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2008 EXEMPTION CERTIFICATE

Income Tax Division

1 Cascade Plaza – 11

Floor

Name and Address (Please print or type)

Akron, Ohio 44308

If you believe that you are not subject to the City Income Tax for 2008

Please complete this form and return it to our office by April 15, 2009.

Subsequent earnings of taxable income voids an exemption certificate.

______________________________

____________________________

_____________________________

____________________

Akron City Tax Account Number

Taxpayer Social Security Number

Spouse’s Social Security Number

Daytime Phone Number

I BELIEVE THAT I AM NOT REQUIRED TO FILE A 2008 AKRON INCOME TAX RETURN BECAUSE:

__ I moved from Akron before January 1, 2008 (Move Date___________)

__ I was on total & permanent disability (Date Disabled____________)

__ I am a retiree receiving ONLY pension, Social Security, interest and/or

__ I had no taxable income in all of 2008.

dividend income (Date retired ____________)

Explain_______________________________________________

Under penalties of perjury, I declare that the information supplied above is true, correct, and complete.

________________________________________

____________ _______________________________________

Taxpayer Signature

Date

Joint Exemption Requires Spouse’s Signature

- - - - - - - - - - - - - - - - - - - - - - - - - -

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DETACH HERE

LINE INSTRUCTIONS FOR FORM IR

If your only source of income is from WAGES, complete WORKSHEET A on Page 2, and the lines in bold type on Page 1.

If you have schedule income, be sure to complete all required worksheets before continuing with line entries on Page 1.

Line 1.

Enter W-2 & 1099-MISC income from WORKSHEET A - Box 1 ( the total from Column 1).

Line 2.

If you filed Form 2106 for nonreimbursed employee business expenses, you may be entitled to a similar deduction on your

Akron return. See WORKSHEET E instructions for more details.

Line 3.

Subtract Line 2 from Line 1 to arrive at your adjusted wage income figure.

Line 4.

(Business income only) If the number appearing on WORKSHEET B, Line 5 is greater than zero enter that number here.

Line 5.

(Business income only) The allowable loss carried forward from prior years can offset only business income on Form IR. The

figure on Page 1, Line 5 cannot exceed the amount reported on Page 1, Line 4. Be sure to complete WORKSHEET F when arriving

at a net loss figure. A business loss cannot be used to offset wage or non-business income.

Line 6.

Subtract Line 5 from Line 4 to arrive at your adjusted Business/Rental income. This number must be zero or greater. (If

WORKSHEET B indicates a loss for 2008, this figure must be reported in WORKSHEET F, showing a loss carry forward to 2009.)

Line 7.

Add Lines 3 and 6 to find your adjusted taxable income.

Line 8.

Multiply Line 7 by .0225 to calculate your Akron Income Tax for 2008.

Line 9.

Enter the number appearing on WORKSHEET A - Box 2 ( the total from Column 2). These are the Akron taxes withheld by

your employer.

Line 10. Enter the amount from WORKSHEET A - Box 3 to show the taxes withheld or paid to other cities or JEDDs. To receive

credit for taxes that you paid directly to another city, you must attach a copy of your tax return that you filed with that city.

Line 11. Add Lines 9 and 10 for your Total City Credits.

Line 12. If you made estimated tax payments toward your Akron taxes for tax year 2008, enter this amount here. Do not include any

payments made for prior tax years nor for penalty and interest payments you may have made.

Line 13. If you had an Akron city income tax credit from last year, enter that amount on this line.

Line 14. Total Credits. Add Lines 11, 12 & 13 and enter the result here. This is your Total Tax Credits for tax year 2008.

Minimum income credit. If your total gross income for 2008 was $600 or less, you may be entitled to a refund. If the tax amount

on Line 8 is $13.50 or less and your GROSS income for 2008 did not exceed $600, enter the figure from Line 9 (Akron

Income Tax withheld by employers) on Line 18 (REFUND) and STOP HERE. Check the refund boxes on the top of the form

and on the return envelope, sign and date the tax return, and mail it to us by April 15, 2009. Attach all of your W-2s. Also

include copies of any 2008 Form 1040 or federal schedules you filed, so we can substantiate your eligibility for this credit.

Line 15. Subtract Line 14 from Line 8. If there is a Balance Due, enter it here and send in your payment by check or money order,

or complete and return the VISA / MASTERCARD authorization voucher found on Page 4. Make checks payable to City of

Akron, Ohio. Mail payments to Income Tax Division, 1 Cascade Plaza – 11

Floor, Akron, OH 44308.

Line 16. If Line 14 is greater than Line 8 you have a credit balance. Enter the difference here.

Line 17. Enter the amount that you would like to have credited to your Akron tax account for 2009.

Line 18. If you wish to have the overpayment refunded to you, enter the amount here and check the REFUND box on Form IR.

(Important note: No taxes, refunds or credits of $1.00 or less will be collected, refunded or allowed.)

You may also wish to consider contributing part of your refund or credit to the Equipment Funds for the Akron Police,

Fire & EMS, or Parks & Recreation. To do so, simply check the appropriate box and indicate the amount of your

donation. Your credit or refund will be reduced by that amount.

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Form Ir - Akron Tax Return For Individuals Instructions - Exemption Certificate - Visa/mastercard Authorization Voucher - 2008 Page 3

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