Form 37b - Individual Income Tax Return Form - Regional Income Tax Agency - Ohio
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1
2IF YOU ARE EXEMPT FROM FILING,
CONTACT US:
CLEVELAND LOCAL: (440) 526-0900
REGIONAL INCOME TAX AGENCY
CHECK THIS BOX AND FILL OUT THE
FORM
COLUMBUS LOCAL: (614) 538-0512
DECLARATION OF EXEMPTION ON
YOUNGSTOWN LOCAL: (330) 743-3400
THE BACK OF THIS FORM.
2006
INDIVIDUAL INCOME TAX RETURN
TDD:
(440) 526-5332
37B
IF THIS IS AN AMENDED
TOLL FREE:
(800) 860-7482
RETURN, CHECK THIS BOX
P.O. Box 94652, Cleveland, Ohio 44101-4652
OBTAIN FORMS AT
AND INDICATE THE TAX YEAR
TO BE AMENDED
Social Security Number
Spouse’s Social Security Number
INDICATE YOUR FILING STATUS BELOW:
IF YOU HAVE OVERPAID, INDICATE YOUR CHOICE:
Single
Joint
Refund
Credit
First Name
M.I.
Last Name
3
2
1
3
2
1
Spouse’s First Name
M.I.
Spouse’s Last Name
Address Number
Street Name
Apt. #
City
State
Zip Code
Daytime Phone Number
ENTER THE MUNICIPALITY
YOU LIVED IN FOR THE TAX
YEAR
Section A
COLUMN C
COLUMN E
COLUMN D
COLUMN F
COLUMN B
COLUMN A
TAX RATE
LOCAL/CITY TAX
WAGES
COLUMN B X COLUMN C
LESSER OF
MUNICIPALITY WHERE
(RESIDENT
WITHHELD BY EMPLOYER
(LIST EACH W-2 SEPARATELY)
WAGES WERE EARNED
MUNICIPALITY)
COLUMN D OR COLUMN E
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
Section A
Totals
.00
.00
T-1
T-2
e-File at
Note: If you want RITA to calculate your tax liability, sign the form and attach your W-2(s).
Section B
1.
1.
Enter total wages from Section A, T-1 ................................................................................................
2.
2.
Multiply Line 1 by the Tax Rate of residence municipality.......................................................................
3.
3.
Enter allowable credit from Section A, T-2............................................................................................
4.
4.
TOTAL TAX DUE (Subtract Line 3 from Line 2)...................................................................................
(Line 4 cannot be less than zero)
5.
5.
2006 Estimated Payments made to RITA............................................................................................
6.
6.
Credits Carried Forward from 2005.......................................................................................................
7.
7.
Total Credits Allowable (add lines 5 and 6)...................................................................................................
8.
BALANCE DUE
If Line 7 is LESS than Line 4, enter the difference, which is the 2006
8.
9.
CREDIT
9.
If Line 7 is GREATER than Line 4, and you want a CREDIT, enter the amount on Line 9
10.
If Line 7 is GREATER than Line 4, and you want a REFUND, enter the amount on Line 10
REFUND
10.
11.
Enter estimated 2007 Tax (Note: If Line 11 is left blank, RITA will calculate an estimate for you)
11.
12.
12.
Enter first quarter 2007 estimate (1/4 of Line 11) or full estimate (Line 11) subtracting any credit from Line 9
13.
13.
AMOUNT DUE by April 15, 2007 (Line 8 + Line 12)
MAKE CHECK OR MONEY ORDER PAYABLE TO R.I.T.A. AND MAIL TO:
REGIONAL INCOME TAX AGENCY
P.O. BOX 94652
CLEVELAND, OH 44101-4652
PREPARER’S SIGNATURE (OTHER THAN TAXPAYER)
DATE
DATE
SIGNATURE
SPOUSE’S SIGNATURE
DATE
ADDRESS
ID NUMBER
THE ABOVE SIGNED DECLARES THAT THIS RETURN IS TRUE, CORRECT AND COMPLETE FOR THE TAX YEAR 2006.
Page 3
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