Business Ashland City Income Tax Return Form - 2011 printable pdf download

BUSINESS

ASHLAND CITY INCOME

2011

TAX RETURN

CALENDAR YR_______ FISCALYR________

DUE APRIL 17TH 0R 15TH DAY OF 4TH MONTH AFTER FISCAL YEAR END. FILING IS REQUIRED EVEN IF NO TAX IS DUE.

___________________________

ACCOUNT NUMBER

SOC. SEC. NO. TAXPAYER

NAME:

BUSINESS/FEDERAL ID NO.

ADDRESS:

PLEASE SIGN BELOW *

1. ALL INCOME FROM FEDERAL SCHEDULE E, F, 1065 K-1, 1120, 1120s, 1041

1. $

____________________

2. ADJUSTMENTS (plus or minus line 16 SCHEDULE X)

2. $

____________________

3. TAXABLE INCOME BEFORE ALLOCATION (Line 1 plus or minus Line 2)

3. $

____________________

4. PERCENTAGE ALLOCATION TO ASHLAND (See Schedule Y Step 5.)

4. $ _

_______________%

5.ASHLAND TAXABLE INCOME (Multiply line 3 by line 4)

5. $

____________________

6. ASHLAND INCOME TAX 1.5% OF LINE 5 (LINE 5 X .015)

6. $

____________________

7. CREDITS

A. MUNICIPAL TAX PAID TO OTHER CITIES 1% Limit

7A. $

____________________

7B. $

B. ESTIMATED TAX PAID

____________________

C. PRIOR YEAR OVERPAYMENT APPLIED

7C. $

____________________

D. TOTAL CREDITS (ADD A, B, C)

- 7D. $

_________________

7. TAX DUE (LINE 6 MINUS 7D)

. $

____________________

8 A. OVERPAYMENT CLAIMED IF LINE 7 IS MINUS

8A. $

_______________________

8B. $

B. ENTER AMT OF LINE 7 YOU WANT APPLIED TO NEXT YR.

_______________________

C. ENTER AMT OF LINE 7 YOU WANT TO BE REFUNDED

8C. $

_______________________

9. LATE FILING PENALTY ($25.00) or NON PAYMENT PENALTY ($25.00)

9. $

____________________

10. INTEREST (1.5% PER MONTH)

10. $

____________________

No payment or refund for amount under $5.00

11. AMOUNT DUE - PAY IN FULL WITH RETURN (DUE APRIL 17TH)

11. $

____________________

DECLARATION OF ESTIMATED TAX FOR TAX YEAR__________

Complete this section if amount due is over $100.00

12. Total income subject to Ashland tax

Ashland tax at 1.5% =

12A $___________

12B. $___________

13. Estimated credits:

A. Ashland Tax to be withheld

13A $___________

B. 1% of medicare wages in other city(s)

13B $___________

C. Total line 13A and 13B.

13C $___________

D. Total of estimated taxes (12B) Minus (13C)

13D. $___________

14. Calculation of 1st Quarter estimate:

A. Multiply line 13D x 22.5%

14A. ___________

B. Less: Overpayment from line 8B

14B. ___________

C. Balance 1st Qtr. estimated due with this return Subtract 14B from 14A

14C $___________

15. TOTAL AMOUNT DUE WITH THIS FILING. ADD LINE 11 AND 14C.

15 $_________________

SCHEDULE X - RECONCILIATION WITH FEDERAL INCOME TAX RETURN

ITEMS NOT DEDUCTIBLE

ADD

(16A) Capital Losses (Excluding Ordinary Losses) ..............………..

(16B) Expenses incurred in the production of non-taxable income…..

(16C) Taxes based on income ..............................................……..

Taxpayer's Signature ___________________________________

Date__________

TITLE

Statutory Agent

Preparer's Signature __________________________________

Date__________

Company Name_________________________Phone No __________

*I (We) authorize the Income Tax Department to discuss this return and enclosures with the preparer above…….. Check here

CREDIT CARD INFORMATION FOR PAYMENT

Enjoy the convenience flexablity and rewards of credit card payments

Enjoy the convenience, flexablity and rewards of credit card payments.

MAKE CHECK OR MONEY ORDER PAYABLETO:

ASHLAND MUNICIPAL INCOME TAX

American Express, Master Card, Discover & VISA

218 LUTHER ST, ASHLAND, OH 44805

Call 1-800-272-9829 or visit

PH:419-289-0386

FAX:419-289-9225

Business Ashland City Income Tax Return Form - 2011

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