Form Ir - Individual Income Tax Return - 2003

Form #IR

File With

EXTENSION POLICY: AN EXTENSION WILL BE GRANTED

2003 INDIVIDUAL INCOME TAX RETURN 2003

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HAMILTON INCOME TAX DIV.

AUTOMATICALLY, PROVIDED A FEDERAL EXTENSION HAS

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HAMILTON – 2%

EATON – 1.5%

345 High Street, Suite 410

BEEN SECURED, AN ESTIMATE PAID, ALL REQUIREMENTS

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Hamilton, Ohio 45011

OF THE LOCAL ORDINANCE HAVE BEEN MET, AND A COPY

OXFORD – 1.75%

NEW MIAMI – 1.75%

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Phone #: 513/785-7400

OF THE EXTENSION HAS BEEN FILED WITH OUR OFFICE

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BUTLER COUNTY ANNEX - 2%

WEST MILTON – 1.5%

Toll Free #: 1-800-854-1684

BEFORE APRIL 30.

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FAX #: 513/785-7401

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FILING REQUIRED EVEN IF NO TAX DUE

PHILLIPSBURG – 1.5%

DUE ON OR BEFORE APRIL 30, 2004

*************************************SHORT FORM*************************************

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DID YOU HAVE W-2 INCOME?

YES

NO

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NAME AND ADDRESS: INDICATE CHANGE BY CHECKING

NAME

ADDRESS EFFECTIVE DATE __________

DID YOU OWN RENTAL PROPERTY?

YES

NO

TAXPAYER’S NAME, ADDRESS

ACCOUNT NO. ___________________

DID YOU PARTICIPATE IN A BUSINESS,

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PARTNERSHIP, OR AN S-CORPORATION?

YES

NO

FOR HAMILTON RESIDENTS ONLY:

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DID YOU HAVE GAMBLING WINNINGS?

YES

NO

IF ALL ANSWERS ARE NO PLEASE MARK THEM, SIGN BELOW AND MAIL

TO ADDRESS IN UPPER LEFT CORNER

PART TIME RESIDENT FROM ____________ TO ____________

IF RENTING A RESIDENCE, GIVE NAME AND ADDRESS OF OWNER

MUST FILE A SEPARATE RETURN FOR EACH MUNICIPALITY

1.

WAGES, SALARIES, TIPS AND OTHER EMPLOYEE COMPENSATION (ATTACH ALL W-2’S)............................................................................................................................................................. $_______________

A.

REDUCTION OF INCOME (SEE INSTRUCTIONS) ........................................................................................................................................................................................................................... $_______________

2.

OTHER TAXABLE INCOME (SEE INSTRUCTIONS) ..................................................................................................................................................................................... $_______________

A.

NET OPERATING LOSSES – CURRENT YEAR (SEE INSTRUCTIONS) ............................................................................................. $_______________

B.

LOSS PER PREVIOUS INCOME TAX RETURNS (SEE INSTRUCTIONS) ........................................................................................... $_______________

(FOR EATON, WEST MILTON, PHILLIPSBURG ENTER $0)

C.

TOTAL OF LINE 2A AND 2B.................................................................................................................................................................................................................... $_______________

D.

LINE 2 MINUS 2C (SEE INSTRUCTIONS) .......................................................................................................................................................................................................................................... $_______________

3.

TAXABLE INCOME: LINE 1 MINUS LINE 1A, PLUS LINE 2D .................................................................................................................................................................................................................... $_______________

4.

MUNICIPAL TAX

OF AMOUNT ON LINE 3

$_______________

5.

CREDITS

A.

TAX WITHHELD BY EMPLOYER(S) FOR THIS MUNICIPALITY .......................................................................................................................................................... $_______________

B.

TAX PAID MUNICIPALITY OF _____________________________________________________________ NOT TO EXCEED

$_______________

C.

TOTAL OF LINES 5A & B ........................................................................................................................................................................................................................ $_______________

D.

LINE 4 MINUS 5C.....................................................................................................................................................................................................................................

NET TAX DUE

$_______________

E.

2003 ESTIMATED TAX PAID INCLUDING PREVIOUS YEAR OVERPAYMENT

TO THE MUNICIPALITY OF

................................................................................................................................................................................... $_______________

6.

IF LINE 5D IS GREATER THAN LINE 5E, PAYMENT OF BALANCE MUST ACCOMPANY THIS RETURN. 2003 TAX DUE............................................................................................................... $_______________

A.

$____________________

$_________

$________________________

$___________________

$_______________

PENALTY & INTEREST

LATE FEE

FAILURE TO PAY ESTIMATE

TOTAL ASSESSMENTS

B.

TOTAL TAX AND ASSESSMENTS DUE (LINES 6 & 6A)................................................................................................................................................................................................................... $_______________

7.

IF LINE 5E IS GREATER THAN 5D OVERPAYMENT TO BE REFUNDED $________________ OR CREDITED TO 2004 $ _______________ (CARRY TO 2004 CREDIT LINE 12a)

COMPUTATION OF ESTIMATED TAX

8.

ESTIMATED INCOME SUBJECT TO

TAX ___________________ $_________________

9.

OF AMOUNT SHOWN ON LINE 8 __________________________ $_________________

DECLARATION OF

10.

LESS TAX TO BE WITHHELD FOR CITY OF ___________________________________ $_________________

ESTIMATED INCOME TAX

11.

BALANCE OF TAX DECLARED FOR ENTIRE YEAR _____________________________ $_________________

12.

CREDITS a. OVERPAYMENT – FROM LINE 7 ________________________________ $_________________

FOR 2004

b. PAYMENT OF PREVIOUS 2004 DECLARATION ____________________ $_________________

13.

NET TAX DUE (LINE 11 LESS LINES 12a & 12b) ________________________________ $_________________

14.

AMOUNT PAID WITH THIS RETURN (NOT LESS THAN 25% OF LINE 11) (LESS CREDITS FROM 12a & 12b)...................................................... $_________________

DECLARATION OF ESTIMATED INCOME TAX IS REQUIRED FOR HAMILTON AND BUTLER COUNTY ANNEX TAXPAYERS IF YOUR 2004 TAX LIABILITY WILL BE $200.00 OR MORE,

FOR WEST MILTON AND PHILLIPSBURG TAXPAYERS IF YOUR 2004 TAX LIABILITY WILL BE $150.00 OR MORE,

FOR ALL BUSINESSES IF YOUR 2004 TAX LIABILITY WILL BE $200.00 OR MORE.

NOTE: FAILURE TO FILE AND TO PAY ESTIMATE TIMELY WILL RESULT IN A PENALTY.

15. TOTAL AMOUNT DUE (TOTAL OF LINE 6B & 14) ..................................................................................................................................................................................................................................... $_______________

(CHECK OR MONEY ORDER SHOULD BE MADE PAYABLE TO THE CITY OF HAMILTON)

PAY TAXES TIMELY TO AVOID PENALTY AND/OR INTEREST

(AMOUNTS OF LESS THAN ONE DOLLAR ($1.00) SHALL NOT BE COLLECTED, REFUNDED OR CREDITED.)

To pay by credit card you must complete the following:

Check One: Visa ________ or Mastercard _______

NOTICE: BY LAW, ALL REFUNDS AND CREDITS IN EXCESS OF $10.00 ARE REPORTED TO IRS. I CERTIFY THAT I HAVE

(16 digits) # ___________ - ___________ - ___________ - ___________

EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY

Card Expiration Date __________ /__________

KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE. IF PREPARED BY A PERSON OTHER THAN TAXPAYER,

THE DECLARATION IS BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.

Total Amount Authorized $______________________________________

For 2003 $________________ For 2004 Estimate $________________

Signature ___________________________________________________

Daytime Phone Number ________________________________________

MAY THE TAX OFFICE DISCUSS THIS RETURN WITH THE PREPARER SHOWN BELOW? (

) YES

(

) NO

SIGNATURE OF PERSON PREPARING IF OTHER THAN TAXPAYER

DATE

SIGNATURE OF TAXPAYER OR AGENT

DATE

DAYTIME PHONE #

DAYTIME PHONE #