Village Of Byesville Income Tax Return Form - 2016
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32016 - VILLAGE OF BYESVILLE INCOME TAX RETURN - 2016
Please return with attachments by April 18, 2017
PO Box 8, Byesville OH 43723
(740) 685-0800 Ext. 3
FILING IS REQUIRED EVEN IF NO TAX IS DUE
Taxpayer name and address:
Social Security Number:
Spouse Social Security Number:
Phone Number:
Email:
IF YOU MOVED DURING THE YEAR, YOU MUST COMPLETE BELOW:
Date moved in:
Date moved out:
I AM NOT REQUIRED TO COMPLETE LINES 1-14 OF THIS TAX RETURN BECAUSE:
Active Duty Military until date:
Taxpayer deceased
Date:
Retired prior to 2016
No Employment in 2016
Income is from non-taxable source. List source:
Please attach your Federal Tax Return with all applicable schedules, W-2's, and 1099's
INCOME:
1
Total Qualifying Wages - (Box 5 or Box 18 whichever is higher)
1. $
2
A. Net profit from Other Income (Worksheet A, page 2)
2.$
B. Adjustment to income (Attach 2106 and appropriate federal schedule)
2B.$
3
Total income subject to Byesville Income Tax (add lines 1 and 2, subtract 2B)
3.$
4
Byesville Tax, Line 3 multiplied by 1%
4.$
TAX CREDITS
5
A.
Byesville tax withheld
5A.$
B.
Tax paid to other cities (not to exceed 1%)
5B.$
C.
Estimated tax paid to Byesville
5C.$
D. Prior years overpayment
5D.$
E.
Total tax credits (add lines A, B, C, and D)
5E.$
6
If Line 4 is greater than line 5E, enter balance due
6.$
If line 6 is less than $10.01, no payment is due
7
If Line 5E is greater than line 4, enter overpayment
If line 7 is less than $10.01, no refund or credit will be issued
Amount to be Refunded ___________ or Credited to 2017 ____________
7.$
8
Late Filing Penalty:________ Late Payment Penalty:________Interest: ________
8.$
9
BALANCE DUE (add line 6 and line 8)
9.$
DECLARATION OF ESTIMATED TAX FOR YEAR 2017
IF YOU OWE $200 OR MORE IN TAX THAT IS NOT CURRENTLY WITHHELD FROM YOU EMPLOYER, YOU MUST FILE AND PAY ESTIMATED TAX
10
Total Estimated Tax for 2017 (1% x total income)
10. $
11
Expected Credits
A. Tax paid to other cities (not to exceed 1%)
11A.$
B. Overpayment from prior years
11B.$
C. Total Credits ( Add lines 11A and 11B)
11C.$
12
Net Tax Due (Line 10 minus Line 11C)
12.$
13
Amount paid with this declaration (Not less than 1/4 of Line 12)
13.$
14
Amount enclosed 2016 $______(line 6), 2017 $______ (line 13)
TOTAL $
Under penalty of perjury, I declare that the information contained in this tax return is true and complete.
Signature (Required)
Date
Spouse Signature
Date
May we contact this preparer?
___Y ___N
Signature of Preparer (If different from taxpayer)
Date
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