Resident Refund Tax Return Form - City Of Cincinnati - 2010
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1Click on the fields below and type in
your information. Then print the form
2010
and mail it to our office.
Resident Refund Tax Return
TO EXPEDITE PROCESSING,
City of Cincinnati
PLEASE DO NOT STAPLE
THIS SPACE IS FOR OFFICIAL USE ONLY
Refund Desk: (513) 352-2558
Use this return if you lived in Cincinnati for the entire year and you are filing for a refund of taxes
withheld by your employer. Part-year or Nonresidents should use the Nonresident Refund Tax Return.
Mail Completed forms to: P.O. BOX 5489 CINCINNATI, OH 45201-5489
Account # _____________________
Social Security # _______________________
Daytime Phone # ___________________
Name
Email: _________________________
Address
City/State/Zip
IF YOUR ACCOUNT INFORMATION IS INCORRECT, PLEASE MAKE CORRECTIONS AND CHECK THIS BOX.
W-2 EARNINGS
(GROSS WAGES, TIPS, SALARIES, COMMISSIONS, ETC.) INCLUDE COPIES OF ALL W-2 FORMS
1.
$
*IF YOU HAVE ANY ADDITIONAL TAXABLE INCOME PLEASE USE OUR REGULAR INDIVIDUAL TAX RETURN*
LESS UNREIMBURSED EMPLOYEE BUSINESS EXPENSE
{INCLUDE COPY OF FEDERAL FORM 2106
$
2.
(EZ)}
$
3.
ADJUSTED EARNINGS
(LINE 1 MINUS LINE 2)
$
4.
CINCINNATI INCOME TAX 2.1% (.021) OF LINE 3
$
5.
TOTAL CINCINNATI TAX WITHHELD BY EMPLOYER(S)
$
6.
TOTAL INCOME TAXES PAID TO ANOTHER CITY OR COUNTY
$
7.
TOTAL TAX CREDIT
(ADD LINES 5 AND 6)
$
ENTER AMOUNT TO BE REFUNDED
8.
(Line 7 minus Line 4)
(LESS THAN $5.00 WILL NOT BE REFUNDED)
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 AND THE FIGURES USED HEREIN ARE THE SAME AS FOR FEDERAL INCOME
TAX PURPOSES.
May the City Tax Division
PAID PREPARER SIGNATURE
PTIN
SIGNATURE OF TAXPAYER
DATE
discuss this return with the
preparer shown to the left?
(
) YES
(
) NO
PREPARER’S FIRM OR EMPLOYER
SIGNATURE OF SPOUSE
DATE
ADDRESS OF FIRM OR EMPLOYER
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