Ashland City Income Tax Return Form 2014 - State Of Ohio
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22014
ASHLAND CITY INCOME TAX RETURN
INDIVIDUAL
TAX OFFICE USE ONLY
TOTAL TAX
FILING IS REQUIRED, EVEN IF NO TAX IS DUE
IF YOU RENT, PLEASE GIVE
LIABILITY
____________
EXTENSIONS DUE APRIL 15TH ALONG WITH PAYMENT
LANDLORD INFORMATION:
TOTAL TAX
NAME:_____________________________________
PAID W/RETURN _____________
____ RESIDENT
____ NON-RESIDENT
IF YOU MOVED DURING THE TAX YEAR GIVE DATES
ADDRESS:_________________________________
CHECK #
______________
INTO
/
/
OUT OF
/
/
___________________________________________
___________________________________
NAME:
TAXPAYER'S SOCIAL SEC. NO. _____________________________________
ADDRESS:
SPOUSE'S SOCIAL SEC. NO.
_____________________________________
E-MAIL ADDRESS:
_____________________ACCOUNT NO.
PHONE NO.
EXEMPTION FORM:
IF EXEMPT- STOP HERE, SIGN, DATE AND MAIL
UNEMPLOYED
RETIRED
UNDER 18 YEARS OF AGE - BIRTHDATE:________________
FULL-TIME STUDENT
ACTIVE MILITARY
OTHER:___________________________________
1. WAGES, SALARIES & TIPS (BOX 5 OF W-2 OR HIGHEST WAGE ON W-2)
(PLEASE ATTACH ALL W-2'S)
1. $____________________
2. FEDERAL FORM 2106 DEDUCTIONS (IF APPLICABLE) (USE LINE 27 FROM FEDERAL SCHEDULE A)
2. $ -___________________
(BOTH THE FORM 2106 AND FEDERAL SCHEDULE A MUST BE ATTACHED TO RECEIVE DEDUCTION)
3. OTHER INCOME: FROM Fed. Schedule C, E, K-1, 1099'S, FEES, COMMISSIONS, GAMBLING & MISCELLANEOUS
3. $____________________
(ATTACH ALL SCHEDULES AND TENANT ROSTERS) (1099R'S ARE NOT TAXABLE TO THE CITY)
0.00
4. TOTAL INCOME LINE 1 MINUS LINE 2 PLUS LINE 3 =
4. $____________________
0.00
5. ASHLAND INCOME TAX 1.5% OF LINE 4 (LINE 4 X .015)
5. $____________________
6. A. ASHLAND INCOME TAX WITHHELD BY EMPLOYER'S)
6A. $____________________
B. TAXES PAID TO OTHER CITIES
(Limit 1% of W-2 Wages)
B. TAXES PAID TO OTHER CITIES
(LIMIT 1% OF W-2 WAGES)
6B. $____________________
C. ESTIMATED TAX PAYMENTS PAID TO ASHLAND
C. ESTIMATED TAX PAYMENTS PAID TO ASHLAND
6C. $____________________
D. OVERPAYMENT FROM PRIOR YEAR
D. OVERPAYMENT FROM PRIOR YEAR
6D. $____________________
0.00
E. TOTAL CREDITS (ADD A, B, C AND D)
E. TOTAL CREDITS (ADD A, B, C AND D)
- 6E. $____________________
0.00
7. TAX DUE (LINE 5 MINUS 6E)
7. $____________________
8. A. OVERPAYMENT CLAIMED IF LINE 7 IS MINUS
8A. $____________________
B. ENTER AMT OF LINE 7 YOU WANT APPLIED TO NEXT YR
B. ENTER AMT OF LINE 7 YOU WANT APPLIED TO NEXT YR.
8B. $____________________
C. ENTER AMT OF LINE 7 YOU WANT REFUNDED
C. ENTER AMT OF LINE 7 YOU WANT TO BE REFUNDED
8C. $____________________
9. INTEREST (1.5% PER MONTH OF TAX DUE ON LINE 7)
9. $___________________
10. LATE FILING PENALTY ($25.00) or NON PAYMENT PENALTY ($25.00)
10. $___________________
No payment or refund for amount under $5.00
0.00
11. AMOUNT DUE - PAY IN FULL WITH RETURN (DUE APRIL 15TH)
11. $___________________
DECLARATION OF ESTIMATED TAX FOR 2015 TAX YEAR
Complete this section only if amount due in 2014 is over $100.00
12. ESTIMATED TAXABLE INCOME
12. $___________________
0.00
13. ESTIMATED TAX DUE (Multiply line 12 by 1.5%)
13. $_________________
14. TAXES TO BE WITHHELD AND PAID TO ASHLAND
14. $___________________
15. TAXES PAID TO OTHER CITIES (Limit of 1%)
15. $___________________
0.00
16. LESS OVERPAYMENT FROM 8B
16. $___________________
0.00
17. TOTAL OF LINES 14, 15 AND 16.
17. $___________________
0.00
18. NET ESTIMATED TAX DUE (Subtract line 17 from line 13)
18. $_________________
0.00
19. MINIMUM AMOUNT DUE FOR FIRST QTR (Multiply line 18 by .25)
19. $_________________
0.00
20. TOTAL AMOUNT DUE (Add lines 11 and 19)
20. $ _________________
***FOR YOUR CONVENIENCE, PLEASE USE OUR WEBSITE: ***
Taxpayer's Signature ________________________________ Date __________
Spouse's Signature ___________________________
Date _____________
Preparer's Signature ________________________________ Date __________
Company Name_________________________Phone No _____________________
* I (WE) AUTHORIZE THE INCOME TAX DEPT TO DISCUSS THIS RETURN AND ENCLOSURES WITH THE PREPARER ABOVE
Check here ______
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