City Of New Lexington Income Tax Return - 2005 printable pdf download

INCOME TAX RETURN

CITY OF NEW LEXINGTON

This form is for businesses & individuals.

FOR TAX YEAR:

2005

Income Tax Bureau

Instructions and information on reverse.

215 South Main Street

PER SECTION 77-9 OF

New Lexington, OH 43764

NEW LEXINGTON ORDINANCE,

Calendar year taxpayers file on or before:

April 15, 2006

Phone: (740) 342-4660

A RETURN MUST BE FILED

Hours 8AM - 4PM Mon - Fri

EVEN IF NO TAX IS DUE.

If name or address is incorrect, please make necessary changes.

Fiscal & partial year taxpayers must file

You MUST fill in your social security number(s) and phone number.

within 105 days from end of tax period.

_____-____-_______

NAME: __________________________________ SS#

SPOUSE:_____________________________

_____-____-_______

If tax forms are no longer needed,

SS#

ADDRESS: _______________________________

check box and state reason:

______________________________________

__________________________

______________________________________

__________________________

HOME PHONE # (REQUIRED)

(_____) ______-_________

__________________________

ACCOUNT #: __________-___

Wages, Salaries, tips and other earned compensation.

Use highest amount on W-2.

See line 4 of

W-2’s. If you lived here a partial year, please contact the tax office. …………………... $____________

instructions.

Attach all

Income or Loss from Business or Rental Properties. Attach applicable Federal schedule. Put brackets <> if loss... $____________

Total Taxable Income (Add lines 1 & 2. Business loss cannot be subtracted from line 1.) ……………………… $____________

Tax Due (Line 3 x 0.01)………………………………………………………………………………………………... $____________

Credits:

A. Amount of New Lexington tax withheld by employer (See boxes 19 and 20 of W-2s.)……..….. $____________

B. Tax paid to other municipalities (Wages on each W-2 x 0.005) (Figure each W-2 separately)…. $____________

C. Total Credit: (Add lines 5A and 5B) .……………………………………………………………. $____________

Tax Due before estimated payments and prior year credits (Subtract line 5C from line 4) ………………....

$____________

Estimated payments and credits carried over from previous tax year. ...………………………………………… $____________

Tax Due or Overpayment before penalties, interest and late fees: (Subtract line 7 from line 6.) ……………….. $____________

1.5% penalty on tax due for late filing per month (fractions of months count as whole month

late)…..…………... $____________

0.5% interest on tax due for late filing per month (fractions of months count as whole month

late)……………….. $____________

Late File Charge: 30 days or less = $25.00, 31 to 90 days = $50.00, 91 or more days =

$100.00………………….. $____________

D. Tax Due (Add lines 8, 8A, 8B & 8C) (If sum is negative (overpayment), put brackets –example: <sum>)………. $____________

Distribution of Overpayment – If you have an overpayment on line 8D please complete the following:

A. Credit to 2006 taxes ………..……………………………………………………………………. $____________

B. Refund (Make sure correct mailing address is shown at top of form.) …..……………………… $____________

NO REFUND IS ISSUED UNTIL RETURN IS AUDITED & 1

QUARTER ESTIMATED PAYMENT (IF ANY) IS MADE.

NOTES: If the balance due is less than $1.00, payment need not be made. If the overpayment is less than $1.00, no refund will be issued.

Mailing income tax returns without payment, proper documentation, and/or signature does not constitute a filing.

Incomplete returns will be returned to you.

DECLARATION OF ESTIMATED NEW LEXINGTON INCOME TAX

Per Ordinance 77-9

YOU ARE REQUIRED TO

declare an estimated tax if you owe more than $50.00 (on line 6 above). Declaration needs

to be filed on all non-taxed wages and wages earned outside New Lexington. First quarter payment is due with return by April 15, 2006.

Estimates not paid by the due date will be assessed penalty, interest and late charge.

10. Tax due in 2006 before estimated payments and prior year credits (from line 6 above)…..………………………………… $____________

11. Credits carried over from 2005 (from line 9A above) ……………………………………………………………………….. $____________

12. Declaration amount (subtract line 11 from line 10) ...........………………………………………………………………….. $____________

13. Amount due with filing of return (line 11 x 0.25 (25%)..……………………………………………………………………. $____________

TOTAL TAX DUE

14.

- Add line 13 and line 8D (This is your total due by

April

15) ………..…..……….………………. $____________

NOTE: 1st quarter estimated payment due April 16. Due dates for remaining quarters: July 31, October 31 & January 31. Bills will be sent for these payments.

ACKKNOWLEDGEMENT

Under penalties of perjury, I declare 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. Declaration of preparer (other than taxpayer) is based on all information of which

preparer has any knowledge.

___________________________________________

____/____/____

___________________________________________

____/____/____

SIGNATURE OF TAXPAYER

DATE

SIGNATURE OF PAID PREPARER

DATE

___________________________________________

____/____/____

File original with tax office. Include all W-2s, 1099s, Federal Schedules

and payment. Returns missing documentation or signature will be returned to

SIGNATURE OF SPOUSE IF JOINT RETURN

DATE

you for completion and may be subject to late charges, penalties and interest.

INSTRUCTIONS AND ADDITIONAL INFORMATION ON REVERSE.

City Of New Lexington Income Tax Return - 2005

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