Income Tax Return Form - Village Of Loudonville

VILLAGE OF LOUDONVILLE INCOME TAX RETURN

FILING DEADLINE APRIL 15 (BE SURE TO MAIL EARLY TO AVOID A LATE FILING PENALTY)

EVERY RESIDENT WHO IS 16 YEARS OLD OR OLDER WHO IS EMPLOYED EITHER WITHIN THE VILLAGE OR WHO IS EMPLOYED

OUTSIDE THE VILLAGE, WHETHER OR NOT VILLAGE INCOME TAX IS WITHHELD MUST FILE.

THIS FORM MUST BE COMPLETED AND RETURNED TO ENABLE THE TAX DEPARTMENT TO KEEP RECORDS UP TO DATE. ANY

FORM NOT RETURNED ON TIME WILL BE CONSIDERED DELINQUENT AND SUBJECT TO $25.00 MINIMUM PENALTY. ALL RETURNS

MUST BE ACCOMPANIED BY W-2ʼS AND/OR COPIES OF FEDERAL SCHEDULES WHERE APPLICABLE. IF NO LONGER A RESIDENT,

CHANGE ADDRESS ON FRONT AND RETURN TO TAX DEPARTMENT.

LATE FILING FEE OF $25.00 FOR RETURNS FILED AFTER

APRIL 15TH

Village of Loudonville

Income Tax Department

NAME_____________________________________________

SOC. SEC.# _______________________________________

SPOUSE __________________________________________

SOC. SEC.# _______________________________________

ADDRESS __________________________________________________________________________________________________

CITY ____________________________________________________

STATE__________

ZIP__________________

SIGNATURE __________________________________ DATE ____________

SPOUSE __________________________________ DATE ____________

EXEMPTION FORM

YOU MAY NOT BE REQUIRED TO FILE A VILLAGE INCOME TAX RETURN NOW OR IN THE FUTURE. COMPLETE THIS FORM,

RETURN IT TO OUR OFFICE BY APRIL 15TH, AND YOU WILL NOT BE CONSIDERED A DELINQUENT TAXPAYER.

EXEMPTION REASON:

1. NON-RESIDENT FOR THE ENTIRE TAX YEAR. DATE MOVED: ___________________

2. MY SOLE INCOME IS DERIVED FROM THE FOLLOWING SOURCE(S):

SOCIAL SECURITY BENEFITS

INTEREST INCOME

ALIMONY

PENSION

DIVIDEND INCOME

GENERAL RELIEF

3. TAXPAYER DECEASED IN PREVIOUS YEAR.

DATE DECEASED:_________________

EXTENSIONS OF TIME TO FILE MAY BE GRANTED BY THE ADMINISTRATOR, FOR GOOD CAUSE. A COPY OF THE FEDERAL

EXTENSION OR THE COMPLETED FORM BELOW MUST BE SENT TO OUR DEPARTMENT BY APRIL 15TH TO BE VALID. THE

EXTENSION DUE DATE FOR YOUR RETURN WILL BE THAT GRANTED BY THE I.R.S.

AN EXTENSION TO FILE IS NOT AN EXTENSION OF TIME FOR PAYMENT OF THE TAX DUE.

APPLICATION FOR EXTENSION OF TIME TO FILE

1. I REQUEST AN EXTENSION OF TIME UNTIL ___________________________ 20______, TO FILE MY 2013 VILLAGE OF

LOUDONVILLE MUNICIPAL INCOME TAX RETURN.

2. HAVE YOU PREVIOUSLY REQUESTED AN EXTENSION OF TIME TO FILE FOR THIS TAX YEAR:

YES

3. EXPLAIN WHY YOU NEED AN EXTENSION _______________________________________________________________________

______________________________________________________________________________________________________________

GENERAL INSTRUCTIONS FOR THE VILLAGE OF LOUDONVILLE INCOME TAX RETURN

• Every resident who is 16 years of age or older, once gainfully employed, even though no tax may be due, must file a return on or before

April 15th.

• In addition to wages and salaries, other taxable income includes, but is not limited to, severance pay, sick & vacation pay, tax

shelter plans, 401k plans, tips, bonuses, and any other compensation paid by an employer or employers before deductions of any kind, the

net profits from the operations of a business, profession or other enterprise or activity.

• Losses from rental or business activity cannot be applied against wages.

• BEFORE MAILING YOUR RETURN: SIGN AND DATE YOUR RETURN;

ATTACH COPIES OF W-2ʼS, 1099ʼS AND APPLICABLE FEDERAL SCHEDULES

INCLUDE YOUR CHECK MADE PAYABLE TO VILLAGE OF LOUDONVILLE TAX DEPARTMENT

FOR THE AMOUNT OF TAX DUE (LINE 19).

Income Tax Return Form - Village Of Loudonville - 2013 Page 3

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