Form Ir-L - Individual City Income Tax Return - 2012

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2012 Individual City Income Tax Return
City of Hamilton Income Tax Division
*Hamilton .................. 2.00 %
345 HIGH ST FL 3 STE 310 HAMILTON OH 45011
Use a Separate Form for Each City
New Miami............... 1.75 %
Phone:
513 785-7400
Eaton ....................... 1.50 %
FILE ONLINE
FILE ONLINE
Toll Free: 1- 800 854-1684
*Phillipsburg ............. 1.50 %
Fax:
513 785-7401
BC Annex ................ 2.00 %
Return and Payment Due On or Before April 15, 2013
Email:
citytax@ci.hamilton.oh.us
*New Paris............... 1.00 %
New Paris use Part Year Filing section: October 1 to December 31, 2012
Website:
*
Filing Required Even If No Taxable Income
Status:
Single
Married-Filing Joint
Married-Filing Separate
Account #:
If Renting a Residence, Give Name and Address of Owner:
Taxpayer Name and Address:
Yes
No Did You File a Return with this City for 2011?
Part Year Filing:
Yes
No May Our Office Discuss this Return with the Preparer?
From: ___________
To: _____________
Check Here if Account Should Be Inactivated. Provide Reason:
Complete Section B
Back of Return
2012 Income Tax Return
For Explanation and Requirements of Tax Return and Declaration See Instructions (Separate Document)
1. Wages
For Office Use Only
USE BOX 5
A.
W-2 Wages (Box 5 of Your W-2) (If No Box 5 See Instructions) (Attach W-2’s)……...…………..
1A
DO NOT INCLUDE
1099-G UNEMPLOYMENT
NOT BOX 1
B.
2106 Reduction of W-2 Wages (Attach Schedules)……………………………………..……………
1B
do
C.
Gambling Winnings (Hamilton & New Paris Only) (Attach Schedules)……………………..….…
1C
D.
1099-MISC and/or Miscellaneous Income (If Not Reported on Schedule) (Attach 1099-MISC)…
DO NOT INCLUDE 1099-R
1D
E.
Sub-Total Taxable Income (Line 1A – 1B + 1C + 1D)………………………………………………………………………………...
1E
2. Other Taxable Income Profit or (Loss) – Complete Section C on Back of Return (Attach Schedules)
…………………………..…………..
A.
Profit or (Loss)……………………………………………….……………….…………………………....
2A
B.
Net Operating (Loss) – Current Year Carry Forward
2B
C.
Prior Year (Loss) Applicable Only to Current Year Profit – Limit Up to Line 2A (See Instructions)
2C
D.
Sub-Total Other Taxable Income (Line 2A – 2C)……………………………………………………………………………………...
2D
3. Total Taxable Income (Line 1E + 2D)……………………………………………………………………………………………………………
3
……………………………..
4. Tax (Line 3 x ____%)………………….….……………………………………………………………………………………………………...…
4
……………………………...
5. Credits
……………………………...
A.
Tax Withheld for Resident City……………………………………………………………………………
5A
B.
Tax Withheld for Another City, Not to Exceed ____% (Credit Is Limited - See Instructions)
5B
C.
Credit Carryover from 2011…………………………………………………………….…………………
5C
D.
2012 Estimated Tax Paid…...……………………………………………………………………..……...
5D
E.
Sub-Total Credits (Line 5A + 5B + 5C + 5D)…………………………………………………………………………………………...
5E
6. 2012 Net Tax Due (Line 4 – 5E)…………………………………………………………………………………………………………………..
$
6
……………………………...
For Office Use Only
……………………………...
_________________ + __________________ + __________________ =
Penalty & Interest
Late Filing Fee
Failure To Pay Estimate
7. If Line 6 is Negative, Your Tax Liability for 2012 is Overpaid, Choose:
Assessments
A.
Credit Carryover to 2013 Estimate (Carry to Line 13)………………………………………………….
7A
B.
Refund………………………………………………………………………………………………………..
7B
2013 Declaration of Estimated Income Tax
.
8. Estimated Income Subject to Tax………………………………..………………………………………………………………………………..
8
9. Tax (Line 8 x ____%)…………………………………………………………………………….…………………………………………………
9
……………………………...
10. Credits
……………………………...
A.
Tax Withheld for Resident City……………………………………………………………………………
10A
B.
Tax Withheld for Another City, Not to Exceed ____%………………..………………………………..
10B
C.
Sub-Total Credits (Sum of Lines 10A + 10B)…………………………………………………………………………………………..
10C
11. Balance of Tax Declared for 2013 (Line 9 – 10C)……………………………………………………………………………………………….
11
……………………………...
12. Quarterly Estimate Payment Amount (Line 11 ÷ 4).…………………………………………………….…….…
12
……………………………...
13. Credit Carryover from 2012 (Carried from Line 7A)……………………………………………………...
13
14. Net 1
Quarter Estimate Payment (Line 12 – 13)……………………………………………………………………………………………….
$
14
st
……………………………...
15. Total Amount Due On or Before April 15, 2013 (Line 6 + 14)..……..……...……………..Make Check Payable To: City of Hamilton
$
15
Amounts less than $1.00 (for New Paris less than $5.00) will not be collected, refunded or credited. Pay tax timely to avoid assessments.
 Extension Granted if Filed With Our Office On or Before April 15, 2013 & Local Ordinance Met
 An Extension is to Provide Additional Time to File  Payments Are Not Extended
____________________________________________________________
PAY YOUR TAX BILL ONLINE @ Choose Manage My Account,
Individual. If you pay online this form still needs to be mailed, faxed or filed electronically.
Signature of Taxpayer
Date
____________________________________________________________
Pay By Credit Card
Signature of Spouse
Date
Check One:
_______________________ ___________________________________
Card #
Daytime Phone #
Email – (All future tax forms & statements will be sent via email)
Card Expiration Date .......................................................... (Month) ______ / (Year) _____
____________________________________________________________
2012 Tax Payment ......................................................................... $ _____________________
Signature of Person Preparing if Other Than Taxpayer
2013 Estimated Tax Payment ....................................................... $ _____________________
____________________________________________________________
Total Amount Authorized ............................................................... $ _____________________
Print Name of Person Preparing if Other Than Taxpayer
Date
_______________________ ___________________________________
Signature __________________________________________________________________
Daytime Phone #
Email – (All future tax forms & statements will be sent via email)
Daytime Phone# __________________________________ Date _____________________
IR-L

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