Fillable Form It 1040 Ez - Ohio Income Tax Return printable pdf download

2005

IT 1040 EZ

OHIO

Income Tax Return

For Full-Year Ohio Residents

Social security number(s) must be filled in below.

Your first name

Initial

Last name

Your social

If a joint return, spouse’s first name

Initial

Last name

security number

Spouse’s social

security number

Home address (number and street)

Apt. number

(only if joint return)

Public school district number

City, town or post office, state and ZIP code

Ohio county

(see pages 35-39).

Filing status (check only one)

Ohio Political Party Fund

Checking “Yes” will not increase your tax or reduce your refund.

Do you want $1 to go to this fund? .............................................................. Yes

Single or head of household

Married filing separately

If joint return, does your spouse want $1 to go to this fund? ...................... Yes

Married filing jointly

Enter spouse’s SSN

Dollars

Cents

1. Federal adjusted gross income (from federal form 1040, line 37; or 1040A, line 21; or 1040EZ, line 4) .... 1.

2. Enter the amount from Worksheet A (on the back of this return) ................................................................ 2.

3. Ohio adjusted gross income (line 1 minus line 2) ........................................................................................ 3.

4. Personal exemption and dependent exemption deduction – multiply the number of your personal

Get your

exemption and dependent exemptions

times $1,350 and enter the result here ........................... 4.

(See TIP on back of return for children who are claimed on their parents’ tax return.)

5. Ohio taxable income (line 3 minus line 4; enter -0- if line 3 is less than line 4) .......................................... 5.

refund

6. Tax on line 5 (see tax tables, pages 28-34) ................................................................................................... 6.

7. If line 5 is $10,000 or less, enter $107; otherwise, enter -0- or leave blank ........................................ NEW 7.

8. Tax less line 7 credit (line 6 minus line 7; enter -0- if line 6 is less than line 7) .......................................... 8.

9. Exemption credit – multiply the number of your personal and dependent exemptions

times

in 5-7 days.

$20 and enter the result here (number of exemptions claimed must equal the number of exemptions

claimed on line 4 of this page) ....................................................................................................................... 9.

10. Tax less exemption credit (line 8 minus line 9; enter -0- if line 8 is less than line 9) ............................... 10.

File

11. Joint filing credit (see instructions on page 12)

% times line 10 (limit $650) .............................. 11.

12. Ohio income tax (line 10 minus line 11; enter -0- if line 10 is less than line 11) ........................................ 12.

13. Unpaid Ohio use tax (from Worksheet B, line e on back of this form) ........................................................ 13.

The amount you show on this line is part of your total income tax liability for this year.

electronically!

14. Total Ohio tax (add lines 12 and 13) ............................................................................................................ 14.

15. Ohio tax withheld (box 17 on your W-2)

AMOUNT WITHHELD

(staple W-2s to the back of this form) ................................................................

15.

16. Refund (if line 15 is more than line 14, subtract line 14 from line 15)

YOUR REFUND

This is your refund before donations, if any, on lines 18, 19 and 20 ...........................

16.

17. Amount you owe

(If line 15 is less than line 14, subtract line 15 from line 14. See page 41.)

Check here

and enclose form IT 40P if you are making a payment. Make check or money order payable to Ohio Treasurer of State.

Check here

if you have paid or will pay with an electronic check or credit card .................................

AMOUNT YOU OWE

17.

If the amount you owe is less than $1.01, payment need not be made. And if your refund is less than $1.01, no refund will be issued.

Donations (These will REDUCE your refund.)

18.

Amount of line 16 you wish to donate to the Military Injury Relief Fund ....

NEW 18.

Do not complete lines 18, 19 or

20 unless you want to donate all

19.

Amount of line 16 you wish to donate for nature preserves, scenic rivers

or part of your refund on line 16

and endangered species protection .................................................................... 19.

to these funds. Your refund will

be reduced by the amount do-

20.

Amount of line 16 you wish to donate for Ohio’s wildlife species and

nated.

endangered wildlife conservation ......................................................................

20.

I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, this return is true, correct and complete.

Your signature

Date

For Departmental Use Only

Spouse’s signature (if joint return)

Phone no. (optional)

No Payment Enclosed – Mail to

Payment Enclosed – Mail to

Paid preparer’s name and signature

Preparer’s phone no.

Ohio Department of Taxation

P.O. Box 182294

P.O. Box 182850