Declaration Of Estimated Tax For Year 2012 - Village Of Malinta
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1
2MAIL TO
TAX OFFICE USE ONLY
VILLAGE OF MALINTA
Code # _________________________________
P.O. BOX 69
Processed By______________________________
MALINTA, OH 43535
CASH
M.O.
CHECK
$________________
4/15/2012___
Tax Year _______2011____________ Due Date___
Fiscal Period From______________________through____________________
NAME AND ADDRESS
Account Number______________________________
Federal ID Number____________________________
SOCIAL SECURITY NUMBER
Yours
Spouse
Phone (
)
Indicate here if you are not required to file.
Retired
Unemployed
Other
1. WAGES -- If Your Only Source of Income Is From Wages Complete Page 1 Only.
EMPLOYER'S NAME
WHERE EMPLOYED
CITY TAX WITHHELD
TOTAL W2 WAGES
W2
COPIES
MUST
BE
ATTACHED
TOTALS
$
$
2. OTHER TAXABLE INCOME (From Page 2)……………………………………………………………………………………………………… $
3. TOTAL INCOME (Total Lines 1 & 2)………….……………………………………………………………………….………………………….. $
4. A. NET PROFIT FROM BUSINESS OR PROFESSION.………………………………………………………………..……………………… $
B. INCOME FROM PARTNERSHIP, ETC., including farms………………………………………………………………………………….. $
5. TOTAL TAXABLE INCOME (Total Lines 3, 4a & 4b)…………………………………………………………………………………………… $
6. TAX DUE (Line 5 multiplied by tax rate)………………… .01 ………… …………………..………………………………….................... $
7. CREDITS
A. INCOME TAX WITHHELD……………………………………………………………………………………………
$
B. TAXES PREPAID ON ESTIMATE………………………………………………………………………………….
$
C. TAXES PAID TO ANOTHER CITY (Credit cannot exceed__1.0_% of income earned in another city.)
$
D. CREDITS FROM PRIOR YEAR…………………………………………………………………………………….
$
E. TOTAL CREDITS (Lines a, b, c, and d)………………………………………………………………………………………………………. $
8. BALANCE OF TAX DUE………………………………………………………………………………………………………………………..…… $
9. PENALTY
__________
INTEREST
__________
TOTAL……………………………………………………………………………… $
10. BALANCE LINE 8 PLUS 9 …………………………………………………………………………………………………………………….…… $
OVERPAYMENT TO BE
REFUNDED OR
CREDITED TO NEXT YEAR……………………………………….. $
I declare that the information contained in this tax return has been examined by me and to the best of my knowledge and belief, is a true and complete return.
(Signature of firm or person, other
(Date)
(Signature of Taxpayer)
(DATE)
than taxpayer, preparing return)
(Signature of Spouse)
(DATE)
DECLARATION OF ESTIMATED TAX FOR YEAR 2012
Acct. #
Name
1. Estimated income subject to municipal tax
$
. Multiply by tax rate
1
% Estimated Tax Due………
$
2. LESS TAX TO BE WITHHELD
a. By Employer…………………………………………………………………………………………………
$
b. By an employer (name of city) (See Instructions)…………………………………………………
$
c. Overpayment on previous year’s return (Line 10) ………………………………………………
$
d. Total Credits (a, b, and c)…………………………………………..……………………………………
$
3. Balance of Estimated Tax (Line 1 minus Line 2d)…………………………………………………………………………………………
$
4. Amount paid with this return (not less than 1/4 of Line 3)…………………………………………
$
Payment (Line 10 of Annual Return above plus Line 4 of Estimate)………………………………………………………..
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