Form R - Mt. Gilead Income Tax Return - Ohio Income Tax Department (Page 3 of 3) in pdf

SECTION A

NEED BE COMPLETED ONLY BYTHOSE WHO HAVE OTHEA TAXABLE INCOI'E I1IAN WAGES OR

WHO CLAII\I EXPENSES45 A DEDUCYION

FNOMSUCHWAGES,

1 3 P R O F I T F R O M A N Y B U S T N E S S

O W N E D ( A T T A C H

F E O E R A L

S C H E D U L E

C )

, , , , . . . . . . . . . . . . . . . . , . . .

1 4 , R € N T A L I N C O T V E

( A T T A C | ]

F E D E M L S C F E O I I L E

E )

. . . . . . . . . . . . . , , . . .

1 5 . o T f t E R t N c o M E ( a l - I A c H A p p R o p R t A T E

F E D E M L S C H E O U L E S

O R 1 0 9 9 ) . . . . . . . . . . . . . . . . . . . . . . . $

(Th6 n€trosr rrcn a busin€ss activlry may nqt b6 u56d lo onsstsalaryorwaoo

oah nos)

A. DEDUCTTBLE

EXPENSES (ATTACH tRS FORtrl - SCHeOULE

2106 - OR OTHER ST TEMENT) . . . . . . . . . , I

E'NoN-TA(AgLE|NcoMg(EXPL^IN.sEE|NsTRUcT|oNsBELoW)-

c , T o T A L O E D U C T L O N S

. . . . , , , . . , , , . , ,

1 3 . N E T O T H E R I A ) ( ^ E L €

N C O M E O A D E O U C I I O N S

( N S E R T I N L I N E 2 P A G E 1 ) . . .

, , , , , , , , , , , ,

DECLARATION AND BETURN PAYMENT CALENDAR

A P R I L 1 S

J I J N E ] 5

S E P i E M B E R I 5

D E C E M B E R I 5

A P R I L I 5

FlleDeclaratlon

Make2nd

MEke 3rd

Mako 4th

Fll6 rollrn. Pay

wilh 1/4payment.

quart.ny payhent,

quarterly paymenl

quarlorly payhent,

quar(erly Payment

SECTION B

INSTRUCTIONS: Lrnes 1 flY! rB

TAXABLE INCOME - All gross {use Box 5 on W-z's) wagos, salarlss, bonu6es, commlsslon€, f6ss, slck psy, lotlery wlnnlngs

and other comp€nsatlon rocolved by an lndivldualfof work doh€ or servlces pdformod, Also net proflts of buslne8s, partnershlp,

copomtions, profosslons, or other actlvities. Contrlbutlons made by or on behalf of employees to lax d€forod annulty plan

(401K plans and th€ llke).

NON"TAXABLE INCOME . AcUve duty rnilitary poy, incom€ such as lntolsst, dlvldonds, annuitigs, unearn€d lncome 6uch os

poor roliof, compgnsatlon r€ce v6d for unomploymentor Injury, soclalsocurlty, penslons, capilalgalns,

1 . Shou ld be th6 total of all wag66 rocoivod. All W-2's and/or schedules must bs altachecl,

2. To bo complotod only fyou ar€ requk€d to completo Pago 2,IIQfEBISINESS LOSSES [rlAY NOT BE USED TO OFFSET

WAAES.

7. LJnlesstho

space is chocked as indlcaung

a r€fund, your overpaym€ntwlll

be applsd to your nsxt yoar's ostlmat€.

8,Insort lho gmountof income you oxpect lo mako in lh6 curront yoar.

11. You may pay the entlro amounl declarcd wllh the fi Ing of thls form.

13,lfyoudlscontlnuoasasaladod

€mploye€ and intend to continue in businossonly,

please advis€ In ord€rthatyou may bg

s€nt a busln6$ fom ln tho lulur€. Thls a so soDlles io llnes 14 and 15.

15, ls for reporting such lteras as lncome llsted on a Form 1099, sales cornmissions, and olher taxablo lncome.

17. A - Credit wlll be allowed only when a W2 is attached and all expens€s mLr6t bs subslantlaiod by proper schedules.

B -Applicablefor persons, who duing th6 curr€nt yoar, have mov€d in or oui of lhis communlly, ofany other jncomo

Included in attached W2 and noi taxable to thls communlty. Pleas€ stale feason.

NOTE: All extensions must bo lilsd in w ting by Apfil 1 5 and a copy of your federal extension attached. An extension i3 only 0r

lillng. Your fulltax liablllly ls due byApnl 15.

NOTE: All residents mustfie a tax return even ifno income fecelved. unloss vou are retir€d and have noliflod us ofsuch.

NOTE: A penalty of $25.00 and inleresl will be assessed on all returns lhat are filed aftsrApril 15 unless an exlensjon i5 granted.

Form R - Mt. Gilead Income Tax Return - Ohio Income Tax Department Page 3

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