Individual Income Tax Return - Cillage Of Greenwich, 2015
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InDIvIDUAL - 2015
IncOmE TAx RETURn
Tax Office Use Only : Tax Office Use Only :
GREEnWIch
Taxpayer’s Social
ToTaL Tax
Security No.
LiaBiLiTy _________________________
home Telephone No.
Business Telephone No.
ATTAch ALL cOpIEs Of W-2’s, 1099’s,
ToTaL Tax
AnD fEDERAL schEDULEs
Paid w/ rETurN
Spouse’s Social
___________________
TAxEs WIThhELD fROm OThER cITIEs
Security No.
LImITED TO 1.00% OnLY.
chEck # _________________________
Spouse’s
Name
home Telephone No.
Business Telephone No.
Name
iF you haVE MoVEd duriNG
Filing Status
Tax yEar - GiVE daTES
rESidENT
and
Single
iNTo
/ /
NoN-rESidENT
Married filing joint
ouT oF
/ /
address
iF you rENT, PLEaSE GiVE LaNdLordS iNForMaTioN
NaME
addrESS
Income
Use Box 5 or
1
1 wages, salaries, etc.
Largest Wage
2
2 other taxable income from worksheet B
Amount on W2
3
3 Total taxable income (add lines 1 and 2)
Tax and credits
4
4 Greenwich tax due before credits (1% of line 3)
5
5 Estimated tax payments made to Greenwich
6
6 Taxes withheld and paid to Greenwich - (DO nOT IncLUDE schOOL TAx sD 3905)
7
7 overpayment from prior year(s)
8
8 Taxes withheld and paid to other localities
(Maximum credit 1.00%)
9
9 Total credits (add lines 5 through 8)
Refund
(issued if tax due is greater than)
10
10 if line 9 is greater than line 4, subtract line 4 from line 9. This is the amount you overpaid
11
11 amount of line 10 to be credited to next years estimate
12
12 amount of line 10 to be refunded ($1.00 or greater)
Tax Due
(issued if tax due is greater than)
13
13 if line 4 is more than line 9, subtract line 9 from 4, this is the tax amount you owe
14
14 Penalties and interest Late file / pay__________ Interest__________
Declaration of Estimate for 2016
15
15 Estimated taxable income
16
16 Estimated tax due. (multiply line 15 by
1%
)
17
17 Taxes to be withheld and paid to Greenwich and other localities (
)
Limit 1%
18
18 Prior credit applied to estimated tax payments (From line 11)
19
19 Net estimated tax due (subtract line 17 & 18 from 16)
20
20 Minimum amount due for first quarter (multiply line 19 by .25)
Amount You Owe
21
21 Total amount due (add lines 13 and 14)
mAkE chEck OR mOnEY ORDER TO:
ViLLaGE oF GrEENwich Tax dEPT.
ThE uNdErSiGNEd dEcLarES ThaT ThiS rETurN (aNd accoMPaNyiNG SchEduLES) iS a TruE, corrEcT
aNd coMPLETE rETurN For ThE TaxaBLE PEriod STaTEd aNd ThaT ThE FiGurES uSEd hErEiN arE ThE
SaME aS uSEd For FEdEraL iNcoME Tax PurPoSES.
45 MaiN STrEET
GrEENwich oh 44837
Taxpayer’s Signature
date
Phone 419-752-2441 Fax 419-752-1903
website
Spouse’s Signature
date
Tax Preparer’s Signature
date
(if other than taxpayer) Phone No.
We, the taxpayer, elect to authorize a return preparer to communicate with the tax administrator about matters pertaining to this return.
By making this election, we, the taxpayer, authorizes the tax administrator to contact the return preparer concerning questions that arise during the processing of the return and authorizes the return
preparer only to provide the administrator with information that is missing from the return, to contact the administrator for information about the processing of the return or the status of the taxpayer’s
.
refund or payments, and to respond to notices about mathematical errors, offsets, or return preparation that the taxpayer has received from the administrator and has shown to the return preparer
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