Form Sd-100 - School District Income Tax Return - 2003
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1
2SD-100
2003
Social Security Number(s) Must Be Filled In Below
SCHOOL DISTRICT INCOME TAX RETURN
Filing Status—check only one
Your social security number
Your first name
Initial
Last name
Single or head of household
Spouse’s social security number
If a joint return, spouse’s first name
Initial
Last name
Married filing joint return
P
L
H
LACE
ABEL
ERE
Married filing separately, enter spouse’s SS#
Home address (number and street)
P
/T
I
Apt. #
Ohio county
OR
RINT
YPE
NFORMATION
City, town or post office, state and ZIP code
Enter the school district
School District Residency
1. Full-year resident
SD #
number for this return
Check one: Taxpayers must file a sepa-
2. Part-year resident of SD # at right (explain on back)
(see page 7 of booklet)
rate return for each school district affected
3. Nonresident of SD # at right (explain on back)
(see list and rates in SD-100 booklet).
Ohio adjusted gross income reported on line 3 of Ohio Form IT-1040 or IT-1040EZ.
00
1
1
If you filed your Ohio income tax by telephone, see instructions on page 2.
00
2
2
Part-year/nonresident income deduction (complete reverse side)
00
3
3
School district adjusted gross income (subtract line 2 from line 1)
00
4
4
Exemptions (multiply the number of your exemptions _____ times $1,250)
00
5
5
School district taxable income (subtract line 4 from line 3)
00
6
6
School district tax (multiply the amount on line 5 by the tax rate from SD-100 booklet: ____%)
00
7
7
Senior citizen credit ($50 limit per return)
00
8
8
School district tax less credit (subtract line 7 from line 6)
00
9
9
School district tax withheld (attached W-2’s must show and agree with SD number above)
00
10
10
SD-100ES ($
), SD-40P ($
), and 2002 credit carryover ($
)
00
11
11
Total payments (add lines 9 and 10)
00
12
If line 11 is less than line 8, subtract line 11 from line 8 and enter the
AMOUNT YOU OWE
12
Check here
if you have paid or will pay with a credit card
00
13
13
If line 11 is greater than line 8, subtract line 8 from line 11 and enter your overpayment
00
14
14
Enter the amount of school district overpayment on line 13 you want
CREDITED TO 2004
00
15
15
Subtract line 14 from line 13 and enter the amount you want
REFUNDED
Make your check payable to School District Income Tax. If the balance due is less than $1.01, payment need not be made, and if the overpayment is less than $1.01, no refund will be issued.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements,
FOR DEPARTMENTAL USE ONLY
and to the best of my knowledge and belief, it is true, correct and complete.
________________________________________________________________________________________________
9a
U-
12a
Your signature
Date
________________________________________________________________________________________________
Mail to:
Spouse’s signature (if filing jointly, both must sign, even if only one had income)
Telephone number (optional)
School District Income Tax
P.O. Box 182389
________________________________________________________________________________________________
Columbus, OH 43218-2389
Preparer’s signature and address
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