Form Hh-B - Business Tax Return - City Of Huber Heights - 2016

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FORM HH-B
City of Huber Heights
Business Tax Return
Division of Taxation
2016
P.O. Box 24309
OR
Huber Heights, OH 45424
Phone: (937) 237-2976
FISCAL PERIOD _______ TO _______
Fax: (937) 237-2983
Calendar Year Taxpayers file on or before April 18
Website:
THIS SPACE IS FOR OFFICIAL USE ONLY
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Fiscal Year Due on 15
Day of 4
Month After Year End
Did you file a City return last year?
Is this a combined corporate return?
Should your account be inactivated?
YES
NO
YES
NO
YES
NO
If YES, please explain:
Filing Status (Check one)
Account Number
C-Corporation
Name
S-Corporation
LLC
Partnership/Association
Address
Fiduciary (Trusts and Estates)
City/State/Zip
Amended Return
Tax Year: _______
If the information above is incorrect, please make corrections.
Part A
2016 TAX CALCULATION
Adjusted Federal Taxable Income (Attach Copy of Federal Return) From Form ________ Line ________……….
1.
$
Adjustments (From Line L, Schedule X)……………………………………………………………………………………
2.
$
Taxable income before apportionment (Line 1 plus/minus Line 2)………………………………………………………
3.
$
Apportionment percentage (From Step 5, Schedule Y) _________%………………………………………………..…
4.
Huber Heights taxable income (Multiply Line 3 by Line 4)…………………………………………………………..…
5.
$
Other separately stated items. Huber Heights rental income/(loss)……………………………………………..
6.
$
Amount subject to Huber Heights income tax (Line 5 plus/minus Line 6)……..……………………………………..
7.
$
8.
$
Huber Heights income tax (Multiply Line 7 by 2.25% [.0225])…………………...……………………………..
Estimates paid on this year’s liability…………………………………….…
9 a.
$
Credits applied to this year’s liability……………………………………….
9 b.
$
Total payments and credits (Lines 9a + 9b) ………………………………………………………………………………
10.
$
11.
Subtract Line 10 from Line 8. This is the amount of tax due before P & I……………………………….……….…….
$
12.
Penalty $__________ Interest $___________ Under Pay Penalty $__________ Total Due $__________............
$
Overpayment (Line 10 is greater than Line 8) ………………………………………………………….………………….
$
13.
Amount to be refunded (Amounts less than $10.00 will not be refunded)………………………………………………
14.
$
15.
Amount to be credit to next year (Amounts less than $10.00 will not be credited)…………………………………….
$
Part B
DECLARATION OF ESTIMATED TAX FOR 2017
Total estimated income subject to tax………………………………………………………………………………………
16.
$______________________
17.
Huber Heights income tax declared (Multiply Line 15 by 2.25% [.0225])…………………………...……………...
$______________________
Tax due before credits (at least 25% of Line 16)…………………………………………………………………………..
18.
$______________________
Less credits (from Line 14 above)…………………………………………………………………………………………...
19.
$______________________
Net estimated tax due if Line 17 minus Line 18 is greater than zero*……………………………………………….…..
20.
$______________________
21.
TOTAL AMOUNT DUE—Combine Line 11 above with Line 20 (Make checks payable to the City of Huber Hts.)
$______________________
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***New Dates: Subsequent estimated payments are due by the 15
day of the 6
, 9
and 12
month***
Check here to give us permission to contact your paid tax practitioner directly if we have questions regarding the preparation of this return.
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, and understands that this information may be
released to the Internal Revenue Service.
Signature of Person Preparing Return
Date
Signature of Officer or Agent
Date
Name of Person Preparing Return
Phone Number
Name and Title
Phone Number

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