Form Fr 1098 - Individual Income Tax Return - City Of Ravenna Income Tax Dept
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2Form FR 1098
Taxpayer's Social Security No.
Individual - ______
Home Telephone No.
Business Telephone No.
MAKE CHECK OR MONEY ORDER TO:
Income Tax Return
City of Ravenna Income Tax Dept.
Ravenna
P.O. Box 1215
Spouse's Social Security No.
Ravenna, OH 44266-1215
Spouse's Name
Voice: 330-297-7817
Home Telephone No.
Business Telephone No.
FAX: 330-297-2164
E-Mail: tmurray@ci.ravenna.oh.us
If you moved into or out of Ravenna
Filing Status:
Name:
during the tax year - give dates:
Single
Resident
Street Address:
In to:
Married filing joint
Non-Res.
Married filing separate
City, State, Zip:
Out of:
If you rent, please provide your Landlord's information:
Landlord's Name:
Landlord's Address:
1. Wages, Salaries, Tips, etc.
1.
2. Other taxable income.
2.
3. Total taxable income (Add lines 1 and 2)
3.
4. Ravenna tax due before credits (2.000% of line 3)
4.
5. Estimated tax payments made to Ravenna.
5.
6. Taxes withheld and paid to Ravenna.
6.
7. Overpayment from prior year(s).
7.
8. Taxes withheld and paid to other localities*
8.
* Credit cannot exceed 100% of tax withheld up to 2.00% of income earned in each location.
9. Total credits (add lines 5 through 8)
9.
(Issued if greater than $1.00)
10.
10. If line 9 is greater than line 4, subtract line 4 from line 9. This is the amount you overpaid.
11.
11. Amount of line 10 to be credited to next years estimate.
12.
12. Amount of line 10 to be refunded.
(Owed if greater than $1.00)
13. If line 4 is more than line 9, subtract line 9 from line 4, this is the tax amount you owe.
13.
Late File:
Late Pay:
Interest:
14. Penalties and interest:
14.
15.
15. Estimated Income.
16. Estimated tax due. Multiply line 15 by 2.000%
16.
17. Taxes to be withheld and paid to Ravenna and other localities.
17.
18. Prior credit applied to estimated tax payments (from line 11)
18.
19.
19. Net estimated tax due (subtract line 17 and 18 from line 16)
20. Minimum amount due for first quarter (multiply line 19 by 25%)
20.
Amount you owe:
21. Total amount due (add lines 13, 14 and 20)
21.
Tax office use only:
Date
Taxpayer's Signature
Date
Spouse's Signature
If this return was prepared by a tax practitioner,
check here if we may contact him/her directly
with questions regarding this return.
Tax Preparer's Signature
Date
Phone# (If different from taxpayer)
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Parent category: Financial