Original Tax Return - City Of Rittman, Ohio Department Of Taxation

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Directions for filling out the City Income Tax Form
Click File to Print Instructions
Tax Form
- (you must click on File to Print this Form)
ORIGINAL TAX RETURN
Mail To: Department of Taxation
30 N. Main St.
Rittman, Ohio 44270
DUE DATE - April 15th
TAX RATE 1.5%
Tax Year__________________DueDate_________________ TAX OFFICE USE ONLY
Processed by___________
__CASH __M.O. __CHECK
$_________________________
Fiscal Period from________________through_____________
Name and Address _________________________________
__________________________________________________
Federal ID Number___________________
Social Security Numbers
Yours
_______ - ______-_______
Spouses _______ - ______-_______
Phone: (
)___________________
______________________________________________________________________________________________________________
1. WAGES
FILING REQUIRED EVEN IF NO TAX DUE OR NO INCOME EARNED
W -2 COPIES MUST BE ATTACHED
Employers Name Where Employed Tax Paid - Other Cities Rittman Tax Withheld Total Wages
Employers Name
Where Employed
Tax Paid - Other Cities
Rittman Tax Withheld
Total Wages
a
b
c
d
e
2.Total W-2 Wages (From Line 1e)......................................................................................................................2. $___________________
3. Other Income
(A copy of Fed Return and Schedules must be attached)
.......................................................... 3. $___________________
4. Total Taxable Income (Add line #2 & #3).........................................................................................................4. $___________________
_____________________________________________________________________________________________________________
5. Rittman City Tax before credits (Multiply line #4 by 0.15)..................................................................................5. $___________________
6. CREDITS:
A. Rittman City Income Tax Withheld.......................................6A $_____________
B. Taxes paid to other Cities
(cannot exceed 1 1/2%)...............6B $_____________
C. Payment of declaration of Estimated tax..............................6C $_____________
D. Amount of Previous years credits..........................................6D $_____________
7.Total Credits (add lines 6A, 6B, 6C, and 6D...............................6E $_____________
_____________________________________________________________________________________________________________
8. Balance of Tax Due (Subtract line #7 from line #5)..........................................................................................8. $_________________
9. Overpayment claimed (IF line #7 exceeds line #5 enter here)..........................................................................9. $_________________
10. Enter amount of Line #9 to be applied to next year's estimated tax..............................................................10. $_________________
11. Amount to be Refunded (subtract line #10 from line #9)...............................................................................11. $_________________
12. Penalty (If filed after deadline) enter $25.00.................................................................................................12. $_________________
13. Interest (1 1/2% per month or portion thereof if filing Late).......................................................................... 13. $_________________
14. Amount due - MUST BE PAID IN FULL WITH THIS RETURN........................................................................14. $__________________
NO TAXES OF LESS THAN $1.00 SHALL BE COLLECTED OR REFUNDED
_____________________________________________________________________________________________________________

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