Form Ncty-1040 - Declaration Of Estimated Tax - City Of Norwalk - 2010

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2010 - CITY OF NORWALK INCOME TAX - 2010
FILING REQUIRED BY ALL RESIDENTS 18 YEARS OR OLDER EVEN IF NO TAX IS DUE
2010
FILE ON OR BEFORE APRIL 18, 2011
EXTENSION REQUESTS MUST BE RECEIVED BEFORE APRIL 18, 2011
2011
FILING IS REQUIRED EVEN IF YOU HAVE
NO INCOME AND NO TAX IS DUE
Check Filing Status 2010
ENTER NUMBER AND EXPIRATION DATE FULLY ANC ACCURATELY
( ) Single
( ) Married
Now Filing With ______________________
SS#_______________________________
Card # (16 Digits) __________________________________
( ) Single Previously Filed With
Exp. Date ________________________________________
___________________________________
SS#_______________________________
Total Amt. Authorized $ _____________________________
Are You Required To File A Federal Tax Return?
Signature ________________________________________
( ) Yes, include a copy of your 1040, or a
completed Norwalk Alternate 1040 Form
Daytime Phone # (____) ____________________________
( ) No
CHECK THE APPROPRIATE BOX
q FULL YEAR RESIDENT q PART YEAR RESIDENT
Please visit for the On-Line Tax Preparation Tool.
MOVE IN DATE __________ MOVE OUT DATE__________
Enter your:
Business Fed. I.D. No.
Social Security No.
Spouse Security No.
Phone #
NORWALK TAX WITHHELD
OTHER MUNICIPAL
QUALIFYING WAGES
EXCLUDE SCHOOL
TAX WITHHELD
EMPLOYER’S NAME
LOCATION
(USUALLY BOX 5 OF THE W-2 FORM)
NOT TO EXCEED 1.50%
DISTRICT INCOME TAX
1a.
1b.
1c.
ON REVERSE SIDE
2010
NO TAX DUE, REFUND OR
CREDIT IF $4.99 OR LESS
2011
*
*
4/18/11.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2010
4-18-11
2011
(Must be filed if a local tax, of at least 1 1/2% is not withheld by your employer.)
Multiply by tax rate 1.5 percent for gross tax total................
...........
...........
...........
...........
2011
18, 2011 (At least 22
2011 (At least 22
/
/
% of Line 3 of Declaration)
% of Line 3 of Declaration)
1
1
2
2
Total Due
2010
2011
4/15/10.
4/18/11
& Payable
q
CHECK BOX NEXT TO SIGNATURE TO AUTHORIZE CITY TO DISCUSS RETURN WITH TAX PREPARER.

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