City Business Income Tax Return Form - City Of Hamilton - 2011

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2011 City Business Income Tax Return
City of Hamilton Income Tax Division
Hamilton .................. 2.00 %
345 HIGH ST FL 3 STE 310 HAMILTON OH 45011
New Miami............... 1.75 %
Use A Separate Form for Each City
Phone:
513 785-7400
West Milton ............. 1.50 %
Toll Free: 1- 800 854-1684
Eaton ....................... 1.50 %
Calendar Year Taxpayers Return and Payment Due On or Before April 17, 2012.
Fax:
513 785-7401
Phillipsburg .............. 1.50 %
Fiscal and Partial Years, Due Within Three and One Half (3½) Months of End of the Period.
Email:
citytax@ci.hamilton.oh.us
JEDD I ..................... 2.00 %
Website:
BC Annex ................ 2.00 %
Other Taxable Year Period: Beginning _________
20___
Ending __________ 20___
JEDD II .................... 2.00 %
Taxpayer Name and Address:
Account #:
Yes
No Did You File a Return for 2010?
Yes
No May Our Office Discuss this Return with the Preparer?
Part Time Liability - If Liable for Only Part of Year, Give Dates:
Filing Status:
From: ____________ To: ___________
Provide Reason:
C-Corporation
S-Corporation
Partnership
Check Here if Account Should Be Inactivated. Provide Reason:
LLC
Federal ID#:
__________ - ______________________
Fiduciary
(Trusts and Estates)
2011 City Business Income Tax Return
For Explanation and Requirements of Tax Return and Declaration See Instructions (Separate Document)
For Office Use Only
1. Adjusted Federal Taxable Income (Attach Copy of Federal Return) From Form____________Line_____________ ...... $ ______________ 1
$ _____________
2. Adjustments (Total from Schedule X) ................................................................................................................................. $ ______________ 2
$ _____________
3. A. Adjusted Net Income (Line 1 Plus or Minus Line 2) ...................................................................................................... $ ______________ 3A $ _____________
B. Amount of 3A Apportioned (_________________________% From Schedule Y Step 5) ......................................... $ ______________ 3B $ _____________
C. Less Allocable Loss Per Previous Income Tax Return (Submit Schedule) (See Instructions) ..................................... $ ______________ 3C $ _____________
4. Amount Subject to ________________________ Municipal Income Tax (Line 3A or 3B Less Line 3C) .......................... $ ______________ 4
$ _____________
5. Tax (Multiply Line 4 Times
%) ..................................................................................................................................... $ ______________ 5
$ _____________
6. 2011 Estimated Tax Paid This Municipality Including Previous Year Overpayment .......................................................... $ ______________ 6
$ _____________
7. 2011 Net Tax Due (Line 5 Minus Line 6)......................................................................................................................... $ ______________ 7
$ _____________
$ _____________
For Office Use Only
_________________ + __________________ + __________________ =
$ _____________
Penalty & Interest
Late Filing Fee
Failure To Pay Estimate
8. If Line 7 is Negative, Your Tax Liability for 2011 Is Overpaid, Choose:
A. Credit Carryover to 2012 Estimate (Carry to Line 11) .................................................................................................. $ ______________ 8A $ _____________
B. Refund ........................................................................................................................................................................... $ ______________ 8B $ _____________
Amounts less than One Dollar ($1.00) will not be collected, refunded or credited.
2012 Declaration of Estimated Income Tax
9. Estimated Income Subject To Tax ...................................................................................................................................... $ ______________ 9
$ _____________
%) ..................................................................................................................................... $ ______________ 10
$ _____________
10. Tax (Multiply Line 9 Times
11. Credit Carryover from 2011 (Carried From Line 8A) .......................................................................................................... $ ______________ 11
$ _____________
12. Balance of Tax Declared for 2012 (Line 10 Minus Line 11) ................................................................................................ $ ______________ 12
$ _____________
13. Amount Paid With This Return (Not Less Than 25% Of Line 10 Minus Credits From 11) ......................................... $ ______________ 13
$ _____________
14. TOTAL AMOUNT DUE (TOTAL OF LINE 7 & 13) ...................................... Make Check Payable To: City of Hamilton $ ______________ 14
$ _____________
Amounts less than One Dollar ($1.00) will not be collected, refunded or credited. Pay tax timely to avoid assessments.
Unless Accompanied By Copies of All Appropriate Federal
Filed Returns are Subject to Review, which May Result in the Issuance of:
Schedules and By Payment of the Total Amount Due
• A Billing Letter Detailing Additional Tax & Assessments Due
This Form is Not a Legal Final Return.
• A Letter Requesting Additional Information
Extension Policy: A copy of the federal extension must be submitted to the City of Hamilton Income Tax Division by the original due date of the return and be
accompanied by full payment. Only Those Extension Requests Received In Duplicate With A Self-Addressed, Postpaid Envelope Will Have A Copy Returned
After Being Appropriately Marked.
.
__________________________________________________
__________________________________________________
Signature of Person Preparing if Other Than Taxpayer
Date
Signature of Taxpayer or Agent
Date
__________________________________________________
__________________________________________________
Print Name of Person Preparing if Other Than Taxpayer
Date
Print Name of Taxpayer or Agent
Date
_______________________ _________________________
_______________________ _________________________
Daytime Phone #
Fax
Daytime Phone #
Fax
_________________________________________________________________________________
_________________________________________________________________________________
Email
Email
I Certify That I Have Examined This Return (Including Accompanying Schedules And Statements) And To The Best Of My 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.
BR

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