Form Ir - Personal Income Tax Return - 2005 Page 2
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COMPLETE ITEMS IN SECTIONS A-C IF YOU HAVE OTHER TAXABLE INCOME.
SECTION A
PROFIT FROM ANY BUSINESS OWNED (ATTACH COPY OF FEDERAL SCHEDULE C) ...................................................................................................... $______________
DO YOU USE SUBCONTRACT LABOR TO PERFORM WORK IN THIS MUNICIPALITY?
YES
NO
IF YES, COPIES OF 1099’s ISSUED MUST BE SUBMITTED TO THIS
OFFICE WITHIN 4 MONTHS AFTER THE END OF THE TAX YEAR.
DO YOU HAVE EMPLOYEES WORKING IN THIS MUNICIPALITY?
YES
NO
IF YES, COPIES OF EMPLOYEES W-2 FORM MUST BE SUBMITTED BY FEBRUARY 28
TH.
SECTION B
SCHEDULE E - INCOME FROM RENTS...ATTACHED FEDERAL SCHEDULE E...PAGE 1 AND 2
NUMBER OF
DEPRECIATION
OTHER
KIND & LOCATION OF
AMOUNT OF
AMOUNT OF
REPAIRS
NET INCOME
MONTHS
(Attach
EXPENSES
PROPERTY
MONTHLY RENTAL
RENT
(Attach List)
OR LOSS
RENTED IN 2005
Schedules)
(Attach List)
NET INCOME (OR LOSS) SCHEDULE E ____________________ $______________
IF RENTAL WAS SOLD, PLEASE PROVIDE THE SALE DATE & LOCATION__________________________________________________________
SECTION C
OTHER TAXABLE INCOME (ATTACH APPROPRIATE FEDERAL SCHEDULE SUCH AS SCHEDULE F, 4797, 6252, ETC) ______________________________ $______________
TOTAL OTHER TAXABLE INCOME (SECTIONS A THRU C) INSERT ON LINE 2, PAGE 1 ______________________________________________________ $______________
TOTAL NET OPERATING LOSSES (SECTIONS A THRU C) INSERT ON LINE 2A, PAGE 1 _____________________________________________________ $______________
SEE INSTRUCTIONS ON SEPARATE PAGE
FOR COMPLETION OF LINES 1 THRU 15
NOTE: UNLESS ACCOMPANIED BY COPIES OF APPROPRIATE FEDERAL SCHEDULES AND PAYMENT OF THE BALANCE OF THE 2005 TAX DECLARED DUE (LINE 15) THIS FORM IS
NOT A LEGAL FINAL RETURN.
HAS YOUR FEDERAL TAX LIABILITY FOR ANY PRIOR YEAR BEEN CHANGED THIS YEAR AS A RESULT OF AN EXAMINATION BY THE INTERNAL REVENUE SERVICE?
YES
NO.
IF YES, HAS AN AMENDED RETURN BEEN FILED FOR SUCH YEAR OR YEARS?
YES
NO. DID YOU RECEIVE OR APPLY FOR A REFUND FROM ANY OTHER MUNICIPALITY IN
2005?
YES
NO. IF SO, GIVE NAME OF MUNICIPALITY___________________ AMOUNT OF REFUND_________________ YEAR REFUND WAS FOR_________________.
TELEPHONE #___________________________________________________________________________
EMPLOYER IN 2005 ______________________________________________________________________
PRESENT EMPLOYER _____________________________________________________________________
DID YOU FILE A RETURN FOR 2004?
YES
NO
NOTE: IF RETURN IS NOT DUE CHECK BOX
AND ATTACH WRITTEN EXPLANATION. LATE FILING OF THIS RETURN SUBJECTS
HAMILTON TAXPAYERS TO A MINIMUM PENALTY OF $25.00.
NOTE: PAGE 2 MUST BE COMPLETED IF YOU HAVE TAXABLE RENTAL PROPERTY OR BUSINESS INCOME. IN LIEU OF COMPLETING
PAGE 2, YOU CAN ATTACH THE APPROPRIATE FEDERAL SCHEDULES.
A REQUEST FOR EXTENSION MUST BE FILED PRIOR TO APRIL 17. AN EXTENSION IS TO PROVIDE ADDITIONAL TIME TO FILE.
PAYMENTS ARE NOT EXTENDED.
NOTICE: BY LAW, ALL REFUNDS AND CREDITS IN EXCESS OF $10.00 ARE REPORTED TO IRS. 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 TAXPAY-
ER, THE DECLARATION IS BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.
NEW: PAY YOUR TAX BILL ONLINE @ and click on “Pay your bill online” or pay by credit card (see below).
Check one: Visa __________ or Mastercard __________
(16 digits) # _________ - _________ - _________ - _________ Card Expiration Date _________/ _________
Total Amount Authorized $ _________________________________
For 2005 $______________ For 2006 Estimate $ _______________
Signature ______________________________________________
Daytime Phone Number ___________________________________
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