Form Ir - Individual Income Tax Return - Norwood - 2010
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2Form IR 2010___________________________________________________________________________________
EXTENSION REQUESTS
FILE WITH AND
2010
NORWOOD
2010
must be made
MAKE CHECK PAYABLE TO
INDIVIDUAL INCOME TAX RETURN
BY APRIL15, 2011
CITY OF NORWOOD
DUE ON OR BEFORE APRIL 15, 2011
See instructions for Extension Policy
EARNINGS TAX DEPARTMENT
MAKE A COPY OF FORM IR
4645 MONTGOMERY ROAD
TAX OFFICE PHONE:
513-458-4590
FOR YOUR FILE
NORWOOD, OHIO 45212
FAX:
513-458-4581
TAXPAYER’S NAME & ADDRESS:
REQUIRED INFORMATION:
Taxpayer’s Social Security No.___________________________________
Spouse’s Social Security No.____________________________________
Home Telephone No.___________________________________________
Business Telephone No._________________________________________
Retired __________
Social Security Disability ____________
Filing Status: Single___________
Married __________________
Resident _____
Move in date_______/______/_________
Non-Resident_____
Move out date______/______/_________
If you rent, give Landlords’ information:
Name________________________________________________________
IF NOT SHOWN ABOVE, PRINT NAME AND ADDRESS
Address______________________________________________________
INCOME AND TAX
1 Wages, salaries, cash, tips, etc. (attach all W-2 forms)
1.______________
2. Other taxable income (attach Federal Schedules and complete side 2 schedule)
2.______________
3. Less allowable expenses not reimbursed (see instructions)
3.______________
4. Total taxable income (lines 1, 2 and 3)
4. __________
5. Norwood Tax (2.0% of line 4)
5.___________
CREDITS
6. Estimated Tax Payments made to Norwood
6.______________
7. Taxes withheld by employer and paid to Norwood
7.______________
8. Taxes withheld and paid to other localities (2% maximum credit allowed)
8.______________
9. Overpayment from prior year(s)
9.______________
10. Total Credits (add line 6 through 9)
10.__________
TAX DUE
11. If line 5 is more than line 10, subtract line 10 from line 5. THIS IS THE TAX AMOUNT YOU OWE FOR 2010.
11. _________
OVERPAYMENT
12. If line 10 is greater than line 5, subtract line 5 from line 10. This is the amount you overpaid.
12.__________
13. Amount of line 12 to be credited to next year’s tax $____________ or Amount to be Refunded $____________
DECLARATION OF ESTIMATED TAX FOR YEAR 2011
(Quarterly payments are mandatory if your yearly estimated liability is $100 or higher.)
14. Total Income subject to tax ___________________ multiply by Tax Rate of 2.0% for Gross Tax of
14.__________
15. Less expected credits for Tax Withheld by employer for Norwood $____________and/or for other cities
Plus any credit from prior years $____________ (ALL TOTALED)
15.__________
16. Net Estimated Tax due for 2011 (line 14 minus line 15).
16.__________
17. Amount being paid with this Declaration (must be at least ¼ of line 16)
17.__________
18. TOTAL AMOUNT OF PAYMENT with this return (Line 11 plus line 17)
18.__________
I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF
MY KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE. IF PREPARED BY A PERSON OTHER THAN THE TAXPAYER, THE
DECLARATION IS BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.
__________________________________________________________________________________________
FOR TAX OFFICE USE ONLY
Signature of Taxpayer
Date
__________________________________________________________________________________________
Signature of Taxpayer
Date
__________________________________________________________________________________________
Signature of Person Preparing if other than Taxpayer
Date
__________________________________________________________________________________________
Address
and
Telephone Number
-PLEASE DO NOT WRITE IN THIS SPACE-
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