPT .....................26
$
If this return was prepared by a tax practitioner, check here if we may NOT contact him/her directly with questions regarding the preparation of this return.
TAX PREPARER – NAME AND PHONE (PLEASE PRINT)
DATE
SIGNATURE OF TAXPAYER
DATE
SIGNATURE OF SPOUSE
DATE
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