Form Ir-L - Individual City Income Tax Return - 2015 Page 2

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Section A – Additional Taxpayer Information
NOTE:
UNLESS ACCOMPANIED BY COPIES OF APPROPRIATE FEDERAL SCHEDULES OR FORMS
AND PAYMENT OF THE TOTAL AMOUNT 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 2015?
YES
NO
If yes, give name of municipality _________________________________________________ amount of refund _______________ year refund was for ______________.
Section B – Other Taxable Income Profit or (Loss)
Do You Have Employees Working in This City?
Do You Use Sub-Contract Labor to Perform Work in This City?
No
Yes,
February 29, 2016
No
Yes,
February 29, 2016
Employee W-2’s Must Be Submitted to this Office By
1099’s Must Be Submitted to this Office By
Attach All Federal Schedules
If TOTAL is:
Supporting Profit or (Loss) Below
Schedule C
- Business Income
Profit
All Cities:
Enter Total Profit on Line 2A of return.
$
Total Profit (Loss) from Line 31 Schedule C
Loss
Schedule E
– Rental Income
Hamilton, New Paris & Butler County Annex:
Loss may be carried forward 3
years. A net operating loss by a business or profession cannot be deducted from W-
$
Total Profit (Loss) from Line 21 Schedule E
2 Wages. Enter Total Loss on Line 2B of return.
Schedule F
– Farm
Phillipsburg:
No loss carry forward is allowed. A loss is allowed against W-2
$
Total Profit (Loss) from Line 36 Schedule F
wages, but is limited to the amount of W-2 Wages that have income tax withheld to
Phillipsburg or the portion of W-2 Wages that income tax is due on to Phillipsburg.
Schedule K-1
Enter Allowable Loss on Line 2A of return.
– Partnership Income
$
Total Profit (Loss)
New Miami:
Current year Loss may be carried forward for 5 years OR your current
year loss can be deducted against W-2 Wages, but is limited to the amount of W-2
TOTAL
Wages that have income tax withheld to New Miami or the portion of W-2 Wages that
$
tax is due on to New Miami. Enter Allowable Loss on Line 2A to apply against W-2
Read Right Hand Column for Instructions to
wages OR Enter Total Loss on Line 2B to carry forward.
Carry Profit or (Loss) to front of Return.
If only a portion of the Schedule Profit or (Loss) is taxable to this municipality, please note the percentage taxable to this municipality on federal schedule and input the
reduced figure in the appropriate box above. See Instructions for further explanation.
Section C – 2014 Short Form
Municipal Income Tax Assistance is Free
DID YOU HAVE W-2 INCOME?
YES
NO
Available on a First Come First Serve Basis
DID YOU OWN RENTAL PROPERTY?
YES
NO
Office Hours:
DID YOU PARTICIPATE IN A BUSINESS OR
YES
NO
Monday–Friday, 8:30 a.m.-5:00 p.m.
PARTNERSHIP?
FOR HAMILTON AND NEW PARIS RESIDENTS ONLY:
Extended Hours:
DID YOU HAVE GAMBLING WINNINGS?
YES
NO
Saturday April 19, 2016 8:30 a.m. – 12:00 noon
IF ALL ANSWERS ARE NO, PLEASE MARK THEM, SIGN AND
April 14, 15, 18, 2016 8:00 a.m. – 7:30 p.m.
MAIL TO ADDRESS IN UPPER LEFT CORNER OF RETURN.

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