Form Rc - Income Tax Return - City Of Cuyahoga Falls - 2003

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Income Tax Division
CITY OF CUYAHOGA FALLS
FORM RC
P.O. Box 361
INCOME TAX RETURN
2003
Cuyahoga Falls, OH 44222-0361
(330) 971-8220
YOU MUST FILL OUT THIS FORM
AND RETURN BY APRIL 30, 2004
Your Social
Security Number
Our tax records indicate a tax return was not filed for the following years:
Spouse’s Social
Security Number
Telephone
Number
(
)
If you have moved during the year,
indicate the date of your move:
Into Cuyahoga Falls
______/_____/_____
Out of Cuyahoga Falls ______/_____/_____
Note: If your total income is reported on W-2 wages
and local tax was correctly withheld at the rate of 2.0%,
complete 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.
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 31 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. Taxes withheld and paid to Cuyahoga Falls
8
(total of column 2 from Worksheet Table)
9. Taxes withheld and paid to other localities
9
(total of column 3 from Worksheet Table)
10. Estimated tax payments made to Cuyahoga Falls…...As of ____________
$_________________
10
11. Income tax credit carried forward from prior years
11
12. Total credits
12
(add lines 8, 9, 10 and 11)
13. If difference between line 7 and line 12 is less than $1.00, enter zero and proceed to line 19
13
REFUND
14. If line 12 is greater than line 7, and not less than $1.00, enter the difference, which is amount of overpayment
14
15. Amount of line 14 to be credited to next year’s estimated tax liability
15
(enter here and on line 24)
16. Amount to be refunded
Proceed to line 19
16
(subtract line 15 from line 14)
AMOUNT PAYABLE TO CITY
17. If line 7 is greater than line 12, and not less than $1.00, enter the difference, which is the balance due for the current tax year
17
18. Penalty and Interest
18
(from line 34 on back of return)
DECLARATION OF ESTIMATED INCOME TAX
19. Estimated taxable income for tax year
19
20. Estimated tax due
20
(multiply line 19 by 2.0%)
21. Taxes to be withheld and paid to Cuyahoga Falls and other localities
21
22. Balance of estimated tax due
22
(subtract line 21 from line 20)
23. First quarter of estimated tax payable to City
23
(multiply line 22 by 25%)
24. Prior credit applied to estimated tax payments
24
(line 15)
25. Net amount due for initial quarterly payment
25
(subtract line 24 from line 23)
26. Total amount due
Make check payable to CITY OF CUYAHOGA FALLS
26
(add lines 17, 18 and 25)
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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