Form Sf Generic

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SF Generic
Enter the year that you are filing
Step 1
Yes
No
Did you have any gambling or lottery winnings?
Did you have self-employment or rental income?
Use this form if you had only W-2 income.
Step 2
Account
Name
Address
Phone
Email
SSN
XXX-XX
SSN
XXX-XX
Filing Status
Single
Married filing separately
Married filing joint
Head of household
Step 3
When completing your return use the higher of box 5 or 18 wages from your W-2s.
1 Enter Total Wages
x0.0175
2 Newark Tax Due (line 1 x 0.0175)
3 Newark Tax Withheld
4 Other City Wages
x 0.01
5 Tax Due Before Credits
6 Estimated Tax Payments & Credit on Account
8. Overpayment
7 Tax Due
9 Penalty for filing after the due date
10 Penalty for paying after the due date - 10% of line 7
11 Interest Percentage
times line 7
12 Total Penalty and Interest
13 Total due with Return
14 Overpayment
No tax payment and or refund of tax under $5.00.
Check this box for refund.
I hereby declare that the above information is true, correct and complete.
Signature
Date
Signature
Date
Please attach copies of all your W-2s showing Federal, Medicare and Local wages.
Mail to:
Questions?
740-670-7580 phone
Newark City Tax Office
740-670-7581 fax
PO Box 4577
citytax@newarkohio.net
Newark, OH 43058-4577

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