Form It/sd 2210 - Long Method Interest Penalty On Underpayment Of Ohio Or School District Income Tax - 2016

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IT/SD 2210 Long
Rev. 12/16
10211411
2016 Ohio IT/SD 2210 – Long Method
Interest Penalty on Underpayment of Ohio or School District Income Tax
Include with your 2016 income tax return (see listing below).
Indicate below which Ohio income tax return you are filing in conjunction with this form (check only one appropriate box) and click the
appropriate link to retrieve the companion worksheet if you annualize.
Ohio IT 1040, Individual Income Tax Return – complete Section 1 below
Ohio IT 1040 Worksheet
SD 100, School District Income Tax Return – complete Section 1 below
SD 100 Worksheet
SD 100E or amended SD 100E, School District Income Tax Return (for estates) – complete Section 2 below
SD 100E Worksheet
Ohio IT 1041 or amended Ohio IT 1041, Fiduciary Income Tax Return – complete Section 2 below
Ohio IT 1041 Worksheet
Ohio IT 1140 or amended Ohio IT 1140, Pass-Through Entity and Trust Withholding Tax Return – complete Section 2 below
Ohio IT 1140 Worksheet
Ohio IT 4708 or amended Ohio IT 4708, Composite Income Tax Return for Pass-Through Entity Investors Other Than C Corpora-
tions – complete Section 2 below
Ohio IT 4708 Worksheet
Use UPPERCASE letters.
Section 1
Taxpayer’s first name
M.I.
Last name
Spouse’s first name (only if married filing jointly)
M.I.
Last name
Taxpayer’s SSN (required)
Spouse’s SSN (only if married filing jointly)
Section 2
Name of pass-through entity, trust or estate
Additional line, if necessary, for name of pass-through entity, trust or estate
FEIN
SSN of decedent (estates)
.
0 0
Total interest penalty due (from page 3, line 9) ......................................................................
Include pages 1, 2 and 3 when you file your Ohio income tax return. If you use the “annualized income” method (see worksheets on pages
4-9), you must also include (i) the completed worksheet and (ii) the annualized income tax worksheet you prepared for the federal 2210.
Federal Privacy Act Notice
Because we require you to provide us with a Social Security number, the Federal Privacy Act of
1974 requires us to inform you that providing us with your Social Security number is mandatory.
Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this informa-
tion. We need your Social Security number in order to administer this tax.
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