City Of Trotwood Individual Income Tax Return Form 2005

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Income Tax Support Services
CITY OF TROTWOOD INDIVIDUAL INCOME TAX RETURN
2005
4 Strader Drive, Trotwood OH 45426
Phone (937) 837-3415
***DUE ON OR BEFORE APRIL 15, 2006***
Fax (937) 854-8641
On the web at:
YOUR SOCIAL SECURITY NUMBER:
SPOUSE SOCIAL SECURITY NUMBER:
________________________________
________________________________
CHECK ONE:
FILING SINGLE RETURN
MARRIED FILING JOINT RETURN
MARRIED FILING SEPARATE: LIST SPOUSE NAME AND SSN BELOW:
________________________________________________________________
IF YOU MOVED DURING THE YEAR, COMPLETE THIS SECTION:
DATE OF MOVE:_____ / ______/ ______ PREVIOUS ADDRESS:_________________________
Make necessary changes. If filing JOINT, be sure to list both names. Complete
SSN information to the right.
Be sure that address shown is current.
PHONE NUMBER:_______________________ E-MAIL FOR TAX UPDATES:_______________
I AM NOT REQUIRED TO COMPLETE SECTION B OF THIS TAX RETURN BECAUSE:
A
ONLY INCOME IS FROM ACTIVE DUTY MILITARY
NO EMPLOYMENT IN 2005
TAXPAYER DECEASED PRIOR TO 1/1/05; DATE:_______________
ONLY INCOME IS FROM A NON-TAXABLE SOURCE - LIST SOURCE:_____________________________________________________________________________________
EMPLOYER’S NAME
PHYSICAL WORK LOCATION (CITY)
TROTWOOD TAX WITHHELD
OTHER CITY TAX CREDIT
TOTAL W-2 WAGES
B
1. Totals (Attach all W-2 forms. List on separate sheet if necessary). 1.
2. Income other than wages from worksheets on reverse. (Attach Federal Schedules, forms, documentation)
2.
3. Total income. (Add box 1 and box 2)
3.
4. Tax liability. Multiply box 3 by 2.25% (0.0225)
4.
5. CREDITS
A. Trotwood Tax Withheld
5A.
B. Credit for other city tax withheld (Refer to instructions)
5B.
C. 2005 Estimated tax payments
5C.
D. Prior year credit carried forward
5D.
E. Total of credits. Add 5A through 5D
5E.
6. If box 4 is greater than box 5E, enter your balance due here ($5 or more)
6.
7. If box 5E is greater than box 4, enter overpayment ($5 or more)
7.
Amount to be REFUNDED: $____________________ or CREDITED TO 2006: $_________________
8. PENALTY:_________________ INTEREST:________________ LATE FILING FEE:__________________
8.
9. BALANCE DUE for tax year 2005. Add box 6 and box 8. DO NOT STOP HERE, you must complete lines 10-14.
MANDATORY DECLARATION OF ESTIMATED TAX DUE FOR TAX YEAR 2006
10. Total estimated tax due for tax year 2006 (Gross taxable income multiplied by 2.25%)
10.
11. Less credits (including credit carried forward from line 7)
11.
12. Net tax owed for tax year 2006 estimated tax ( Box 10 minus box 11)
12.
13. Amount paid with this declaration for First Quarter (must be at least 22.5% of line 12)
13.
TOTAL DUE. ADD BOXES 9 and 13 FOR TOTAL DUE BY APRIL 15, 2006
14.
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 and correct. If this Return was prepared by a tax
C
practitioner, may we contact your practitioner directly with questions regarding the preparation of this return? ______YES
______NO
__________________________________________________________
__________________________________________
_____________________________
Your signature
Occupation
Date
__________________________________________________________
__________________________________________
____________________________
Spouse signature
(if filing joint return)
Occupation
Date
Signature, address and phone number of preparer (if different)_________________________________________________________________________________________________________
For office use only
LM
$_____________________________ CK___________________
____________________
MAINTENANCE
____________________

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