Form Sd-100 - School District Income Tax Return - 2000

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Mail to:
SD-100
2000
SCHOOL DISTRICT INCOME TAX
P.O. BOX 182389
COLUMBUS, OHIO 43218-2389
SOCIAL SECURITY NUMBER(S)
SCHOOL DISTRICT INCOME TAX RETURN
MUST BE FILLED IN BELOW
Filing Status—check only one
Your first name
Initial
Last name
Your social security number
q
Single or Head of Household
q
If a joint return, spouse’s first name
Initial
Last name
Spouse’s social security number
Married filing joint return
q
Married filing separately, enter
Home address (number and street)
Apt. #
Ohio county
q
spouse SS# ______________
City, town or post office, state, and zip code
Enter the School District
q
SD #
School District Residency
1. Full-year resident
number for this return
q
Check one: Taxpayers must file a sepa-
2. Part-year resident of SD # at right (explain on back)
(see page 7 of booklet)
q
rate return for each school district af-
3. Nonresident of SD # at right (explain on back)
fected (see list and rates in SD-100
booklet).
,
,
.
0 0
1
1
Ohio adjusted gross income (from IT-1040 or IT-1040EZ, or TeleFile worksheet, line 3 minus line 4)
,
,
.
0 0
2
2
Part-year/nonresident income deduction (complete reverse side)
,
,
.
0 0
3
3
School district adjusted gross income (subtract line 2 from line 1)
,
.
0 0
4
4
Exemptions (multiply the number of your exemptions _____ times $1,100)
,
,
.
0 0
5
5
School district taxable income (subtract line 4 from line 3)
,
.
0 0
6
6
School district tax (multiply the amount on line 5 by the tax rate from SD-100 booklet: ___%)
.
0 0
7
7
Senior citizen credit ($50 limit per return)
,
.
0 0
8
8
School district tax less credit (subtract line 7 from line 6)
,
.
0 0
9
9
School district tax withheld (attached W-2’s must show and agree with SD number above)
,
.
0 0
10
10
SD-100ES ($
), SD-40P ($
), and 1999 credit carryover ($
)
,
.
0 0
11
11
Total payments (add line 9 and line 10)
,
.
0 0
12
12
If line 11 is less than line 8, subtract line 11 from line 8 and enter the AMOUNT YOU OWE
,
.
0 0
13
13
If line 11 is greater than line 8, subtract line 8 from line 11 and enter your overpayment
,
.
0 0
14
14
Enter the amount of school district overpayment on line 13 you want CREDITED TO 2001
,
.
0 0
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, and to the
best of my knowledge and belief, it is true, correct, and complete.
FOR DEPARTMENTAL USE ONLY
________________________________________________________________________________________________________________
9a ______________________ U-______
Your signature
Date
_________________________________________________________________________________________________________
12a ______________________
______
Spouse’s signature (if filing jointly, both must sign, even if only one had income)
Telephone number (optional)
___________________________________________________________________________________________________________
Preparer’s signature and address

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