Form Rc - Income Tax Return - City Of Cuyahoga Falls - 2010

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Income Tax Division
FORM RC
CITY OF CUYAHOGA FALLS
nd
2310 2
Street
2010
INCOME TAX RETURN
Cuyahoga Falls, OH 44221
Phone (330) 971-8220
Fax (330) 971-8219
YOU MUST FILL OUT THIS FORM
Your Social
Online tax preparation tool available at
AND
RETURN BY APRIL 18, 2011
Security Number
Tax return was not filed for the following years:
Spouse’s Social
Security Number
Telephone
Number
(
)
E-mail:
Print
If you have moved during the year,
Name
indicate the date of your move:
and
Into Cuyahoga Falls
______/_____/_____
Address
Out of Cuyahoga Falls ______/_____/_____
here
Note: If your total income is reported on W-2 wages
and local tax was correctly withheld at the rate of 2.0%, com-
plete the shaded areas only, sign return at the bottom
and attach the W-2 forms. All others, see instructions
and complete form in its entirety.
Husband
Wife
(
) Yes (
) No
(
) Yes (
) No
Retired
Indicate here if you are
and have no taxable income
Unemployed for the entire year
Other __________________
Under 18 years of age
(attach proof of age). Date of Birth: ____________________________________
Date Retired
______/_____/_____
______/_____/_____
INCOME
1. Wages and salaries (please attach W-2 and/or 1099 forms
1
and complete Worksheet Table on back of return) (use highest dollar amount on W-2’s)
2. Other Taxable Income
2a. Business Income (attach Schedule C) _________% allocable to Cuyahoga Falls
2a
2b. Rental or Supplemental Income (attach Schedule E)
2b
2c. Other income (please provide documentation)
2c
2d. Loss carried forward from previous years
2d
(include schedule)
3. Total other taxable income
3
(add lines 2a, 2b, 2c, subtract line 2d; if amount is less than zero, enter zero)
4. Total taxable income before deductions
4
(add lines 1 and 3)
5. Deductions
5
(from line 33 on back of this return)
6. Cuyahoga Falls taxable income
6
(subtract line 5 from line 4)
TAX AND CREDITS
7. Cuyahoga Falls tax due before credits
7
(multiply line 6 by 2.0%)
8. Refunds received in the tax year shown above, from other localities
8
9. Current tax due
9
(add lines 7 & 8)
10. Taxes withheld and paid to Cuyahoga Falls
10
(total of column 2 from Worksheet Table)
11. Taxes withheld and paid to other localities
11
(total of column 3 from Worksheet Table)
12. Estimated tax payments made to Cuyahoga Falls…...As of ____________
$_________________
12
13. Income tax credit carried forward from prior years
13
14. Total credits
14
(add lines 10, 11, 12 and 13)
15. If difference between line 9 and line 14 is less than $1.00, enter zero and proceed to line 21
15
REFUND
16. If line 14 is greater than line 9, and not less than $1.00, enter the difference, which is amount of overpayment
16
17. Amount of line 16 to be credited to next year’s estimated tax liability
17
(enter here and on line 26)
18. Amount to be refunded
Proceed to line 21
18
(subtract line 17 from line 16)
AMOUNT PAYABLE TO CITY
19. If line 9 is greater than line 14, and not less than $1.00, enter the difference, which is the balance due for the current tax year
19
20. Penalty and Interest
20
(from line 36 on back of return)
DECLARATION OF ESTIMATED INCOME TAX
21. Estimated taxable income for tax year 2011
21
22. Estimated tax due
22
(multiply line 21 by 2.0%)
23. Taxes to be withheld and paid to Cuyahoga Falls and other localities
23
24. Balance of estimated tax due
24
(subtract line 23 from line 22)
25. First quarter of estimated tax payable to City
25
(multiply line 24 by 25%)
26. Prior credit applied to estimated tax payments
26
(line 17)
27. Net amount due for initial quarterly payment
27
(subtract line 26 from line 25)
28. Total amount due
Make check payable to CITY OF CUYAHOGA FALLS
28
(add lines 19, 20 and 27)
The undersigned declares this to be a true, correct, and complete return of Cuyahoga Falls Income Tax for the period stated
Signature
Date
/
/
For Departmental Use
Spouse’s Signature
Date
/
/
Tax Preparer’s Signature
Phone #
Date
/
/
(If other than taxpayer)
(
)
-
I authorize the Cuyahoga Falls Income Tax Division to discuss my account and enclosures with my preparer (above)
Initials

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