Wooster Individual Income Tax Return - 2015
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22015 WOOSTER INDIVIDUAL INCOME TAX RETURN
STANDARD FORM For Calendar Year 2015
Due on or before April 18, 2016
Social Security Number(s)
Your S.S. No.
Spouse's S.S. No. (if joint return)
ESTIMATED PAYMENTS & CREDITS
Statements are mailed in February or contact our office
Do not write
Complete Name & Address (include spouse's name if joint return)
in this area
MAIL TO:
CITY OF WOOSTER
INCOME TAX DEPT
PO BOX 1088
WOOSTER OH 44691
Questions?
(330) 263-5226
Residency Status (check one that applies)
Type of return (check one)
Individual
Joint
Resident
Non-Resident
Part-Year Resident: From____________ To ____________
INCOME
1a
Wages, salaries, tips, etc. (use box 5 of W-2, if applicable, SEE INSTRUCTIONS)……..
b
Less employee business expenses (attach Federal form 2106)………………………………
Attach all
c
1c
Subtract line 1b from line 1a and enter the difference………………………………………………………..
W-2's &
2a
2a
Federal
Income from Schedule X, line 7b, back of this form (DO NOT ENTER LOSSES)………………………….
Schedules
b
(
)
Operating loss carry forward from Schedule X, line 7a, back of this form………………….
3
3
Add lines 1c & 2a. This is your TAXABLE INCOME………………………………………………………
TAX
4
4
Multiply line 3 by 1.5% (.015). This is your Wooster Income TAX……………………………………………
5
City income tax withheld for Wooster………………………………………………………
PAYMENTS
6
City income tax withheld or paid other cities - Use schedule R (back of form)…………….
7
2015 estimated payments, overpayment from 2014 , extension payment…………………..
8
8
Total credits and payments (add lines 5,6, & 7)……………………………………………………………..
REFUND
9
9
If line 8 is greater than line 4, enter amount OVERPAID…………..…...…...….………..OVERPAYMENT
OR
10
10
Amount of line 9 to be refunded to you (See instructions)…………….……..........….………..…..REFUND
AMOUNT
11
11
Amount of line 9 to be applied to your 2016 estimate…………...….….....…...….….…...CREDIT TO 2016
OWED
12
12
If line 4 is greater than line 8, enter AMOUNT YOU OWE……………...…....…………AMOUNT OWED
*** TAX DUE GREATER THAN $200 FOR 2016, YOU MUST ESTIMATE 2016 INCOME TAX ***
(SEE INSTRUCTIONS)
DECLARATION
13
2016 Wooster income tax estimate (Tax rate 1.5%)……………………..
OF 2016
14
Amount of 2016 estimate due with return ( 25% of line 13; see instructions)……….
ESTIMATED TAX
15
Credits (2015 overpayment and previous 2016 estimated payments)………………
(See Instructions)
16
…………………………….
16
Amount of 2016 estimate paid with this return (line 15 less line 14)
17
PAST DUE AMOUNTS
Penalty 1% per month___________
Interest .5% per month__________
Late filing penalty $25.00 imposed 12 months past due date when no tax is due
18 TOTAL PAYMENT DUE WITH THIS RETURN (add lines 12,16 & 17)…………………………
18
Make check payable to "City of Wooster". Please write your social security number on the check and any accompanying schedules.
If line 18 is less than $1.01, payment need not be made. If line 11 is less than $1.01, no refund will be issued.
Under penalties of perjury, I declare that I have examined this return and the accompanying schedules and statements, and to the best of my knowledge and belief, they
are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Do you authorize your preparer to contact us regarding this return? Yes □ No □
PLEASE
Taxpayer's Signature
Date
Paid Preparer's Signature
Date
SIGN
HERE
Spouse's Signature (if joint return)
Date
Firm or individual
Page 5
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