Form Fr 1229 - Individual Income Tax Return - Monroe - 2016

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FORM FR
1229
INDIVIDUAL - 2016
INCOME TAX RETURN
MAKE CHECK OR MONEY ORDER TO:
Taxpayer's Social
CITY OF MONROE
Security No.
MONROE
HomeTelephone No.
BusinessTelephone No.
Due Date 04/18/2017
INCOME TAX
PO BOX 629
Spouse's Social
A COPY OF THE FEDERAL 1040 IS
MONROE OH 45050
Security No.
REQUIRED
Spouse's
Voice 513-539-7374
Fax 513-539-6209
Name
HomeTelephone No.
BusinessTelephone No.
IF YOU HAVE MOVED DURING
Filing Status
Name
TAX YEAR - GIVE DATES
RESIDENT
Single
INTO
/
/
Married filing joint
NON-RESIDENT
And
Married filing separate
/
OUT OF
/
IF YOU RENT, PLEASE GIVE LANDLORD'S INFORMATION
Address
NAME
ADDRESS
Income
1 Wages, salaries, tips,etc.
1
2 Other taxable income
2
3 Total taxable income (add lines 1 and 2)
3
Tax and Credits
4 Monroe tax due before credits (1.500% of line 3)
4
5 Estimated tax payments made to Monroe
5
6 Taxes withheld and paid to Monroe
6
7 Overpayment from prior year(s)
7
8 Taxes withheld and paid to other localities
Credit cannot exceed 100.0% of tax withheld up to 1.50% of income earned in each location.
8
9 Total credits (add lines 5 through 8)
9
Refund
( Issued if greater than 10.00 )
10 If line 9 is greater than line 4, subtract line 4 from line 9. This is the amount you overpaid
10
11 Amount of line 10 to be credited to next years estimate
11
12 Amount of line 10 to be refunded
12
Tax Due
( if greater than 10.00 )
13 If line 4 is more than line 9, subtract line 9 from 4, this is the tax amount you owe
13
14 Penalties and interest
Late File __________
Late Pay __________
Late Estimate_______
Interest __________
14
Declaration of Estimate For 2017
15 Estimated income
15
16 Estimated tax due. Multiply line 15 by 1.500%
16
17 Taxes to be withheld and paid to Monroe and other localities
17
18 Prior credit applied to estimated tax payments (From line 11)
18
19 Net estimated tax due (subtract line 17 and 18 from 16)
19
20 Minimum amount due for first quarter (multiply line 19 by 25%)
20
Amount You Owe
21 Total amount due (add lines 13, 14 and 20)
21
Tax Office Use Only : Tax Office Use Only : Tax Office Use Only
____DATE RECEIVED _____________________
____FEDERAL 1040
____SIGNATURE ON FORM
Taxpayer's Signature
Date
____REFUND
Spouse's Signature
Date
____ESTIMATED TAXES DUE
Tax Preparer's Signature
Date
____BALANCE DUE
(If other than taxpayer)
Phone No.
____PAYMENT RECEIVED
May CITY OF MONROE discuss this return with the preparer shown above ___Yes ___No

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