Form Alt - Alternative T0 1040 - City Of Canfield - 2011
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12011
ALTERNATIVE TO 1040
2011
CITY OF CANFIELD, OHIO
NAME ________________________________________________________ ACCOUNT NUMBER __________________
ADDRESS _________________________________________________________________________________________
Your City of Canfield Tax Return will not be processed unless it is accompanied by copies of all applicable
federal schedules and forms. This includes form(s) W-2, 1099-MISC, Schedule C or C-EZ (including cost of goods
manufactured and/or sold), Schedule E, F, K-1, and Form 4797.
In addition to the above, you must attach a copy of your Federal 1040, 1040A or 1040EZ or complete this
Alternative to 1040 Form and attach it to your completed City of Canfield Tax Return.
To complete this form enter the exact figures as they appear on your Federal Return. (These figures may differ
from those used on your City of Canfield Tax Return.)
1. Circle the Federal Form filed for 2011.
2. Complete each line requested under the type of form filed.
3. Enter the exact figures used on your Federal Form 1040, 1040A, or 1040EZ. (Even if you were a part
year resident, you must put the exact figures as they appear on your Federal Tax Return on this form.
When you complete the City Tax Return you will use the figures earned while living in the City of Canfield.)
4. ATTACH ALL APPLICABLE FEDERAL SCHEDULES AND FORMS TO YOUR RETURN.
1040
1040A
1040EZ
Line #
7
7
1
Wages, salaries, tips, etc.
Attach Form(s) W-2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
Line #
12
N/A
N/A
Business income or (loss).
Attach Schedule C or C-EZ, including
cost of goods manufactured and/or sold. . . . . . . . . . . . . . _____________
Line #
14
N/A
N/A
Other gains or (losses).
Attach Form 4797. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
Line #
17
N/A
N/A
Rental real estate, royalties, partnerships,
S Corporations, trusts, etc.
Attach Schedule E. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
Line #
18
N/A
N/A
Farm income or (loss).
Attach Schedule F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
Line #
21
N/A
N/A
Other Income.
List type and amount. . . . . . . . . . . . . . . . . . . . . . . . . . . . . _____________
The undersigned declares that this form (as completed and in lieu of Form 1040, 1040A, or 1040EZ.), is a true, correct,
and complete form for the taxable period stated and that the figures used herein are the same as used for Federal
Income Tax purposes.
_______________________________________________
_______________________________________________
Signature of preparer if other than taxpayer.
Date
Taxpayer/Agent signature.
Date
_______________________________________________
Title.
_______________________________________________
Name, address & phone number of preparer.
______________________________________________
Spouse’s signature (if joint return).
Date
ALT 1040/2011
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