City Of Montgomery Individual Income Tax Return - 2014

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City of Montgomery Individual Income Tax Return 2014

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Page 1

City of Montgomery Tax Office



Due on or before April 15, 2015

10101 Montgomery Road



Make check or money order payable to the City of Montgomery

Montgomery, OH 45242



A minimum penalty of $25 will be assessed for late filing of this return

Fax: (513) 891-2994



Filing required even if no tax due



Questions? Please call us at (513) 891-2424 and ask for the Tax Office or visit our website at

SS# Mr.

Taxpayer's Name, Address

Account Number

SS# Mrs/Ms

Phone: Home

Other

Email address:

Yes

May we contact your preparer directly?

Tax Office use only

Filed:

If moved in or out of Montgomery during current year, please give date of move

Check #:

Moved in:

Moved out:

Amount:

Qualifying wages - Attach W-2 form(s) see instructions on page 2 ……………………………………….……...…..…...………..

$______________

Attach W-2 form(s), and page one of the Federal 1040, as well as any Federal schedules for amounts shown on Lines 12, 17, 18 and 21.

Other taxable income or deductions from Line 21, page 2 - see instructions on page 2………………………… ………………..

$______________

Taxable income: (Line 1, plus Line 2 - see Line 2 instructions) ……………………………………………………………...………...

0.00

$______________

0.00

Montgomery tax (1% of Line 3) ………………………………….……………………………..………………...…………………

$______________

Credits

a. Montgomery tax withheld per W-2(s) …………………………..………………………………………….. $______________

b. 2014 estimated tax paid to Montgomery ………………………………………………………………..… $______________

c. 2014 tax paid to City or Village of __________________________ see instructions on page 2….... $______________

d. Prior year overpayment …………………………………………………………………………………….. $______________

0.00

e. Total credits (Line 5a through 5d) ………………………………………………………………………………………….…..

$______________

2014 Tax Due

If Line 4 is greater than Line 5e, payment of balance must accompany this return……………….……...…….…..

0.00

$______________

If Line 4 is less than Line 5e, overpayment is to be refunded $____________or credited $ __________ to next year’s estimate

Late filing penalty $

Penalty on taxes due $

Interest on taxes due $

Total:

Card #

Exp Date

Verification Code

Declaration of Estimated Tax for Year 2015

Total income subject to tax $___________________ multiply by tax rate of 1% for gross tax of……………..……………………

0.00

$______________

Less expected tax credits

a. Withheld by employer for Montgomery, (not to exceed 1% of that portion taxed) ………………….

$______________

b. Payments to another municipality, (not to exceed 1% of that portion taxed) ……………………..

$______________

0.00

10. Net estimated tax due for 2015 (Line 8 less Line 9a and 9b)………………………………………….…………………...….………...

$______________

11. First Quarter Estimate Payment

a. Amount due with this declaration (not less than 25% of Line 10)……………………………………… $______________

0.00

b. Less overpayment from prior year (from Line 7 above) ……………………..…………………………. $______________

0.00

$______________

c. Net First Quarter Estimate payment ………………………………………………………………………………………………..

12. Total enclosed payment (Line 6 plus Line 11c) ……………………………………………………….………………….………...………

$______________

Make remittance payable to City of Montgomery and include with return. If amount due is less than $1.01, you need not pay. No refunds under $1.01

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 Person Preparing if Other than Taxpayer

Date

Signature of Taxpayer

Date

Preparer’s Address and Phone

Signature of Taxpayer

Date