Form Ir - Individual Reading Earnings Tax Return - 2011

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FORM IR
FILE WITH
INDIVI DU AL
2011
READING EARNINGS TAX RETURN
2011
CITY OF READING
FEDERAL EXTENSION
INCOME TAX BUREAU
DUE ON OR BEFORE APRIL 15, 2012
1000 Market Street
COPIES MUST BE
Reading, Ohio 45215-3283
FILING IS REQUIRED EVEN IF NO TAX IS DUE
RECEIVED BY 4-15-12
(513) 733-0300
$25.00 FIRST YEAR / $50.00 SECOND YEAR /
FAILURE TO FILE:
FAX (513) 842-1016
$100.00 THIRD AND SUBSEQUENT YEARS
RETURNS WILL NOT BE PROCESSED WITHOUT ATTACHING APPLICABLE FORMS
TAXPAYER’S NAME & ADDRESS
SS# TAXPAYER ______________ SS# SPOUSE ______________
CURRENT EMPLOYER ___________________________________
ADDRESS ______________________________________________
_______________________________________________________
PHONE # HOME (____) ____________ WORK (____) ___________
IF YOU HAVE MOVED SINCE YOUR LAST FILING, GIVE DATE:
INTO READING ____/____/____ OUT OF READING ____/____/____
1. QUALIFYING WAGES - USE BOX 5 - MEDICARE WAGES - ON W2
(ALL W2S MUST BE ATTACHED) ________
$
_______________
2. OTHER TAXABLE INCOME AND/OR DEDUCTIONS FROM LINE 18 PAGE 2 – SEE INSTRUCTIONS ____________
$
_______________
NOTE: P
2
(
)
AGE
MUST BE COMPLETED IF YOU HAVE TAXABLE RENTAL PROPERTY
SCHEDULE E
OR BUSINESS INCOME
(
) (INTEREST, DIVIDEND, CAPITAL GAINS, UNEMPLOYMENT, AND RETIREMENT INCOME NOT
SCHEDULE C
TAXABLE)
NOTE: YOU MAY NOT OFFSET W2 INCOME WITH ANY SCHEDULE LOSS
3. TAXABLE INCOME: LINE 1 PLUS OR MINUS LINE 2 ________________________________________________
$
_______________
4. READING TAX: 2% [.020] OF LINE 3 _____________________________________________________________
$
_______________
5. CREDITS
a, TAX WITHHELD BY EMPLOYER FOR READING
______________________________
$ ____________
b. 2011 ESTIMATE TAX PAID TO READING
______________________________
$ ____________
c. 2011 TAX PAID CITY / VILLAGE OF __________________________________________
$ ____________
(NOT TO EXCEED 2% [.020] OF THAT PORTION TAXED PER W-2 – SEE INSTRUCTIONS
d. PRIOR YEAR OVERPAYMENTS
_____________________________________
$ ____________
$
______________
e. TOTAL CREDITS (add 5a thru 5d & enter here) __________________________________________________
______________
6. IF LINE 4 IS GREATER THAN LINE 5E, BALANCE MUST ACCOMPANY THIS RETURN - 2011 TAX DUE
7. OVERPAYMENT - REFUND $ ____________ OR CREDIT $ ____________ TO NEXT YEAR’S ESTIMATE (IF LINE
5e IS GREATER THAN LINE 4)
No taxes of less than $5.00 shall be collected or refunded (if your total tax liability is less than $5.00)
By Law, all Refunds & Credits in excess of $10.00 are being reported to the I.R.S. on 1099-G
DECLARATION OF ESTIMATED TAX FOR YEAR 2012
8. TOTAL INCOME SUBJECT TO TAX $ __________ MULTIPLY BY TAX RATE OF 2% [.020] FOR GROSS TAX OF
$
______________
9. LESS EXPECTED TAX CREDIT
a. TAX WITHHELD BY EMPLOYER FOR READING
______________________________
$ ___________
b. PAYMENT OR TAX WITHHELD FOR OTHER CITY ______________________________
$ ___________
$
______________
(NOT TO EXCEED 2% [.020] OF THAT PORTION TAXED)
10. NET TAX DUE FOR 2012 (LINE 8 MINUS LINE 9 TOTAL) ____________________________________________
$
______________
a. OVERPAYMENT FROM PRIOR YEAR (FROM LINE 7 ABOVE) ___________________________________
$
(_____________)
11. AMOUNT PAID WITH THIS DECLARATION (NOT LESS THAN ¼ OF LINE 10, LESS LINE 10a) ______________
$
______________
12. TOTAL OF THIS PAYMENT (LINE 6 PLUS LINE 11)_________________________________________________
$
______________
THE UNDERSIGNED DECLARES THAT THIS RETURN (AND ACCOMPANYING SCHEDULES) 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 INCOME TAX PURPOSES.
TO PAY BY CREDIT CARD:
______________________________________________________
VISA:
__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __
Signature of Taxpayer
Date
MASTERCARD:
__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __
______________________________________________________
DISCOVER:
__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __
Signature of Taxpayer
Date
EXP. DATE: ___ / ___
CV CODE: __ __ __ AMOUNT: $__________
______________________________________________________
______________________________________________________
Signature of Person Preparing if Other Than Taxpayer / Phone
Cardholder Signature

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