Form 37b - Rita Individual Income Tax Return - 2014
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Contact us toll free:
Regional Income Tax Agency
37B
Cleveland
RITA Individual Income Tax Return
2014
Youngstown 866.750.7482
TDD
Filing Status:
Your social security number
Spouse’s social security number
Single or Married Filing Separately
3
Joint
2
1
Your first name and middle initial
Last name
If you have an EXTENSION check here and
Attach a copy:
EXTENSION
If a joint return, spouse’s first name and middle initial
Last name
If this is an amended return, check here:
Current home address (number and street)
Apt #
If you are exempt from filing, check this
box and complete the back of this form:
City, state, and ZIP code
RITA’s efile
Municipality you lived in for the tax year
Daytime phone number
Easy, Fast, Free & Secure
Section A
In Column A, put the actual name of the municipality (city or village) in which you and/or your spouse physically worked. If you did not work in a
municipality, enter “None” in Column A. DO NOT enter school district tax in Column E.
Column A
Column B
Column C
Column D
Column E
Column F
Tax due Before
Allowable credit for
Local/City Tax
Workplace municipality
Wages
Tax Rate
Withholding
Tax Withheld
(see instructions for
(Name of city or village where
of resident
Withheld
Multiply Column B times
Lesser of
qualifying wages)
By Employer
you worked)
municipality
Column C
Column D or Column E
Enter the total of Column B on Line 1 below, and enter
Totals
the total of Column F on Line 3 below.
If you have income other than wages reported on a W-2 form, such as income from Schedule c, e or f, you can not use form 37B. Tax balances
are due by April 15th, 2015. Submitting an incomplete form could subject you to penalty and interest if a tax balance is due. If you want RITA to
calculate your taxes please use the on-line efile system at . It is easy to use, secure and will calculate your taxes immediately.
To manually calculate your taxes please continue.
Section B
1 Total W-2 wages from Section A, Column B
1
2 Tax due before withholding. Multiply Line 1 by your resident municipality tax rate from the tax
table. Enter the tax rate of your resident municipality here:
%
2
3 Total credit allowable for withholding from Section A, Column F
3
4 Tax due after withholding. Subtract Line 3 from Line 2. If less than zero, enter -0- and file
4
Form 10A to claim your refund.
5 2014 estimated tax payments made to RITA by check, credit/debit card, or ePayment
5
6 Credit carried forward from 2014
6
7 Total estimated tax payments and credit carryovers (add lines 5 & 6)
7
8 Balance due. If Line 7 is less than Line 4, subtract Line 7 from Line 4
8
9 Amount to be credited. If Line 7 is greater than Line 4 and you want a credit, subtract Line 4 from
Line 7. You may not split an overpayment between a credit and a refund.
9
10 Amount to be Refunded. If Line 7 is greater than Line 4 and you want a refund, subtract Line 4 from
10
Line 7. You may not split an overpayment between a credit and a refund.
11 Enter 2015 estimated tax in full. If left blank, RITA will calculate for you.
11
12 Enter full estimate from Line 11 or first quarter estimate (1/4 of line 11) less credit, if any, from Line 9
12
13 Total Due by April 15, 2015. Add Lines 8 and 12. Make check payable to RITA.
13
Mail with W2s and payment to:
Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is
Regional Income Tax Agency
true, correct, and accurately lists all amounts and sources of municipal taxable income I received during the tax year.
PO Box 94652
Cleveland, OH 44101-4652
Mail with W2s and without payment to:
Regional Income Tax Agency
PO Box 94653
Your Signature
Date
Preparer’s Signature
Date
Cleveland, OH 44101-4653
Refund with an amount on line 10:
Regional Income Tax Agency
PO Box 89409
Cleveland, OH 44101-6409
Spouse’s Signature if a joint return
Date
Preparer’s Address
Id Number
May RITA discuss this return with the preparer shown above?
Yes
No
Preparer Phone #:
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