Form Ir-R - Individual No Income Return - 2012

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City of Hamilton Income Tax Division
Check Reason(s) for Filing as No Income:
2012 Individual No Income Return
345 HIGH ST FL 3 STE 310 HAMILTON OH 45011
Retired
Phone:
513 785-7400
Toll Free: 1- 800 854-1684
Disabled
Fax:
513 785-7401
Email:
citytax@ci.hamilton.oh.us
Unemployed
Return and Payment Due On or Before April 15, 2013
Website:
Please complete this card and return it to us. Per the Tax Ordinance, all residents of Hamilton, New Paris and Phillipsburg are required to file an
income tax return even if there is no taxable income and regardless of whether State/Federal returns are filed.
THIS RETURN IS FOR THE CITY OF ________________________________
ACCOUNT#: _______________________________________
TAXPAYER NAME: ______________________________________________
TAXPAYER SS#: ____________________________________
SPOUSE NAME: _________________________________________________
SPOUSE SS#: ______________________________________
CURRENT STREET ADDRESS: ________________________________________________________________________________________________
CITY, STATE, ZIP ___________________________________________________________________________________________________________
THE CURRENT ADDRESS LISTED ABOVE IS:
THE SAME AS LAST YEAR
A CHANGE OF ADDRESS
FOR THE YEAR
1. DID YOU HAVE W-2 INCOME?
1. YES
NO
(PENSION AND SOCIAL SECURITY INCOME IS NOT W-2 INCOME)
SAVE A
2. DID YOU OWN RENTAL PROPERTY?
2. YES
NO
STAMP
3. DID YOU PARTICIPATE IN A BUSINESS, PARTNERSHIP OR PASS THRU ENTITY? 3. YES
NO
FILE
4. FOR HAMILTON AND NEW PARIS RESIDENTS:
ONLINE
DID YOU HAVE GAMBLING WINNINGS (W2-G)?
4. YES
NO
If your answer is yes to any of the questions above, you must file the 2012 Individual City Income Tax Return which can be found on our web site
. You may request a form by calling 513 785-7400 or 1 800-854-1684.
_______________________________________________________
________________________________________________________
SIGNATURE OF TAXPAYER
SIGNATURE OF SPOUSE
_______________________________________________________
DAYTIME PHONE #: _______________________________________
DATE
Yes
No May Our Office Discuss this Return with the Preparer?
EMAIL: __________________________________________________
New Feature: No Income Individual City Income Tax Return can now be submitted electronically through our website
IR-R

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