Wooster Individual Income Tax Return Form - 2016
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2016 WOOSTER INDIVIDUAL INCOME TAX RETURN
STANDARD FORM For Calendar Year 2016
Due on or before April 18, 2017
Mandatory Filing For ALL Residents
Primary SSN
Spouse SSN
Attach Copy of Federal 1040 Form
Make Check Payable to "City of Wooster"
Do not write
Complete Name & Address (include spouse's name if joint return)- Please update address if needed
MAIL TO:
in this area
CITY OF WOOSTER
INCOME TAX DEPT
PO BOX 1088
WOOSTER OH 44691
Questions?
Phone:
Email:
(330) 263-5226
Type of Return (check one)
Residency Status (check one )
Individual
Joint
Resident
Non-Resident
Part-Year Resident: From___________To __________
Taxable income- Attach all W-2's & Federal Schedules
Qualifying Wages- (Box 5 of W-2 or Worksheet A total) - Attach ALL W-2's
1
1
2
Less: Form 2106 (Employee Business Expense or Worksheet A total) - Attach Form 2106 & Schedule A
2
Taxable Wages (Line 1 less Line 2)
3
3
$ 0
4
Net Profit/Loss from Federal Schedules C, E, F, K-1, etc (Worksheet B for Residents) - Attach ALL Schedules
4
5
Other Taxable Income- Attach Federal 1040, Line 21
5
Wooster Taxable Income (Add Lines 3, 4 & 5) - Losses on Line 4 Cannot Offset Income from Lines 3 & 5
6
6
Wooster Income Tax 1.5% (Multiply line 6 by .015)
7
7
$ 0
Credits & Payments
Wooster Income Tax Withheld or Remitted- (Box 19 of W-2, Worksheet A Column E, Worksheet B Taxes Paid)
8
8
Other Municipal Income Tax Withheld(Box 19 of W-2, Worksheet A Column G or Worksheet B, line 20) Credit Limit 1.5%
9
9
2016 Estimated Payments, Overpayment from 2015, Extension Payment
10
10
Total Payments and Credits (Total lines 8, 9, & 10)
11
11
$ 0
Refund or Amount Due ***Amounts $10.00 or Less Will Not Be Due or Refunded***
Balance Due/Overpayment (Line 7 minus Line 11)
12
12
$ 0
Late Filing Penalty $25.00 (Per Month or Fraction thereof, Not to Exceed $150.00)
13
13
Penalty & Interest
Penalty 15% of Amount Not Paid Timely
14
14
Interest .42% Per Month of Tax Not Paid Timely
15
15
Amount Due (No Payment Due if Amount on Line 12 is $10.00 or Less)- Add Lines 12, 13, 14, & 15
16
16
17
Amount To Be Refunded (No Refund if Amount on Line 12 is $10.00 or Less)
17
Amount of Overpayment from Line 12 Credited to 2017
18
18
*** TAX DUE GREATER THAN $200 FOR 2016, YOU MUST ESTIMATE 2017 INCOME TAX ***
(SEE INSTRUCTIONS)
2017 Wooster Income Tax Estimate
19
19
Declaration of 2017
Amount of 2017 Estimate Due With Return ( 25% of Line 19; See Instructions)
20
20
Estimated Tax
Credits (2016 Overpayment- Line 18, and Previous 2017 Estimated Payments)
21
21
(See Instructions)
22
Amount of 2017 Estimate Due (Line 20 minus Line 21)
22
TOTAL PAYMENT DUE (Add Line 16, and Line 22)
23
$ 0.00
23
Under penalties of perjury, I declare that I have examined this return and the accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Do you authorize your preparer to contact us regarding this return? Yes □ No □
PLEASE
Taxpayer's Signature
Date
Paid Preparer's Signature
Date
SIGN
HERE
Taxpayer's Signature
Date
Firm or individual
Page 5
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