Form Ir-22 - City Income Tax Return For Individuals - 2006
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1
2City of Columbus, Income Tax Division
2006
BEGINNING Jan. 1st or
IR-22
City Income Tax Return For Individuals
ENDING Dec. 31st or
Check the appropriate box if:
Your social security number
Name(s) and Current Address
REFUND
(An amount must be placed
in Line 6B for this return to be considered
Spouse’s social security number
a valid refund request.)
AMENDED
tax year
Married-Filing Separate
Single
Married-Filing Joint
Filing Status
•Did you change residence during 2006?
YES
NO
If YES, enter date of move
Part A
•Should your account be inactivated?
YES
NO
Attach all forms W-2 and applicable Federal schedules and/or documentation - TO BACK
If YES, explain
Employer(s) and address where work performed
Did you file a City return in 2005?
YES
NO
Part A
•
TAXABLE WAGES
(see Page 2 for Adjustments to Taxable Wages)
•City(ies) of Employment/Income #1
#2
•City of Residence
(+)
$
•Occupation or nature of business:
City
Tax
City
Tax
(+)
$
City
Code
Rate
City
Code
Rate
Harrisburg (UFR)
16
1.0%
Columbus
01
2.0%
ADJUSTMENTS
Marble Cliff
13
2.0%
Brice
14
1.0%
(-)
$
Obetz
10
2.0%
Canal Winchester
11
2.0%
Groveport
09
2.0%
(=)
NET WAGES (enter in Column B below)
$
UFR = Universal Filing Requirement of all residents of this community.
Part B
2006 TAX CALCULATION
If you file with more than two (2) cities, call 645-7370 and request form IR-25.
Attribute income to the city(ies) in which it was earned, services were performed or rental property was located. If income was earned outside of all cities on this form, attribute to your city of residence.
Credit for tax paid to other city(ies) (Column F) includes only municipal income tax paid to the city or cities where income was earned. Credit may not exceed tax due city of residence.
C
Column A
Column B
Column C
Column D
Column E
Column F
Column G
O
TAX
LESS TAX WITHHELD (W-2), PAID BY A
INCOME FROM WAGES,
INCOME FROM NET PROFITS,
TOTAL NET TAXABLE
NET TAX DUE
CITY
TAX DUE
D
RATE
PARTNERSHIP OR PAID DIRECTLY TO
SALARIES, COMMISSIONS ETC.
RENTS AND OTHER TAXABLE
INCOME
CITY WHERE INCOME WAS EARNED
E
(SEE NET WAGES)
INCOME (Pg. 2)
*ALTERNATE CITY
*Columbus, Canal Winchester, Groveport, Marble Cliff and Obetz residents use ALTERNATE CITY LINE for additional tax due to city of residence as a result of having paid a lesser tax to city of employment (be sure to
indicate city and tax rate). NOTE: Residents of Harrisburg may only take credit for taxes paid or withheld to their resident city (Column F). UFR = Universal Filing Requirement - residents must file a return.
1
$
1. TOTAL NET TAX DUE (TOTAL OF COLUMN G)......................................................................................................................................................................................................................
2. LESS CREDIT FOR ESTIMATED TAX PAYMENTS AND OVERPAYMENT FROM PRIOR YEAR RETURN ONLY (NOT W-2)......................
2
$
3
$
3. BALANCE DUE (LINE 1 LESS LINE 2). If Line 2 is greater than Line 1, enter amount (in brackets) here and carry to Line 6. .............................................................................................
4
$
4. PENALTY: 10% $_____________ + INTEREST $_____________ + LATE FEE $_____________ = .................................................................................................................................
(see instructions)
(see instructions)
(see instructions)
5. TOTAL AMOUNT DUE (ADD LINES 3 AND 4). NOTE: NO PAYMENT IS DUE IF AMOUNT IS LESS THAN $1.00
5
$
6
$
6. OVERPAYMENT CLAIMED (IF LINE 2 EXCEEDS LINE 1)...........................................................................................................................................
CARRY THIS AMOUNT TO LINE 8
6A $
A. ENTER THE AMOUNT FROM LINE 6 YOU WANT CREDITED TO YOUR NEXT YEAR TAX ESTIMATE......
6B
B. ENTER THE AMOUNT FROM LINE 6 YOU WANT REFUNDED (MUST BE GREATER THAN $1.00)
$
Part C
2007 DECLARATION OF ESTIMATED TAXES
A declaration of estimated tax is required if all taxes are not fully withheld.
Column H
Column I
Column J
Column K
Column L
Column M
Column N
C
O
TOTAL
TAX
LESS TAX TO BE WITHHELD (W-2)
ESTIMATED INCOME FROM
ESTIMATED INCOME FROM
ESTIMATED
ESTIMATED TAX DUE
PAID BY A PARTNERSHIP OR PAID
NET ESTIMATED
RATE
CITY
NET PROFITS, RENTS AND
D
WAGES, SALARIES,
NET TAX DUE
DIRECTLY TO CITY WHERE INCOME
INCOME
OTHER TAXABLE INCOME
E
COMMISSIONS - ETC.
WAS EARNED
*ALTERNATE CITY
7. TOTAL NET ESTIMATED TAX DUE (TOTAL OF COLUMN N) ...............................................................................................................................................................................................
7
$
8
$
8. OVERPAYMENT CREDITS FROM PREVIOUS YEAR RETURN (FROM LINE 6A)...................................................................................................
9
9. TOTAL CREDITS (AMOUNT FROM LINE 8)...................................................................................................................................................................
$
10
$
10. UNPAID BALANCE DUE (SUBTRACT LINE 9 FROM LINE 7)......................................................................................................................................
11
$
11. LESS AMOUNT PAID WITH THIS DECLARATION (A minimum 25% of Line 7 due now)........................................................................................................................................................
12
12. ESTIMATED TAX BALANCE PAYABLE IN EQUAL INSTALLMENTS EACH QUARTER (Line 10 less Line 11) [pay July, October & January 2008]
$
13
$
13. TOTAL (ADD LINE 5 [if positive] AND LINE 11)
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for the taxable period stated, and that the figures used are the same as used for federal income
tax purposes and understands that this information may be released to the tax administration of the city of residence and the I.R.S.
Signature of
Date:
Taxpayer:
Signature of
Spouse (if joint):
Date:
Signature of person
preparing return:
Date:
Paid Preparer’s
SSN or EIN:
Phone:
Make checks payable to:
CITY TREASURER
Mail to:
Columbus Income Tax Division
Due on or before April 15th.
NOTE: DO NOT SEND CASH
PO Box 182158
THROUGH U.S. MAIL.
Columbus, Ohio 43218-2158
Rev. 11/172006
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