Form Ir - Individual Income Tax Return - 2003 Page 2

PAGE 2

COMPLETE ITEMS IN SECTIONS A-C IF YOU HAVE OTHER TAXABLE INCOME.

SECTION A

PROFIT FROM ANY BUSINESS OWNED (ATTACH COPY OF FEDERAL SCHEDULE C)............................................................................................................................................................................... $_______________

.

.

DO YOU USE SUBCONTRACT LABOR TO PERFORM WORK IN THIS MUNICIPALITY?

YES

NO

IF YES, COPIES OF 1099’s ISSUED MUST BE SUBMITTED

TO THIS OFFICE WITHIN 4 MONTHS AFTER THE END OF THE TAX YEAR.

.

.

DO YOU HAVE EMPLOYEES WORKING IN THIS MUNICIPALITY?

YES

NO

IF YES, COPIES OF EMPLOYEES W-2 FORM MUST BE SUBMITTED BY FEBRUARY 29

TH

.

SECTION B

SCHEDULE E – INCOME FROM RENTS … ATTACH FEDERAL SCHEDULE E …. PAGE 1 AND 2

NO. MONTHS

AMOUNT OF

DEPRECIATION

REPAIRS

OTHER EXPENSES

NET INCOME

KIND & LOCATION OF PROPERTY

AMOUNT OF RENT

RENTED IN 2003

MONTHLY RENTAL

(Attach Schedules)

(Attach List)

(Attach List)

OR LOSS

NET INCOME (OR LOSS) SCHEDULE E

$_______________

SECTION C

OTHER TAXABLE INCOME (ATTACH APPROPRIATE FEDERAL SCHEDULE SUCH AS W-2G, FORM 5754, SCHEDULE F, 4797, 6252, ETC)

$_______________

TOTAL OTHER TAXABLE INCOME (SECTIONS A THRU C) INSERT ON LINE 2, PAGE 1

$_______________

TOTAL NET OPERATING LOSSES (SECTIONS A THRU C) INSERT ON LINE 2A, PAGE 1

$_______________

SEE INSTRUCTIONS ON SEPARATE PAGE

FOR COMPLETION OF LINES 1 THRU 15

NOTE: UNLESS ACCOMPANIED BY COPIES OF APPROPRIATE FEDERAL SCHEDULES AND PAYMENT OF THE BALANCE OF THE 2003 TAX DECLARED DUE (LINE 15) THIS FORM IS NOT A LEGAL

FINAL RETURN.

.

.

.

.

.

.

HAS YOUR FEDERAL TAX LIABILITY FOR ANY PRIOR YEAR BEEN CHANGED THIS YEAR AS A RESULT OF AN EXAMINATION BY THE INTERNAL REVENUE SERVICE?

YES

NO. IF YES, HAS AN

AMENDED RETURN BEEN FILED FOR SUCH YEAR OR YEARS?

YES

NO. DID YOU RECEIVE OR APPLY FOR A REFUND FROM ANY OTHER MUNICIPALITY IN 2003?

YES

NO. IF SO, GIVE NAME

OF MUNICIPALITY

AMOUNT OF REFUND

YEAR REFUND WAS FOR

.

TELEPHONE #

EMPLOYER IN 2003

PRESENT EMPLOYER

.

.

DID YOU FILE A RETURN FOR 2002?

YES

NO

.

NOTE: IF RETURN IS NOT DUE CHECK BOX

AND ATTACH WRITTEN EXPLANATION. LATE FILING

OF THIS RETURN SUBJECTS HAMILTON TAXPAYERS TO A MINIMUM PENALTY OF $25.00.

NOTE: PAGE 2 MUST BE COMPLETED IF YOU HAVE TAXABLE RENTAL PROPERTY OR BUSINESS

INCOME.

IN LIEU OF COMPLETING PAGE 2, YOU CAN ATTACH THE APPROPRIATE FEDERAL

SCHEDULES.

A REQUEST FOR EXTENSION MUST BE FILED PRIOR TO APRIL 30.

AN EXTENSION IS TO PROVIDE ADDITIONAL TIME TO FILE.

PAYMENTS ARE NOT EXTENDED.