Income Tax Return Form - State Of Ohio

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TAX YEAR
Village of Westfield Center
P.O. Box 750 , Westfield Center, OH 44251
INCOME TAX RETURN
DUE ON OR BEFORE
Orwithin four monthsand fifteen days afterthe dose of a fiscal yearor period
FOR CALENDAR YEAR ENDING DECEMBER 31
OR FOR THE MONTH ENDING
Business Name:
Account #
Federal EIN:
Business Type:
Q C-Corporation Q S-Corporation
[j Partnership
Q LLC
Federal Business Activity Code
Business Activity:
Check If:
Q Initial Return Q Final Return
Q] Amended Return
Village of Westfield Center Resident Q yes Q no
DateMoved In/Out of(city)
IN •
Date_
our•
Date
Previous Address
Will You Have Taxable Income Next Year? • yes Q no
If No, Explain
1. Income Per Federal Tax Return (Form 1120, Kne 28; Form 1120S, Sch. K, line 18;
Form 1065, Analysis of Net Income(Loss), Line 1
Net Adjustments from Page 2
Adjusted Federal Taxable Income(Line 1 plus or minus line 2)
Amount Allocable to Village of Westfield Center from Schedule Y.
0 . 0 0 % of line 3 • •
Prior Year Loss Carryforward
5.
6. Village of Westfield Center Taxable lncome(Line 3 or 4 minus line 5)
7. TaxonLlne6@ 1.0000%
8. Estimated Taxes Paid/Prior Year Credit
8.
9. Other Credits
9.
10. Total Payments and Credits (Add lines 8 and 9)
11. Tax Due/(Overpayment) (Line 7 minus line 10)
12. Penalty for Underpayment of Estimated Tax
13. Other Penalties and Interest
14. Total Tax, Penalties and Interest Due (Add lines 11,12, and 13)
15. Overpayment
Credited
15a.
Refunded 15b.
2.
10.
11."
12."
13."
14."
DECLARATION OF ESTIMATED TAX FOR
TTJ0%
16. Estimated Income Subject toTax $
@tax rate
16.
17. Overpayment Applied From Prior Year
17.
18. Other Payments andCredits
18.
19. Total Payments and Credits (Add Lines 17 and 18)
19.
20. Net Estimated Tax Due (Line 16 minus line 19)
20.
21. Estimate Paid With Return (not less than 25% of line 20)
21.
22. TOTAL DUE (Line 14 plus Line 21)-
22."
Signature of Tax Preparer
Date
Signature of Officer or Partner
Date
Title
Phone Number
Do you authorize your preparer to contact us regarding this return? { |Yes { |no
Preparer Address and Phone Number

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