Village Of Walbridge Income Tax Return - 2006

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2006
(TAX OFFICE USE ONLY)
File with
VILLAGE OF WALBRIDGE INCOME TAX RETURN
VILLAGE OF WALBRIDGE
DEPARTMENT OF TAXATION
AUDIT
AUDIT
Filing Required Even If No Tax Is Due
P.O. BOX 2054
TOLEDO, OH 43603-2054
or
PF ______________________
Phone 419-666-1830 Fax 419-666-7173
Fiscal Period _______________________ to _______________________
D________________________
* CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE
APRIL 16, 2007
P & I ____________________
Make Checks Payable to
* FISCAL AND PARTIAL YEARS FILE WITHIN 105 DAYS OF end of period
Village of Walbridge
Check ____________________
* FILING EXTENSION REQUESTS MUST BE RECEIVED BY NORMAL
Cash ____________________
FILING DUE DATE
Refund requested __________
Soc. Sec. No. (Taxpayer)
Soc. Sec. No. (Spouse)
Fed. I.D. No.
Your Name and Address as they appear on our records: Make any Necessary Corrections
RESIDENT
NON-RESIDENT
PART YEAR RESIDENT
MOVED INTO WALBRIDGE ON ___________________________________
OR MOVED OUT OF WALBRIDGE ON ___________________________________
DID YOU APPLY FOR OR
RETIRED AND TAXPAYERS WITH NO TAXABLE INCOME – CHECK APPROPRIATE BOX, SEE INSTRUCTIONS
RECEIVE A LOCAL TAX
Taxpayer
Spouse
REFUND FROM ANOTHER
Retired - with only non-taxable income - Date Retired ______________________________
CITY DURING THIS YEAR?
Only income was from a non-taxable source - List Source __________________________
Yes
No
Active Duty Military
Deceased - Date ________________________
$
1. Wages, Salaries, Tips and other employee compensation (ATTACH ALL W-2’S) ..............................................XXXXXXXXXXXXXXXXX
2. Other Income from Line 21 on reverse side of this form (see instructions) ................................................................................................
3. Total Incomes (Total of Lines 1 and 2) ........................................................................................................................................................
4a. Items not deductible (Line G Schedule X) ..............................................................................Add
b. Items not taxable (Line Q Schedule X) ..............................................................................Deduct
c. Difference between Lines 4a, and 4b, to be added to or subtracted from Line 3 ........................XXXXXXXXXXXXXXXX
5a. Adjusted Net Income (Line 3 plus or minus 4c) ..................................................................................................................
b. Amount allocable to VILLAGE OF WALBRIDGE (If Schedule Y is used ___________% of Line 5a) ................................
6. Amount subject to VILLAGE OF WALBRIDGE Income Tax (Line 3, 5a or 5b) ............................................................................................
$
7. VILLAGE OF WALBRIDGE INCOME TAX - Multiply Line 6 by 1.5% (.015)..........................................................
$
8. Credits (a) VILLAGE OF WALBRIDGE Tax Withheld by employer(s) from Line 1 ..............................................
$
(b) Payments on Current Declaration (or Credit) ....................................................................................
$
(c) Income Taxes paid City of _________________ (Limit 1% of Gross City Wage for each W-2) ......
CREDIT NOT PERMITTED FOR ANY AMOUNT REFUNDED BY CITY OF EMPLOYMENT
(x) Total Credits Allowable ......................................................................................................................
$
9a. Balance of Tax Due (Line 7 less Line 8X)..............................................................................................................
$
b. Late File Penalty ($20.00)
Late Payment Penalty (1%/mo.)
Interest (1%/mo.)
TAX DUE
$
10.
(Pay in Full with this return if $5.00 or more) ......................................................................................................................
$
11. Overpayment Claimed
Refund - (No Refunds Under $5.00)
Credit To Next Year Declaration (No Credit under $5.00)
DECLARATION OF ESTIMATED TAX FOR YEAR 20___________
This section
MUST BE
$
12. Total estimated income subject to tax $ ___________ Multiply by tax rate .015 (1.5%) for gross tax................................
COMPLETED
$
13. Less any CITY TAX to be withheld ......................................................................................................................................
if Village
$
14. Balance of VILLAGE OF WALBRIDGE Income Tax declared..............................................................................................
Income Tax is
$
15. Less credits:
A. Overpayment on previous years return..................................................................................................
not withheld
$
by your
B. Previous payment, if this is an amended estimate ........................................................................................................
$
employer
16. Unpaid balance of net tax due ............................................................................................................................................
$
QUARTERLY ESTIMATE AMOUNT (at least 25 percent of line 16)
17.
......................................................................................
$
GRAND TOTAL
Total of TAX (line 10) and ESTIMATE PAYMENT (line 17) ..................................PAY THIS AMOUNT
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for the taxable period stated and that the figures used herein are the
same as used for Federal Income Tax purposes.
Signature of Taxpayer or Agent
Date
Signature of Spouse (if Filing Jointly)
Signature of Person Preparing if Other Than Taxpayer
Date
Phone

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