Form Alt - Alternative T0 1040 - City Of Canfield - 2009
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12009
ALTERNATIVE TO 1040
2009
CITY OF CANFIELD, OHIO
NAME ________________________________________________________ ACCOUNT NUMBER __________________
ADDRESS _________________________________________________________________________________________
Your City of Canfield Tax Return will not be processed unless it is accompanied by copies of all applicable
federal schedules and forms. This includes form(s) W-2, 1099-MISC, Schedule C or C-EZ (including cost of goods
manufactured and/or sold), Schedule E, F, K-1, and Form 4797.
Also you must either complete this form and attach it to your completed tax return or attach a copy of your
Federal 1040, 1040A, 1040EZ to your completed tax return.
To complete this form enter the exact figures as they appear on your Federal Return. (These figures may differ
from those used on your City of Canfield Tax Return.)
1. Circle the Federal Form filed for 2009.
2. Complete each line requested under the type of form filed.
3. Enter the exact figures used on your Federal Form 1040, 1040A, or 1040EZ. (Even if you were a part
year resident, you must put the exact figures as they appear on your Federal Tax Return on this form.
When you complete the City Tax Return you will use the figures earned while living in the City of Canfield.)
4. ATTACH ALL APPLICABLE FEDERAL SCHEDULES AND FORMS TO YOUR RETURN.
1040
1040A
1040EZ
Line #
7
7
1
Wages, salaries, tips, etc.
Attach Form(s) W-2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
Line #
12
N/A
N/A
Business income or (loss).
Attach Schedule C or C-EZ, including
cost of goods manufactured and/or sold. . . . . . . . . . . . . . _____________
Line #
17
N/A
N/A
Rental real estate, royalties, partnerships,
S Corporations, trusts, etc.
Attach Schedule E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
Line #
18
N/A
N/A
Farm income or (loss).
Attach Schedule F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
Line #
21
N/A
N/A
Other Income.
List type and amount. . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
The undersigned declares that this form (as completed and in lieu of Form 1040, 1040A, or 1040EZ.), is a true, correct,
and complete form for the taxable period stated and that the figures used herein are the same as used for Federal
Income Tax purposes.
_______________________________________________
_______________________________________________
Signature of preparer if other than taxpayer
Date
Taxpayer/Agent signature
Date
_______________________________________________
Title
_______________________________________________
_______________________________________________
Address or name and address of firm or employer
Spouse’s signature (if joint return)
ALT/09
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