Joint/individual City Of Ontario, Ohio Income Tax Return - 2012
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32012
File With and Mail To:
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JOINT/INDIVIDUAL
ONTARIO MUNICIPAL INCOME TAX
Payable to:
CITY OF ONTARIO, OHIO INCOME TAX RETURN
P.O. Box 166
ONTARIO MUNICIPAL INCOME TAX
Ontario, Ohio 44862
For Jan. 1, 2012 – Dec. 31, 2012
Ph. (419) 529-3045 Fax (419) 529-6132
or
Fiscal Period_____________________ to____________________
– CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15 –
FISCAL and PARTIAL YEARS FILE
WITHIN 120 DAYS of end of tax period
Note: Extension of Time To File Application must be filed with the City by the original
Office Use Only
(TAXPAYER) Soc. Sec. No.
City Filing deadline date.
(SPOUSE) Soc. Sec. No.
Phone Number
Did you change residence in 2012?
Yes
No
Enter Date moved in _____________ out _________
Did you file a city return in 2011?
Yes
No
1. WAGES, SALARIES, TIPS AND OTHER EMPLOYEE COMPENSATION (ATTACH ALL W-2’S)
.........................................................................................
1.
2.
2.
OTHER TAXABLE INCOME (SEE INSTRUCTIONS) ...........................................................................................................................................
3. 2106 EXPENSES (ATTACH DOCUMENTATION) ................................................................................................................................................
3.
4. TAXABLE INCOME: LINE 1, PLUS LINE 2 MINUS LINE 3 ..................................................................................................................................
4.
5.
MUNICIPAL TAX .015 or 1.5% OF LINE 4 ..........................................................................................................................................................
5.
6.
CREDITS
A. TAX WITHHELD BY EMPLOYER FOR CITY OF ONTARIO .................................................................. 6A.________________________
B. ESTIMATED TAX PAID CITY OF ONTARIO .......................................................................................... 6B. ________________________
C. PRIOR YEAR OVER PAYMENTS .......................................................................................................... 6C. ________________________
D. TAX PAID CITY OF _________________________________________ Not to exceed .005 or 0.5% 6D. ________________________
of taxed gross earnings
(Limit per each W-2)
E. TOTAL CREDITS ................................................................................................................................................................................... 6E.
TAX DUE LINE 5 MINUS LINE 6E
7.
........................................................................................................................................................
7.
A. PENALTY ($35.00) FOR LATE FILING ________________
INTEREST (1 1/2% PER MONTH) ____________________
TOTAL
B.
TOTAL AMOUNT DUE ........................................................................................................
(No payment or refund for amount under $3.00)
PAYMENT OF BALANCE MUST ACCOMPANY THIS RETURN
8.
OVERPAYMENT: LINE 6E MINUS LINE 5. NOT LESS THAN ZERO ............................................................................................................. 8.
8A.
AMOUNT OF OVERPAYMENT YOU WANT REFUNDED ................................................................................. 8A. ___________________
8B.
AMOUNT OF OVERPAYMENT YOU WANT CREDITED TO 2013 ESTIMATED TAX ....................................... 8B. ___________________
2013 DECLARATION OF ESTIMATED TAXES
9. TOTAL INCOME SUBJECT TO TAX $ _____________________ MULTIPLY BY TAX RATE OF .015 or 1.5% FOR GROSS TAX OF
9.
10. LESS EXPECTED TAX CREDITS
A. WITHHELD BY EMPLOYER FOR CITY OF ONTARIO .................................................................................. 10A. _____________________
B. PAYMENTS ON TAXABLE INCOME TO ANOTHER MUNICIPALITY NOT TO EXCEED .005 OR 0.5%
10B. _____________________
C. TOTAL CREDITS ...........................................................................................................................................................................................10C. _________________________
11A.
NET TAX DUE (LINE 9 LESS LINE 10C) ................................................................................................................................................... 11A. _________________________
11B.
OVERPAYMENT FROM PRIOR YEAR(S) From line 8B .............................................................................................................................. 11B. _________________________
11C.
BALANCE OF 2013 ESTIMATED TAX DUE Line 11A minus 11B ............................................................................................................. 11C. _________________________
12.
AMOUNT PAID WITH THIS DECLARATION (1/4 of Line 11A Less Line 11B) ............................................................................................ 12.
13.
AMOUNT ENCLOSED
(LINE 7) $ ____________________________ (LINE 12) $ _______________________ TOTAL 13.
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 where applicable. This Tax Return is Not Legally filed if not signed by the Taxpayer(s) or a legally Authorized Agent.
Signature of Person Preparing if Other Than Taxpayer
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Address of Firm or Preparer
Signature of Spouse (If filing Jointly)
Date
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
IMPORTANT NOTICE: If you file this return in person at the Tax Office, bring both copies.
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