Springboro Individual Income Tax Return - 2011

2011 SPRINGBORO INDIVIDUAL INCOME TAX RETURN 2011

APRIL 17, 2012

320 W. Central Ave., Springboro, OH 45066 – Due on or before

FOR ASSISTANCE

CALL (937) 748-9701

MINIMUM

FOR FAILURE TO FILE BY

APRIL 17,

2012, A

$40.00 PENALTY WILL BE ASSESSED

FAX (937) 748-6185

IF NAME OR ADDRESS IS INCORRECT, MAKE NECESSARY CHANGES

(LIST BOTH NAMES AND SOCIAL SECURITY NUMBERS IF FILING A JOINT RETURN)

TAXPAYER SSN ____________________________________________________________________

SPOUSE SSN________________________________________________________________________

HOME PHONE NUMBER ____________________________________________________________

IF YOU MOVED DURING THE YEAR, COMPLETE THIS SECTION:

DATE MOVED IN _____________________________ OUT ________________________________

_________________________________________________________

FORMER ADDRESS

_________________________________________________

I AM NOT REQUIRED TO COMPLETE SECTION B OF THIS RETURN BECAUSE:

A

_______ACTIVE DUTY MILITARY

(ATTACH W-2)

_______TAXPAYER DECEASED, LIST DATE OF DEATH______________________________________________________

_______NO EMPLOYMENT

_______MOVED FROM SPRINGBORO PRIOR TO 1-1-11, DATE of MOVE_______________________________________

______ONLY INCOME IS FROM A NON-TAXABLE SOURCE – LIST SOURCE:__________________________________________________________________________________

(INTEREST, DIVIDENDS, STOCKS, BONDS, CAPITAL GAINS, UNEMPLOYMENT, RETIREMENT INCOME, ETC IS NOT TAXABLE)

B

1. Total from Worksheet A, column 2. . . .

Number of W-2’s attached

_____________………………………………………..1._______________________________________

2. Total from Worksheet B,

(Attach Federal

Schedules)…………………………………………………………………………2. ______________________________________

3. Subtract Line 2 from Line 1…………………………………………………………………………………………………...3. ______________________________________

4. Total from Worksheet C

(Attach Federal Schedules)

…………………………4A(_____________________)……………4B. ________________________________________

5. Other Income

(Attach

W-2G)………………………………………………………………………………………………….5._______________________________________

6. Total Income

(Add lines 3 and 4B and

5)……………………………………………………………………………………..6._______________________________________

7. Tax Liability – Multiply line 6 by 1.5% (0.015)……………………………………………………………………………...7._______________________________________

8.

A. Springboro Tax Withheld (see worksheet A, column 3)……………………………………………….A.____________________________

.

B. Credit For Other City Tax Withheld

B.____________________________

(MAX. CREDIT 1.0%; SEE WORKSHEET A, COLUMN 6)

…………..

C. Estimated Tax Payments..……………………………………………………………………………….C.____________________________

D. Prior Year Credit Carried Forward………………………………………………………………………D.____________________________

8E. Total of Credits. Add Lines 8A, 8B, 8C and 8D……………………………………………………………………………8E.______________________________________

9. If line 7 is greater than line 8E, enter your balance due here

…………………………………………...9.________________________________________

(if less than $10.00 enter 0)

10. If line 8E is greater than line 7, enter your overpayment here

………………………………………..10.___________________________________

(if less than $10.00, enter 0)..

Amount to be:

REFUNDED:________________________

or

CREDITED TO NEXT YEAR:_________________________

11. Late Filing Penalty:_______________ Penalty:_______________ Interest:_______________……………………….….11.___________________________________

12. BALANCE DUE (Add line 9 and line 11).…………………………………………………………………………………12.___________________________________

DECLARATION OF ESTIMATED TAX DUE FOR TAX YEAR 2012

MANDATORY IF LIABILITY

$50.00 FAILURE TO FILE FEE IF NOT COMPLETED AND A

IS $500.00 OR MORE

MINIMUM $100.00 FAILURE TO PAY ACCORDING TO PAY SCHEDULES

13. Total Estimated Tax Due For Tax Year 2012 (gross taxable income multiplied by 1.5%)………………………………...13.______________________________________

14. Less Credit (including prior year credit from line 10 and local taxes withheld)……………………………………………14.______________________________________

15. Net Taxes Owed For Tax Year 2012 Estimated Tax (subtract line 14 from line 13)………………………………………15.______________________________________

16. Amount Paid With This Declaration (1/4 of line 15)……………………………………………………………………….16.______________________________________

17. TOTAL DUE – ADD BOXES 12 AND 16 TO ARRIVE AT TOTAL DUE THIS RETURN…………………………….17.______________________________________

The undersigned declares that this return (and accompanying W-2’s, schedules and statements) is a true, correct and complete return for the taxable period stated and that the figures used herein are the same as used for Federal

C

Income tax purposes. If this return was prepared by a tax practitioner, may we contact your practitioner directly with questions regarding the preparation of this return ? _________ Yes _________No

______

Check here if payment was made online

_____________________________________________________________________

__________________________________________

Your Signature

Date

_____________________________________________________________________

__________________________________________

Spouse’s Signature

Date

_____________________________________________________________________

__________________________________________

Signaute and phone number of preparer (if other than taxpayer)

Date

FOR OFFICE USE ONLY