Form 37 - Rita Individual Income Tax Return Page 2

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2
Page
Form 37 (2016)
Section B
1 a
Total W-2/W-2G
income from Page 1, Section A, Column 1.
1a
For NON
Total self-employment, rental, partnership, and (if applicable)
W-2/
b
Schedule
S-Corp. income as well as any other taxable income from Page
income
3, Schedule J, Line 28, Column 7. If less than zero, enter -0-.
1b
see Pages
2
Total taxable income. Add Lines 1a and 1b.
2
3-4 before
starting
3
Multiply Line 2 by the tax rate of your resident municipality from the tax table.
Section B.
Enter the tax rate of your resident municipality here:
3
4 a
Tax withheld for all municipalities other than your municipality of residence
from Page 1, Section A, Column 2. Do not enter estimated tax payments.
4a
Withheld
b
Direct payments from Page 3, Schedule K, Line 36. Do not enter tax
taxes
withheld from your wages and/or estimated tax payments on this line.
4b
shown on
your W-2
5 a
Add Lines 4a and 4b.
5a
forms are
reported on
b
Total tentative credit from Credit Rate Worksheet, Column E located at the
either Line
bottom of this page. Your resident municipality’s credit rate:
_
5b
4a or 7a.
c
Enter the smaller of Line 5a or Line 5b.
5c
6
Multiply Line 5c by the credit factor of your resident municipality from
If your
the tax table. Your resident municipality’s credit factor:
6
resident
city/village
7 a
Tax withheld for your resident municipality from Page 1, Section A,
has a Credit
7a
Column 3. Do not enter estimated tax payments (see instructions).
Rate of 0%;
b
enter -0- on
Tax paid by your
partnership/S-Corp.
to any RITA municipality
7b
(see instructions)
Line 5b
8
Total credits allowable. (Add Lines 6, 7a, and 7b.)
8
through Line
6 and go to
9
Subtract Line 8 from Line 3.
9
Line 7a. You
do not need
10
Tax on non-withheld wages from Page 3, Schedule K, Line 33.
10
to complete
11
Tax on Schedule J Income from Page 3, Line 32, Column 7.
the Credit
11
Rate
TAX DUE RITA AFTER WITHHOLDING. Add Lines 9, 10 and 11. If less than zero, enter
12
Worksheet.
12
-0- and file Form 10A (see instructions).
13
2016 Estimated Tax Payments made to RITA. Do not enter tax
Refunds:
withheld from your W-2s. Only include payments made for the 2016
To avoid
13
delays in
tax year.
processing
14
14
Credit carried forward from 2015.
your refund,
mail your
15
TOTAL CREDITS. Add Lines 13 and 14.
15
return to the
PO BOX
16
Balance Due. If Line 15 is less than Line 12, subtract Line 15 from Line
address
16
listed in the
12. If the amount is $10 or less, enter -0-.
lower right
17
If Line 15 is GREATER than 12, subtract Line 12 from Line 15 and enter OVERPAYMENT.
17
hand corner
of this page.
18
Amount you want credited to your 2017 estimated tax.
18
Refunds of
19
Amount to be refunded. You may not split an overpayment
tax withheld
19
between a refund and a credit. Amounts $10 or less will not be
from your
wages must
refunded. Allow 90 days for your refund.
be applied
20 a Enter 2017 estimated tax in full (see instructions). Estimates are
for on Form
10A.
20a
due 4/18/17, 6/15/17, 9/15/17 and 12/15/17.
Download
b Enter first quarter estimate (1/4 of Line 20a).
20b
Form 10A at
21
Subtract Line 18 from Line 20b.
21
.com
22
TOTAL DUE by April 18, 2017. Add Lines 16 and 21.
22
Estimated Taxes (Line 20a):
If your estimated tax liabilit y is $200 or more, you are required to make quarterly payments of
the anticipated tax due. If your estimated tax payments are not 90% of the tax due or not equal to or greater than your prior year’s total tax liability,
you may be subject to penalty and interest. You may use the amount on Line 12 as your estimate or use Worksheet 2 in the inst ructions to calculate
your estimate. Note: If Line 20a is left blank, RITA will calculate your estimate.
Credit Rate Worksheet:
Mail your return with W-2s and
A
B
C
D
E
a copy of your federal schedules to:
Wages/Income
Credit Rate
Maximum credit
Workplace tax
Tentative Credit
With payment made payable to RITA:
earned outside of
(multiply Column
withheld/paid
Enter lesser of
for resident municipality
Regional Income Tax Agency
resident municipality
from tax table
A by Column B)
Columns C or D
PO Box 6600
Cleveland, OH 44101-2004
Without payment:
Regional Income Tax Agency
PO Box 94801
Cleveland, OH 44101-4801
Refund with an amount on Line 19:
Regional Income Tax Agency
Enter amount from WORKSHEET L, Row 12, Column 7
PO Box 89409
Total Tentative Credit: Enter on Section B, Line 5b, above.
Cleveland, OH 44101-6409

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