Form Ir - Silverton Income Tax Return

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RETURN ONE COPY TO SILVERTON INCOME TAX DEPARTMENT
2006
2006
TAX OFFICE
Form IR
File With
SILVERTON INCOME TAX RETURN
CITY OF SILVERTON
PHONE
ORDINANCE NO. 2384 - EFFECTIVE DATE OF 1/1/78
Income Tax Department
(513) 936-6244
FILING REQUIRED EVEN IF NO TAX DUE
6860 Plainfield Road
FAX (513) 936-6247
ON OR BEFORE APRIL 15, 2007
Silverton, Ohio 45236
TAXPAYER'S NAME, ADDRESS
ACCOUNT NO.
NAME OF EMPLOYER(S)
HOME PHONE NO.
SOCIAL SECURITY NO. MR.
MS.
IF RETIRED GIVE DATE
IF MOVED SINCE THE PREVIOUS FINAL RETURN WAS DUE
GIVE DATE OF MOVE
INTO CITY
OUT OF
SEE REVERSE SIDE OF FORM
FOR FILING INSTRUCTIONS.
1. GROSS QUALIFYING WAGES, COMMISSIONS AND OTHER TAXABLE INCOME (ATTACH ALL W-2's)
$
2. OTHER TAXABLE INCOME AND/OR DEDUCTIONS (ATTACH FEDERAL SCHEDULES)
$
Note: Page 2 must be completed if you have taxable rental property or business income.
3. TAXABLE INCOME: LINE1, PLUS LINE 2
$
4. SILVERTON TAX 1.25% OF LINE 3
$
5. CREDITS (NOTE: NO CREDIT ALLOWED FOR TAX PAID TO ANOTHER MUNICIPALITY)
A. TAX WITHHELD BY EMPLOYER FOR SILVERTON
$
B. 2006 ESTIMATED TAX PAID TO SILVERTON
$
C. PRIOR YEAR OVERPAYMENTS
$
D. TOTAL CREDITS
$
6. IF LINE 4 GREATER THAN LINE 5D PAYMENT OF BALANCE MUST ACCOMPANY THIS RETURN
2006 TAX DUE
$
A. PENALTY $
INTEREST $
LATE FILING FEE $50.00
$
B. TOTAL AMOUNT DUE
$
7. OVERPAYMENT TO BE REFUNDED $
OR CREDITED $
TO NEXT YEAR'S ESTIMATE
NOTICE: By law, all refunds and
credits in excess of $10.00 are
NO ADDITIONAL TAXES OR REFUNDS OF LESS THAN ONE DOLLAR ($1.00) SHALL BE COLLECTED OR REFUNDED.
being reported to IRS.
DECLARATION OF ESTIMATED TAX FOR YEAR 2007
8. TOTAL INCOME SUBJECT TO TAX $
MULTIPLY BY TAX RATE OF 1.25% FOR GROSS TAX OF
$
9. LESS EXPECTED TAX CREDIT
A. WITHHELD BY AN EMPLOYER FOR SILVERTON
$
B. OVERPAYMENT FROM PRIOR YEAR
$
C. TOTAL CREDITS
$
10. NET TAX DUE (LINE 8 LESS LINE 9C)
$
11. AMOUNT PAID WITH THIS DECLARATION (NOT LESS THAN ¼ OF LINE 10)
$
12. BALANCE OF ESTIMATED TAX DUE FOR 2007
$
13. TOTAL OF THIS PAYMENT (LINE 6 PLUS LINE 11)
$
I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY KNOWLEDGE AND
BELIEF IT IS TRUE, CORRECT AND COMPLETE. IF PREPARED BY A PERSON OTHER THAN TAXPAYER, THE DECLARATION IS BASED ON ALL INFORMATION OF
WHICH PREPARER HAS ANY KNOWLEDGE.
SIGNATURE OF TAXPAYER
DATE
Signature of Person Preparing if Other Than Taxpayer
Date
Address
Telephone Number
SIGNATURE OF TAXPAYER
DATE

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