Form Sd 100x - Amended School District Income Tax Return
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SD 100X
Amended School District Income Tax Return
(Rev. 6/06) For fiscal year ending
,
Calendar Year
Your first name
Initial
Last name
Your social security number
For Departmental Use Only
Filing Status: (Check only one box in each
column)
If a joint return, spouse's first name
Initial
Last name
Spouse's social security
Original
Amended
Single
Home address (number and street)
Ohio county
Married filing joint return
Married filing separately
City, town or post office, state and ZIP code
School district number
(from original SD 100 return)
Have you moved since you filed your last tax return? If yes, check the box.
As Filed
As Amended
SD Residency Status:
Resident
Part-year Resident
Nonresident
(check only one box)
From
t o
1. Adjusted gross income (from IT-1040, IT-1040EZ or TeleFile
1.
1.
worksheet) ...............................................................................................
2.
2.
2. Part-year/nonresident income deduction ................................................
3.
3.
3. School district adjusted gross income (subtract line 2 from line 1) .......
4.
4.
4. Personal and dependency exemptions (see reverse side) ...................
5.
5.
5. School district taxable income (subtract line 4 from line 3) ....................
6.
6.
6. School district tax (enter tax rate ______% times line 5) ........................
7.
7.
7. Senior citizen credit ($50 limit) ................................................................
8.
8.
8. School district tax less credit (subtract line 7 from line 6) ......................
9.
9.
9. School district income tax withheld .........................................................
10.
10.
10. School district estimated tax, SD 40P payments and credit carryover ....
11.
11.
11. Amount paid with previously filed returns ................................................
12.
12. Total of lines 9 through 11 ..................................................................................................................
13.
13. Overpayment on original and previously filed amended returns (even if refund not yet received) ...
14.
14. Subtract line 13 from line 12 ..............................................................................................................
15. If line 14 is less than line 8 (as amended), subtract line 14
from line 8 and enter the amount owed. Make your check or
AMOUNT YOU OWE
15.
money order payable to school district income tax. ..........................................................................
16. If line 14 is greater than line 8 (as amended), subtract
YOUR REFUND
16.
line 8 from line 14. Enter the amount of your refund .........................................................................
If the balance due is less than $1.01 payment need not be made, and if the overpayment is less than $1.01 no refund will be
issued.
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.
Date Rec'd.
Code
Interest
Your signature
Date
Spouse's signature (if filing joint, BOTH must sign)
Telephone number (optional)
Mail to: School District Income Tax
P.O. Box 182389
Preparer's signature and address (including ZIP code)
Date
Columbus, OH 43218-2389
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