Form L-1 - City Income Tax Return For Individuals
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1
2CITY OF LAKEWOOD – DIVISION OF MUNICIPAL INCOME TAX
L-1
2006
City Income Tax Return For Individuals
Due By: April 16, 2007
Name(s) and Current Address
Taxpayer’s Social Security Number
REFUND
EXTENSION attached
AMENDED Year _______________
Spouse’s Social Security Number (if joint)
E-FILE PIN#:
Filing Status – CHECK ONLY ONE
Make checks payable and mail to:
City of Lakewood – Division of Municipal Income Tax
Single
12805 Detroit Avenue Lakewood, OH 44107
Married - Filing Joint
Phone: (216) 529-6620 Fax: (216) 529-6099
Married - Filing Separately
Website:
Telephone (_________) ______________________________________
IF RENTING:
DATE OF MOVE DURING 2006:
Landlord: __________________________________
Into Lakewood
______/______/______
Previous Address: __________________________________________________________
Mailing Address: ____________________________
Out of Lakewood ______/______/______
Current Address: ___________________________________________________________
___________________________________________
TABLE A: WAGES AND COMPENSATION
(ATTACH FEDERAL FORMS W-2, 1099-MISC, AND A COPY OF PAGE 1 OF YOUR 2006 FEDERAL RETURN)
additional copies of this table are available at
LOCATION WHERE EARNED
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Dates wages
were earned
List each W2 separately
Total Wages
Withheld for
Withheld for
Tax Credit Limit
Smaller of
Tax Credit
or Compensation
Lakewood
other localities
(Column 1 x .01)
Column 3 or 4
(Column 5 x .50)
MM DD MM DD
LAKEWOOD
LAKEWOOD
Total from supplementary page(s)
Total
(to Line 1)
(to Line 6)
(to Line 7)
If you want Lakewood to calculate your tax - STOP, check the box, sign and date the return. Submit with W-2s before March 15, 2007.
INCOME
1. Wages and compensation (from Table A, Column 1)
1.
2. Non – Wage Income (from Table B, Column 5, Line 6) – DO NOT enter an amount less than zero
2.
3. Non – Wage Income not reported on Table B (ie. Gambling winnings)
3.
4. Total taxable income (add Lines 1, 2, and 3)
4.
TAX AND CREDITS
5. Total Lakewood tax due before credits (multiply Line 4 by 1.5% or .015)
5.
6. Taxes withheld and paid to Lakewood (from Table A, Column 2)
6.
7. Wage income tax credit (from Table A, Column 6)
7.
8. Non-wage income tax credit (from Table B, Column 5, Line 11)
8.
9. Direct payment(s) made to the City of Lakewood
9.
10. Total credits (add Lines 6, 7, 8, and 9)
10.
11. Tax due before estimate payments (subtract Line 10 from Line 5)
11.
12. 2006 estimated tax payment(s) of ________________ and unused prior year credit of ________________ as of ________________
12.
13.
Total net tax – Subtract Line 12 from Line 11 and proceed to Line 16. If less than $1.00, enter zero and proceed to Line 14
13.
OVERPAYMENT
14. Overpayment - If Line 12 is greater than Line 11, and not less than $1.00, subtract Line 11 from Line 12
14.
15. From Line 14 - Amount to be credited to 2007 - $___________
Amount to be refunded - $___________ (Proceed to Line 17)
BALANCE DUE
16. Balance due – If Line 11 is greater than Line 12, and not less than $1.00, subtract Line 12 from Line 11
16.
ESTIMATED INCOME TAX FOR 2007
17. Estimated income tax for 2007 (from Line 11)
17.
18. First quarter payment (multiply Line 17 by 25% or .25)
18.
19. 2006 credit applied to first quarter estimate (from Line 15)
19.
20. Total amount due by April 16, 2007 (add Line 16, 18, and subtract Line 19)
20.
The undersigned declares this to be a true, correct, and complete return of Lakewood Income Tax for the period stated.
Pay by Credit Card-Mastercard / Visa
Taxpayer's Signature
Date
Account Number ________________________________
Spouse's Signature
Date
Exp. Date ____________ Amount Paid $ ____________
Tax Preparer's Signature (If other than taxpayer)
Phone #
Date
________________________________________________
Signature
I authorize the City of Lakewood - Division of Municipal Income Tax to discuss my account and enclosures with my preparer (above)
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