Fillable Springboro Individual Income Tax Return

2012 SPRINGBORO INDIVIDUAL INCOME TAX RETURN 2012

APRIL 15, 2013

320 W. Central Ave., Springboro, OH 45066 – Due on or before

FOR ASSISTANCE

CALL (937) 748-9701

MINIMUM

FOR FAILURE TO FILE BY

APRIL 15,

2013, A

$40.00 PENALTY WILL BE ASSESSED

FAX (937) 748-6185

IF NAME OR ADDRESS IS INCORRECT, MAKE NECESSARY CHANGES

(LIST BOTH NAMES AND SOCIAL SECURITY NUMBERS IF FILING A JOINT RETURN)

TAXPAYER SSN ____________________________________________________________________

SPOUSE SSN________________________________________________________________________

HOME PHONE NUMBER ____________________________________________________________

IF YOU MOVED DURING THE YEAR, COMPLETE THIS SECTION:

DATE MOVED IN _____________________________ OUT ________________________________

_________________________________________________________

FORMER ADDRESS

_________________________________________________

I AM NOT REQUIRED TO COMPLETE SECTION B OF THIS RETURN BECAUSE:

_______ACTIVE DUTY MILITARY

(ATTACH W-2)

_______TAXPAYER DECEASED, LIST DATE OF DEATH______________________________________________________

_______NO EMPLOYMENT

_______MOVED FROM SPRINGBORO PRIOR TO 1-1-12, DATE of MOVE_______________________________________

______ONLY INCOME IS FROM A NON-TAXABLE SOURCE – LIST SOURCE:__________________________________________________________________________________

(INTEREST, DIVIDENDS, STOCKS, BONDS, CAPITAL GAINS, UNEMPLOYMENT, RETIREMENT INCOME, ETC IS NOT TAXABLE)

1. Total from Worksheet A, column 2. . . .

Number of W-2’s attached

_____________………………………………………..1._______________________________________

2. Total from Worksheet B,

(Attach Federal

Schedules)…………………………………………………………………………2. ______________________________________

3. Subtract Line 2 from Line 1…………………………………………………………………………………………………...3. ______________________________________

4. Total from Worksheet C

(Attach Federal Schedules)

…………………………4A(_____________________)……………4B. ________________________________________

5. Other Income

(Attach

W-2G)………………………………………………………………………………………………….5._______________________________________

6. Total Income

(Add lines 3 and 4B and

5)……………………………………………………………………………………..6._______________________________________

7. Tax Liability – Multiply line 6 by 1.5% (0.015)……………………………………………………………………………...7._______________________________________

A. Springboro Tax Withheld (see worksheet A, column 3)……………………………………………….A.____________________________

B. Credit For Other City Tax Withheld

B.____________________________

(MAX. CREDIT 1.0%; SEE WORKSHEET A, COLUMN 6)

…………..

C. Estimated Tax Payments..……………………………………………………………………………….C.____________________________

D. Prior Year Credit Carried Forward………………………………………………………………………D.____________________________

8E. Total of Credits. Add Lines 8A, 8B, 8C and 8D……………………………………………………………………………8E.______________________________________

9. If line 7 is greater than line 8E, enter your balance due here

…………………………………………...9.________________________________________

(if less than $10.00 enter 0)

10. If line 8E is greater than line 7, enter your overpayment here

………………………………………..10.___________________________________

(if less than $10.00, enter 0)..

Amount to be:

REFUNDED:________________________

CREDITED TO NEXT YEAR:_________________________

11. Late Filing Penalty:_______________ Penalty:_______________ Interest:_______________……………………….….11.___________________________________

12. BALANCE DUE (Add line 9 and line 11).…………………………………………………………………………………12.___________________________________

DECLARATION OF ESTIMATED TAX DUE FOR TAX YEAR 2013

MANDATORY IF LIABILITY

$50.00 FAILURE TO FILE FEE IF NOT COMPLETED AND A

IS $500.00 OR MORE

MINIMUM $100.00 FAILURE TO PAY ACCORDING TO PAY SCHEDULES

13. Total Estimated Tax Due For Tax Year 2013 (gross taxable income multiplied by 1.5%)………………………………...13.______________________________________

14. Less Credit (including prior year credit from line 10 and local taxes withheld)……………………………………………14.______________________________________

15. Net Taxes Owed For Tax Year 2013 Estimated Tax (subtract line 14 from line 13)………………………………………15.______________________________________

16. Amount Paid With This Declaration (1/4 of line 15)……………………………………………………………………….16.______________________________________

17. TOTAL DUE – ADD BOXES 12 AND 16 TO ARRIVE AT TOTAL DUE THIS RETURN…………………………….17.______________________________________

The undersigned declares that this return (and accompanying W-2’s, schedules and statements) is a true, correct and complete return for the taxable period stated and that the figures used herein are the same as used for Federal

Income tax purposes. If this return was prepared by a tax practitioner, may we contact your practitioner directly with questions regarding the preparation of this return ? _________ Yes _________No

______

Check here if payment was made online

_____________________________________________________________________

__________________________________________

Your Signature

Date

_____________________________________________________________________

__________________________________________

Spouse’s Signature

Date

_____________________________________________________________________

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