Form R-I - Individual Income Tax Return - City Of Dayton - 2008
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1
2PLEASE REMIT TO:
2008 CITY OF DAYTON
CITY OF DAYTON
INDIVIDUAL
PO BOX 643700
Is this Dayton Tax Return:
Single
Joint Filing
CINCINNATI, OH 45264-3700
INCOME TAX RETURN
TAX ID # OR SS #
TAX ID # OR SS #
RETURN WITH PAYMENT DUE BY APRIL 15
Your phone #
90% of Estimated Tax Liability due by January 31, 2009
TAXPAYER NAME, ADDRESS & ACCOUNT NUMBER
Your Email address
Are you a Dayton resident?
Yes
No
Did you file a Dayton Return last year?
Yes
No
Did you file on a different Tax ID# last year?
Yes
No
If so, please list Tax ID#
Did You Move during this tax year?
Yes
No
Old address
Date Moved in
or Date Moved Out
All supporting W-2’s and Federal Schedules must be submitted with this return
If you moved more than once during the year, attach
Please Complete Work Sheet On Reverse Side Before Completing Section A
list to tax return showing addresses and dates
SECTION A
TOTAL TAXABLE INCOME
1.
Wages, Salaries, Tips, and Other Employee Compensation-Use highest wage figure on w-2.
See Section A on back of return. (Part year residents must pro-rate their income based on
time lived in Dayton.) ....................................................................................................................................................................... $
2.
Other Taxable Income or Deductions from Reverse Side............................................................................................................... $
3.
Taxable Income (Add Lines 1 through 2)......................................................................................................................................... $
4.
Dayton Tax Due @ 2.25% of Line 3 .............................................................................................................................................. $
Payments and Credits:
5.
A.
Dayton Tax Withheld ............................................................................... $
B.
Other City Tax Withheld .......................................................................... $
C.
Estimated Taxes Paid/Prior Year Credit.................................................. $
OFFICE USE ONLY
Other Credits /Partnership Payments..................................................... $
D.
Total Payments and Credits (Add Lines 5A through 5D) ................................................................................................................ $
6.
7.
Balance of Tax Due (Line 4 minus Line 6) .................................................................................................................................. $
8.
Penalty $
Interest $
.................................................... Total Penalty/Interest $
9.
Amount Due: Make Checks Payable to City of Dayton............................................................................................................. $
10. If Overpayment: Credit to Estimated Taxes $
or Refund $
SECTION B
ELECTRONIC CHECKS
DECLARATION OF ESTIMATED TAX FOR TAX YEAR 2009
11. Estimated Income Subject To Tax $___________ @ 2.25% =......................................................................................................... $
12. Estimated Tax Withheld By Your Employer(s) ................................................................................................................................. $
13. Total Estimated Tax Due (Line 11 minus Line 12) ........................................................................................................................... $
14. Credit From Prior Tax Year............................................................................................................................................................... $
15. Net Estimated Tax Due (Line 13 minus Line 14) ............................................................................................................................. $
16. Estimated Tax Amount Due is 22.5% of Line 15 (First Payment)................................................................................................... $
17. TOTAL AMOUNT DUE (Line 9 plus Line 16) AMOUNT ENCLOSED: ........................................................................................ $
SECTION C
VISA AND MASTER CARD PAYMENTS
READ BEFORE SIGNING: The undersigned declare this return and attached schedules
Due to privacy issues and possible identity theft, Visa and Master Card
to be a true and complete return for the taxable year stated and that the figures used
payments will be accepted only by telephone 24 hours a day by calling
herein are the same as used for Federal Tax purpose, adjusted to the requirements
(937) 333-3500. Select “Option 2” to connect to the tax system, and then
of the Dayton city tax ordinances represented by this return. I understand that if I
press “Option 1” to make a payment. To speak to a customer service
am under withheld in the following tax year (by $100.00 or 10% of tax due) I will
representative during normal business hours, select “Option 2” and then
be charged an underpayment penalty if I fail to make required estimated tax
“Option 7.”
payments. If this return was prepared by a tax professional, may we contact
them directly?
Yes
No
X
Tax Preparer Signature
Taxpayer Signature
Date
Tax Preparer Phone #
Spouse Signature
Date
FORM R-I
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