Form Ir - Declaration Of Estimated Tax - Village Of West Union

WEST UNION

FORM IR

MAKE CHECK OR MONEY ORDER

FILE WITH

PAYABLE TO

FILING REQUIRED EVEN IF NO TAX IS DUE

INCOME TAX BUREAU

2002

VILLAGE OF WEST UNION

P.O. BOX 529

TAX OFFICE PHONE 800-779-3165

MT ORAB, OHIO 45154

OR BEFORE 4-30-03

_________________________________________________________________________________________________________________________

IF SS#, Name, Address is incorrect make corrections

NAME OF EMPLOYER _________________________________________

ACCOUNT NO.

ADDRESS:

STREET

_________________________________________

CITY ___________________________________________

__________________________________________________________________________________________________________________________________________________

TELPHONE: HOME

_______________________________________________

BUSINESS

_______________________________________________

SOCIAL SECURITY NO.

TAX PAYER

_______________________________________________

Spouse

_______________________________________________

Name of Employer

_______________________________________________

City

_______________________________________________

IF MOVED SINCE THE PREVIOUS FINAL RETURN WAS DUE GIVE DATE MOVED AND CURRENT

ADDRESS INTO CITY __________________________ OR OUT OF ___________________________

__________________________________________________________________________________________________________________________________________________________________________

NOTE: PAGE 2 MUST BE COMPLETED IFYOU HAVE TAXABLE RENTAL PROPERTY OR BUSINESS INCOME.

1. ENTER TOTAL OF ALL WAGES, SALARIES, TIPS, AND OTHER EMPLOYEE COMPENSATION

(ATTACH ALL W-2's)……………. $___________________

NOTE: ENTER THE LARGER AMOUNT FROM BOX 18, BOX 5, OR BOX1 FROM YOUR W-2 FORMS.

2. TOTAL OTHER TAXABLE INCOME OR DEDUCTIONS (FROM LINE 23 PAGE 2 – SEE INSTRUCTIONS)…………………… .…………….. $___________________

3. TAXABLE INCOME: (LINE 1, PLUS OR MINUS LINE 2)…………………………………………………………..………………………………………$___________________

4. WEST UNION TAX - LINE 3 TIMES 1/2% (.005)……………….……………………………………………………...…………………………………..$___________________

5. CREDITS

A. TAX WITHHELD BY EMPLOYER FOR VILLAGE OF WEST UNION……….………………………………………____________________$___________________

B. 2002 ESTIMATED TAX PAID TO WEST UNION….…………………………………………………………………..____________________$___________________

C. 2002 TAX PAID TO CITY OR VILLAGE OF……………………………………………………………… . ………... ____________________$___________________

NOTE: NOT TO EXCEED ½% (.005)OF THE LARGER AMOUNT IN BOX 20, 5 OR 1 FROM EACH W-2

D. PRIOR YEAR OVER PAYMENTS……………………………………………………………………………… …..….____________________$___________________

E. TOTAL CREDITS…………………………………………………………………………………………… . …………………………………….$___________________

6. IF LINE 4 GREATER THAN LINE 5E SUBTRACT AMOUNT ON LINE 5E FROM LINE 4…......................…TAX DUE AND PAYABLE $

A. PENALTY $___________________ B. INTERST $___________________……..…………………………..……………………..TOTAL $___________________

C. TOTAL AMOUNT DUE………………………………………………………………………………………………………………………………$___________________

7. OVERPAYMENT TO BE REFUNDED $ ________________ OR CREDITED $ _______________ TO NEXT YEAR'S ESTIMATE

*NO ADDITIONAL TAXES OR REFUNDS OF LESS THAN FIVE DOLLARS ( $5.00) SHALL BE COLLECTED OR REFUNDED.

NOTICE: BY LAW, ALL REFUNDS AND CREDITS, IN

EXCESS OF $10.00 ARE BEING REPORTED TO IRS.

__________________________________________________________________________________________________________________________________________________________________________

DECLARATION OF ESTIMATED TAX FOR YEAR 2003

8. TOTAL INCOME SUBJECT TO TAX $___________________.

MULTIPLY BY TAX RATE OF 1% (.01) FOR GROSS TAX OF $___________________

9. LESS EXPECTED TAX CREDITS

WITHHELD BY EMPLOER FOR WEST UNION..…………………………………………………………………..$___________________

OVERPAYMENT FROM PRIOR YEAR………………………………………………………………………………$___________________

PAYMENT TO ANOTHER MUNICPALITY (NOT TO EXCEED 1/2% OF GROSS WAGES)………………….$___________________

NOTE: NOT TO EXCEED ½% OF GROSS WAGES PER W-2

TOTAL CREDITS……………………………………………………………………………………………………………………………………….$___________________

10. NET TAX DUE (LINE 8 LESS LINE 9D) ………………………………………………………………………………………………………………….$___________________

11. AMOUNT PAID WITH THIS DECLARATION (NOT LESS THAN 1/4 OF LINE 10)………………………………………………………………….$___________________

12. BALANCE OF TAX (LINE 10 LESS LINE 11)…………………………………………………………………………….$___________________

AMOUNT ENCLOSED ________________ (LINE 6) $___________________ + _______________(LINE 11) $___________________ = TOTAL DUE _______________

I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANING 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, THER DECLARATION IS

BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.

______________________________________________

___________________________________________

Signature of Person Preparing if Other than Taxpayer

Date

Signature of Taxpayer

Date

______________________________________________

___________________________________________

Address

And

Telephone number

Signature of Taxpayer

Date

Form Ir - Declaration Of Estimated Tax - Village Of West Union - 2002

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