City Of Hubbard Income Tax Return Form - 2016

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CITY OF HUBBARD INCOME TAX RETURN
FOR TAX OFFICE USE ONLY
Amount Paid
qCash
2016
YEAR _______
Change Tax Year if Necessary u
qCHECK NO.
AUDITED
OR PERIOD FROM _____________ TO _____________
BY
DUE DATE APRIL 15
2017
OR THE IRS DUE DATE
Were you a Hubbard resident for the entire year? qYes qNo If no:
Make Check or Money Order Payable to:
Date moved into Hubbard: __________ Date moved out of Hubbard: __________
HUBBARD CITY INCOME TAX
Ph: 330-534-6299
IF YOU RENT, GIVE NAME AND ADDRESS OF LANDLORD
Fax: 330-534-6282
MAIL TO:
Name ____________________________________________________________
P.O. Box 307
Hubbard, OH 44425-0307
Address __________________________________________________________
PLEASE READ GENERAL INSTRUCTIONS BEFORE PREPARING THIS RETURN
Indicate here if you are q Retired and have no taxable income.
PLEASE ENTER NAME AND ADDRESS BELOW
SOCIAL SECURITY NO. (SELF)
SOCIAL SECURITY NO. (SPOUSE)
FEDERAL ID NO.
Actual Work Location
Gross Wages - Highest
Hubbard
Other City
Lesser of Column E
City/Township
Wage on W-2
Tax Withheld
Tax Withheld
or 1% of Column C
A. PRINT EMPLOYER’S NAME
B.
C.
D.
E.
F.
TOTALS: 1C. $
1D. $
1F. $
1. WAGES, SALARIES, TIPS & OTHER COMPENSATION (Enclose Forms) (1C) ...................................................................................................... $ _______________
_
2. PROFIT AND LOSS
(LOSSES MAY NOT BE USED TO OFFSET SALARIES, WAGES, COMMISSIONS OR OTHER PERSONAL SERVICES COMPENSATION)
A. Business or Profession} (
LOSS ($ ___________ )
Attach Schedule C, C-EZ, Include cost of goods sold
PROFIT $ ________________
..............................
Form 1120, 1120A. 1065 or 1120S)
LOSS ($ ___________ )
B. Rents, Partnerships, Estates, Trusts, etc. (Attach Schedule E) ........
PROFIT $ ________________
LOSS ($ ___________ )
C. Farm (Attach Schedule F) .................................................................
PROFIT $ ________________
D. NET TAXABLE INCOME: Add line A,B,C. of Profit only (losses cannot be used to offset profit).............. $ ________________
3. TAXABLE INCOME (Line 1 plus 2. D.) ................................................................................................................................................................................................. $ __________________
4. CITY TAX DUE 1.5% (.015) of Line 3 ................................................................................................................................................................................................... $ __________________
5. CREDITS
A. Hubbard Income Tax Withheld (1D) .................................................................................... $ ______________
B. Credit for tax paid to other cities (1%) per W-2. (1F) ........................................................... $ ______________
(Use your local wage box on your W-2)
C. Payments made on Declaration/Credits and amount paid on extension ............................. $ ______________
D. TOTAL CREDITS (Add lines A,B,C) ...................................................................................................................................................................... $ ________________
6. BALANCE TAX DUE IF LINE 4 is larger than LINE 5D (Payment in full must accompany this form) .............................................................................................. $ _________________
7. LATE FILING PENALTY ($25 PER MONTH / MAXIMUM $150) $ ______________
TOTAL 7 $ _________________
LATE PAYING PENALTY (15% OF UNPAID TAX) $ ____________
INTEREST (.42% PER MONTH) $ ______________
8. T O TA L AM OU N T DUE PAYAB LE TO CITY OF HUBBARD (Line 6 plus Line 7) PAYMENT I S REQ UIRED WITH RETURN
$ _________________
9. OVERPAYMENT • AMOUNT to be REFUNDED $ ___________
AMOUNT to be CREDITED to next years return $ ___________
NOTE: Amount of $10.00 or less is not refundable or payable.
DECLARATION OF ESTIMATED TAX FOR CURRENT YEAR
(SEE GENERAL TAX FILING INFORMATION)
1. Total estimated income subject to tax $ _____________ Multiply the tax rate .015 (1.5%) for gross tax ...................................
$ _______________
2. Less any CITY TAX to be withheld - 1% limit per W-2 ................................................................................................................
$ _______________
3. Balance Hubbard City Income Tax declared ...............................................................................................................................
$ _______________
4. Less Credits: A. Overpayment on previous years return .............................................................................................................
$ _______________
B. Previous payment, If this is an amended estimate ............................................................................................
$ _______________
5. Unpaid balance of net tax due .....................................................................................................................................................
$ _______________
6. FIRST QUARTER ESTIMATE AMOUNT (DUE APRIL 15 WITH THIS RETURN) ....................................................................
$ _______________
PAY THIS AMOUNT
$
GRAND TOTAL Line 8 ABOVE and FIRST QUARTER ESTIMATE PAYMENT (line 6)
I certify that I have examined this return (including accompanying schedules, forms and statement) and believe it is true, correct and complete.
S
I
G
Your Signature
DATE
Preparer’s signature (other than taxpayer)
DATE
N
H
Phone:
E
SPOUSE SIGNATURE If living jointly. BOTH must sign, even if only one had income)
DATE
Address (and zip code)
R
If this return was prepared by a tax preparer, may we contact him/her with questions regarding the
E
preparation of this return?
q Yes
q No
Your telephone number (optional) _____________________________________________________
12/10 Rev.

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