2014
File with Fairfield Income Tax
CITY OF FAIRFIELD
FORM IR
701 Wessel Drive
INDIVIDUAL INCOME TAX RETURN 2008
Your Social Security Number
Fairfield OH 45014-3611
(513) 867-5327
OR
Your social security number
Fax (513) 867-5333
FISCAL PERIOD
TO
CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15TH
Forms available at
AND FISCAL YEAR TAXPAYERS FILE BY THE 15TH DAY OF THE
CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15TH
Spouse’s Social Security Number
FOURTH MONTH AFTER THE CLOSE OF THE PERIOD.
PROVIDE NAME & ADDRESS OR CHANGES BELOW
AND FISCAL YEAR TAXPAYERS FILE BY THE 15TH DAY OF THE
Spouse’s social security number
FOURTH MONTH AFTER THE CLOSE OF THE PERIOD.
PROVIDE NAME & ADDRESS OR CHANGES BELOW
Resident
Part-Year
Resident
Date moved in
Non Resident
Date moved in ____________
Non Resident
Date moved out
Sole Proprietor
Date moved out ___________
Sole Proprietor
City of Employment
Phone #
IF TAXPAYER AND SPOUSE ARE FULLY RETIRED AND/OR WITHOUT TAXABLE INCOME, PLACE AN “X” IN THE BOX, COMPLETE SIGNATURE SECTION BELOW.
IF TAXPAYER AND SPOUSE ARE FULLY RETIRED AND WITHOUT TAXABLE INCOME, PLACE AN X IN THE BOX, COMPLETE SIGNATURE SECTION BELOW.
Attach a copy of 1040,1040A,1040EZ
FILING
Single
STATUS
Married filing joint return (even if only one had income). Did you file joint or separate last year?
Joint
Separate
Social Security Number
Round to nearest Dollar
Married filing separate return. Enter spouse’s social security number above and full name here:
INCOME
1. Total W-2 wages. W-2s MUST BE ATTACHED .................................................................................. 1 $
0
Total taxable income
2. Other Taxable Income or Deductions from Line 23* from side two (back) of this form ............ 2 $
0
3. Total Taxable Income ................................................................................................................ 3 $
0
TAX
4. Fairfield Tax is 1.5% (.015) of Line 3 ........................................................................................ 4 $
TAX WITHHELD,
5. Tax Credits: Credit will only be given with proper documentation.
0
PAYMENTS
A.
Fairfield income tax withheld............................................................5A
$
0
AND
B. Income tax withheld/paid to other cities (1.5% maximum) .......... 5B
$
0
CREDITS
C. Prior year overpayments ................................................................ 5C
$
0
Line 5B cannot exceed Line 4
D. Estimated payments........................................................................ 5D
$
0
E.
Total tax credits (Lines 5A through 5D) ............................................................................ 5E $
0
BALANCE DUE
6. Balance Due, if Line 4 is greater than Line 5E. Subtract Line 5E from Line 4 ........................ 6 $
7. Overpayment, if Line 4 is less than Line 5E. Subtract Line 4 from 5E .................................. 7 $
0
A.
REFUND amount ............................................................................ 7A
$
0
B. CREDIT amount.............................................................................. 7B
$
(Amounts less than $1.00 are not paid, refunded, or credited).
DECLARATION OF ESTIMATED TAX FOR 2015 (See Instructions for requirements)
DECLARATION OF ESTIMATED TAX FOR 2009 (See Instructions for requirements)
0
0
ESTIMATE
8. Total income subject to tax $
multiply by tax rate of 1.5% (.015) ................ 8 $
0
FOR NEXT
9. Estimated income tax to be withheld or paid to other cities .................................................. 9 $
0
YEAR
10. Estimated tax due (Line 8 minus Line 9). If less than $200, estimated payments are not required 10 $
0
11. First quarter estimated tax payment (minimum of 22.5% (.225) of Line 10) .......................... 11 $
12. Prior year tax credit from Line 7B above.................................................................................. 12 $
0
13. If Line 12 is greater than Line 11, enter 0, otherwise enter amount of Line 11 less Line 12 13 $
0
TAX DUE
14. TOTAL TAX DUE (Lines 6 and 13) .......................................................................................... 14 $
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PAYMENT BY CREDIT CARD (Check One)
FAIRFIELD INCOME TAX
No.
PAYMENT BY CHECK: Payable to Fairfield Income Tax
Exp. Date:
SIGNATURE(S) REQUIRED
SIGNATURE(S) REQUIRED
The undersigned declares that this return (and accompanying schedules) is true, correct and complete for the taxable period stated and that
the figures used herein are the same as used for Federal Income Tax purposes.
May we discuss this return with your tax practitioner? (Check One)
May we discuss return with your tax practitioner? (Check One)
Yes
No
FOR TAX DIVISION USE ONLY
Date
SIGNATURE OF TAXPAYER
DATE
Tax Bal
SIGNATURE OF TAXPAYER
DATE
Interest
SIGNATURE OF PREPARER, IF OTHER THAN TAXPAYER
DATE
Penalty
Total
NAME AND ADDRESS OF PREPARER
TELEPHONE NUMBER