Fillable Individual Income Tax Return - Village Of Evendale, 2015 printable pdf download

VILLAGE OF EVENDALE

PHONE 513.563.2671

File With

Form IR

FAX 513.563.4636

2015 – INDIVIDUAL INCOME TAX RETURN – 2015

VILLAGE OF EVENDALE

TAX DEPARTMENT

FILE ON OR BEFORE APRIL 18, 2016. FILING REQUIRED EVEN IF NO TAX IS DUE.

Make check or

10500 Reading Road

money order payable to

Requests to extend the date for filing must be received in writing by the original due date of the return.

Evendale, Ohio 45241

VILLAGE OF EVENDALE

(Copy of the Federal Extension received by original due date is acceptable.)

TAXPAYER NAME AND ADDRESS

SS# TAXPAYER __________________ SS# SPOUSE ____________________

HOME PHONE # _________________ WORK PHONE # _________________

(*required if paying by credit card)

IF MOVED SINCE THE PREVIOUS RETURN WAS FILED GIVE DATE:

INTO EVENDALE _________________ OUT OF EVENDALE _______________

INCOME

1. QUALIFYING WAGES (Usually Medicare Wage, Box 5 of Form W-2) ATTACH ALL W-2’S ................................................................... $ ________________

2. OTHER TAXABLE INCOME AND/OR DEDUCTIONS FROM LINE 20, PAGE 2 - SEE INSTRUCTIONS ................................................ $ ________________

NOTE: Page 2 must be completed if you have taxable rental property or business income

(Interest, Dividends, Capital Gains, Retirement Income, Military Pay and State Unemployment Compensation are not taxable income)

3. TAXABLE INCOME: LINE 1 PLUS OR MINUS LINE 2 ........................................................................................................................... $ ________________

TAX

4. EVENDALE TAX: 1.2% OF LINE 3 .................................................................................................................................................... $ ________________

TAX WITHHELD,

5. CREDITS:

PAYMENTS AND

a: TAX WITHHELD BY EMPLOYER FOR EVENDALE ............................................................................... $ ________________

b: 2015 ESTIMATED TAX PAID TO EVENDALE ...................................................................................... $ ________________

CREDITS

c: 2015 TAX PAID CITY OR VILLAGE OF _________________________________ ......... $ ________________

Not to exceed 1.2% of that portion taxed - See instructions - Residents only

d: PRIOR YEAR OVERPAYMENTS ......................................................................................................... $ ________________

e: TOTAL CREDITS ........................................................................................................................................................................... $ ________________

BALANCE DUE,

6. 2015 VILLAGE OF EVENDALE TAX DUE ................................................................................................................$ ________________

If line 4 is greater than line 5e payment of balance due must accompany this return.

REFUND OR

a: INTEREST $ ___________ b: PENALTY $ ___________

CREDIT

TOTAL 2015 TAX DUE PLUS INTEREST AND PENALTY ............................................................................................$ ________________

7. OVERPAYMENT  REFUND $ _____________ OR  CREDIT $ _____________ TO NEXT YEAR’S ESTIMATE

(If Line 5e is greater than Line 4) If you wish to have your refund directly deposited into your savings or checking account, complete the information below.

Otherwise, your refund will be mailed to you at the taxpayer address indicated above.

TYPE:  CHECKING OR  SAVINGS

ROUTING NUMBER

ACCOUNT NUMBER

No taxes or r efunds of less than $5.00 shall be collected or refunded.

DECLARATION OF ESTIMATED TAX FOR YEAR 2016

DECLARATION REQUIRED IF ESTIMATED TAX (LINE 10) EXCEEDS $200.00

ESTIMATE FOR

8. GROSS TAX TOTAL INCOME SUBJECT TO TAX $ ___________ MULTIPLY BY TAX RATE OF 1.2% ................................................ $ ________________

NEXT YEAR

9. LESS EXPECTED TAX CREDITS:

a: TAX WITHHELD BY EMPLOYER FOR EVENDALE (Not to exceed 1.2% of that portion taxed) ........... $ ________________

b: PAYMENTS TO ANOTHER MUNICIPALITY (Not to exceed 1.2% of that portion taxed) .................... $ ________________

c: PRIOR YEAR OVERPAYMENTS (From Line 7 above) ......................................................................... $ ________________

d: TOTAL CREDITS ........................................................................................................................................................................... $ ________________

TOTAL DUE

10. NET ESTIMATED TAX DUE FOR 2016: (LINE 8 LESS LINE 9d) ......................................................................................................... $ ________________

11. AMOUNT PAID WITH THIS DECLARATION (Not less than ¼ of Line 10) ....................................................................................... $ ________________

12. TOTAL OF THIS PAYMENT (Line 6, or Line 6a/6b PLUS Line 11) ..................................................................................................... $ ________________

Make remittance payable to the Village of Evendale. (See reverse for more information.) To pay by credit card, complete the information below.

I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS TRUE, CORRECT AND COMPLETE. IF PREPARED BY A PERSON OTHER THAN TAXPAYER, THIS DECLARATION IS



BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.

CHECK HERE IF WE MAY CONTACT THE TAX PREPARER DIRECTLY WITH QUESTIONS REGARDING THIS RETURN.

IMPORTANT! Do not digitally sign this form until side 2 has been completed! Once signed you will not be able to edit the form.

TO PAY BY CREDIT CARD

Enter card number and expiration date exactly as it appears on your card.

______________________________________________________________________



Signature of Taxpayer

Date

______________________________________________________________________

Card Number