Income Tax Return Form - City Of Massillon - 2011 Page 2
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2PROFIT OR LOSS FROM SCHEDULE C & E OR K-1
PROFIT OR LOSS FROM SCHEDULE C & E OR K-1
(A COPY OF THE FEDERAL FORM 1040 AND APPLICABLE SCHEDULES MUST BE ATTACHED)
(A COPY OF THE FEDERAL FORM 1040 AND APPLICABLE SCHEDULES MUST BE ATTACHED)
SCHEDULE C NET PROFIT OR LOSS ...............................................................................................................................................................$
1.
2.
SCHEDULE E NET PROFIT OR LOSS .................................................................................................................................................................$
NET PROFIT OR LOSS (Add Lines 1 and 2) ....................................................................................................................................................... $
3.
ADD ITEMS NOT DEDUCTIBLE ........................................................................................................................................................................... $
4.
(
)
DEDUCT ITEMS NOT TAXABLE........................................................................................................................................................................... $
5.
(
)
LESS ALLOCABLE NET LOSS CARRY FORWARD (Five year limit) ................................................................................................................ $
6.
NET PROFIT OR LOSS TAXABLE BY THE CITY OF MASSILLON (Line 3 + Line 4 - Line 5 - Line 6) ............................................................. $
7.
CODES AND REASONS FOR EXEMPTION OF INCOME
CODE #
REASON
001
Retired, Receiving only pension, Social Security, interest or dividends.
002
Under 18 years of age all of 2010. (Attach documentation of date of birth.)
2011.
003
Active Duty Military for all of 2010.
2011.
004
Taxpayer is deceased. Give date of death:
005
Moved from Massillon prior to January 1, 2010. Give date of move and new address (Attach required documentation.)
2011.
006
On Governmental assistance, received no other income.
007
Received only alimony and/or child support and no other income.
008
Unemployed during all of 2010, received only unemployment compensation and no other income.
2011,
009
Disabled during all of 2010, received only Worker’s Compensation.
2011,
010
Other: Give reason
CODES AND REASONS FOR REFUND REQUESTS
CODE #
REASON
011
During 2010, I was under the age of 18 and taxes were withheld. (Attach proof of age: Birth Certi cate, Driver’s License, State Identi cation Card.)
2011,
012
Due to the 2106 expense guidelines there is an overpayment. (Attach Federal forms 1040, 2106, and Schedule A.)
013
During 2010, I was only a part-year resident. (Attach documents that prove the move out date.)
2011,
014
During 2010, I was a non-resident that worked less than 100% in the City. (Obtain required form from Income Tax Department.)
2011,
015
My employer erroneously withheld 1.80% for 2010. (Attach documentation of non-residency and out of City employment.)
2011.
016
My employer overwithheld City of Massillon tax for 2010.
2011.
017
I overpaid my estimate for 2010.
2011.
018
Other: Give reason
(Attach necessary documentation.)
IMPORTANT INFORMATION
Record of Payments
PAYMENT
DUE
CHECK
DATE
AMOUNT
You have or expect to have any taxable income where
NO.
DATE
NO.
PAID
PAID
You must pay
withholding is not done; Local taxes of at least 1.8%
estimated tax
are not being withheld by your employer; or You engage
1.
April 30, 2011
April 30, 2012
payments if:
in business, profession, enterprise, or activity subject to
Income Tax where tax is not withheld
2.
July 30, 2011
July 30, 2012
2012
You must le the MANDITORY DECLARATION OF ESTIMATED TAX FOR 2011
3.
October 30, 2011
(on the face of this form), together with the rst quarter estimated tax due (1/4 of the
October 30, 2012
2012.
annual estimated tax), on or before APRIL 30, 2011. Additional payments of at least
/
2012,
of the annual estimated tax each must be paid on or before July 30, 2011, October 30,
1
4
4.
January 30, 2012
January 30, 2013
2012
2013.
2011 and January 30, 2012. Please send in the Supplied Quarterly Estimate Payment
forms to identify your payments. (No quarterly payment notice will be sent to
remind you to make your quarterly payments, so please mark your calendars.)
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