Form Ir - Income Tax Return - City Of Springdale, 1999
ADVERTISEMENT
1
21999
I
I
11
I
-TO
-
-
) $(
.$
INCOME TAX RETURN
FILE WITH:
FOR OFFICE
FORM IR
USE ONLY
SPRINGDALE TAX COMMISSlON
11700 SPRINFIELD PIKE
IF TAXPAYER AND SPOUSE ARE FULLY
SPRINGDALE, OH 45246
RETIRED WITHOUT TAXABLE INCOME,
City of Springdale
MARK THIS BOX.
ON OR BEFORE APRIL 30, 2000
SIGN, DATE AND RETURN- n
PHONE (513) 346-5715
FAX (513) 346-5756
CURRENT ADDRESS AND DATE OF MOVE
l
FILING REQUIRED EVEN IF NO TAX DUE
LATE FILING WILL RESULT IN PENALTY AND INTEREST CHARGES
TAXPAYER:
MOVE IN:
MOVE OUT:
SOCIAL SECURITY NO.(S)
TAXPAYER(S) NAME(S) AND ADDRESS (CORRECT IF NECESSARY)
LOCAL TELEPHONE NO.
SPRINGDALE RETURN BEEN FILED?
1999 SPRINGDALE TAX RETURN
OFFICE USE ONLY
1. ENTER TOTAL OF ALL GROSS WAGES, SALARIES, TIPS AND OTHER EMPLOYEE COMPENSATION
ATTACH ALL W-2 FORMS) . . . . . f$
OTHER INCOME OR DEDUCTIONS
2.
(ENTER AMOUNT SHOWN ON LINE 21 PAGE TWO (BACK) OF THIS FORM) . . . . . . . . . . . . . . . !$
TAXABLE
INCOME
3.
(LINE 1 PLUS OR MINUS LINE 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
SPRINGDALE TAX (1% OF LINE 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
4.
TAX PAYMENTS AND CREDITS:
5.
A. ENTER TOTAL TAXES WITHHELD BY EMPLOYER(S) FOR THE CITY OF SPRINGDALE. . . . . . . ;
B. ENTER 1999 TOTAL ESTIMATED TAXES PAID TO THE CITY OF SPRINGDALE . . . . . . . . . . . . ;
C. ENTER CREDIT FOR 1999 TAX PAID TO ANOTHER CITY:
O
N
-
X
l
%
=
(1)
O
N
-
X
l
%
=
( 2 ) :TO
TAX PAID
MUNICIPALITY
INCOME
CREDIT
(3)
T O T A L C R E D I T F O R 1 9 9 9 T A X P A I D T O A N O T H E R C I T Y
( A D D L I N E 5C(1) A N D 5C(2)) . . . . . . . $
D. ENTER PRIOR YEAR TAX OVERPAYMENT AMOUNT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;
E.
TOTAL
TAX
PAYMENTS
AND
CREDITS
(ADD LINE 5A
THROUGH
5D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
IF LINE 4 IS GREATER THAN LINE 5E ENTER THE DIFFERENCE ON THIS LINE . . . . . . . . . . .
6.
1999 TAX DUE APRIL 30, 2000
l
IF LINE 5E IS GREATER THAN LINE 4, YOU MUST MARK THIS BOX FOR A REFUND OR b . . .
. . . . .
7.
REFUND
CREDIT WILL BE APPLIED TOWARD 2000 ESTIMATED TAX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2000
CREDIT
NOTICE: BY LAW ALL REFUNDS AND CREDITS IN EXCESS OF $10 ARE BEING REPORTED TO THE APPROPRIATE TAXING AUTHORITIES.
NOTICE: NO ADDITIONAL TAXES OR REFUNDS OF LESS THAN $3 SHALL BE COLLECTED OR REFUNDED.
DECLARATION OF 2000 ESTIMATED INCOME TAX
THIS SECTION IS REQUIRED TO BE COMPLETED, FAILURE TO COMPLETE THIS SECTION MAY RESULT IN A MINIMUM $25 PENALTY.
FAILURE TO PAY 70% OF YOUR 2000 ESTIMATED TAX DUE BY JANUARY 31,2001 WILL RESULT IN A MINIMUM $25 PENALTY
$
8. ENTER TOTAL ESTIMATED 2000 INCOME SUBJECT TO TAX
MULTIPLY BY 1% = TOTAL 2000 ESTIMATED TAX . . . . $
9. ESTIMATED 2000 TAXES TO BE PAID TO ANOTHER CITY AND/OR WITHHELD BY EMPLOYER(S)
)
(LIMITED TO 1%) . . . . . . . $ (
$
lO.TOTAL 2000 ESTIMATED TAX DUE AND PAYABLE BY JANUARY 31, 2001
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
1 l.AMOUNT PAID WITH THIS DECLARATION
(NOT LESS THAN I/4 OF LINE 10)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12.TOTAL AMOUNT DUE AND PAYABLE TO SPRINGDALE TAX COMMISSION
(LINE 6 PLUS LINE 11 MINUS LINE 7)
$
(MAKE CHECK OR MONEY ORDER PAYABLE TO SPRINGDALE TAX COMMISSION . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . $
FOR
RETURN FILED
MONTHS LATE
PENALTY DUE $
INTEREST DUE $
OFFICE
TAX PAID
MONTHS LATE
INTEREST DUE $
PENALTY DUE $
70%
USE
TOTAL PENALTY AND INTEREST DUE . , . . . , . . . .~~~.*...,.~..~..~*....~.~..*~...~~....~......~.......... $
ONLY
. . .~~.........~......~..~,..~..,...........~.................. $
TOTAL TAX, PENALTY AND INTEREST DUE
I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING THE ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE. IF PREPARED BY A PER-
SON OTHER THAN THE TAXPAYER, THE DECLARATION IS BASED ON ALL INFORMATION OF WHICH THE PREPARER HAS KNOWLEDGE.
SIGNATURE OF PERSON PREPARING IF OTHER THAN TAXPAYER
PREPARER’S ADDRESS
TELEPHONE NO.
DATE
PREPARER’S FID OR SSN
SIGNATURE OF TAXPAYER OR AGENT (REQUIRED TO BE VALID)
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