Form Ir - Income Tax Return - 2015
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To E-file:
Form IR
2015
File with and make
Office Use Only
Income Tax Return
checks payable to:
Sharonville, Ohio
City of Sharonville Tax
Tax Office Phone 513-563-1169 / Fax 513-588-3969
11641 Chester Road
Sharonville, OH 45246-2803
Filing required even if no tax due
Due on or before 4/18/2016
Interest and a minimum penalty of $25.00 will apply for the late filing of the required return
If taxpayer and spouse are fully retired and without taxable
Name of current employer
,
income, place an x in this box
provide date(s) retired
Address:
Street
_____________ & a copy of page one of applicable Federal
City
Form 1040. Sign, date, and return this form by the due date.
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Home
Business
Social Security No.
Taxpayer
Spouse
Part year resident? Date moved in:
Date moved out:
1. Qualifying wages (usually Medicare wage on W-2), tips and other compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Attach W-2 form(s) and page one of applicable Federal Form 1040. See Page 2, Line 1 Instructions
$0.00
2. Other taxable income or deductions from Page 2, Line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Note: Page 2 must be completed for other taxable income or deductions - attach applicable form(s)/schedule(s)
for income on Federal Form 1040 Lines 12, 17, 18 and 21. See Page 2 Line 2 Instructions.
$0.00
3. Taxable income: Line 1, plus or minus Line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
$0.00
4. Sharonville tax: 1.5% of Line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
5. Credits:
A. Tax withheld by employer for City of Sharonville. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
B. 2015 estimated tax paid to City of Sharonville. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
C. 2015 tax paid to City or Village of __________________________________ . . . . . . . . . . . $
Credit may NOT exceed 1.5% of that portion of earnings taxed - See Page 2, Line 5C Instructions
D. Prior year overpayments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
E. Total credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
$0.00
6A. If Line 4 is greater than Line 5E, enter balance due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
B. Penalty $ ____________ and Interest $ ____________ See Page 2, Line 6B Instructions . . . . . . . . . . . . . . . . . . . . . . . $
$0.00
C. Total amount due (Line 6A plus Line 6B) - payment must accompany return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
7A. If Line 5E is greater than Line 4, enter overpayment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
B. Overpayment of $10 or more to be refunded $ ________________ or credited $ _____________
_
to next year estimate
No additional taxes, refunds, or credits of less than ten dollars ($10.00) shall be collected or refunded.
By law, all refunds & credits of $10.00 or more are reported to the IRS.
Declaration of Estimated Tax for Year 2016 - See requirements on Page 2, Lines 8 through 11
$0.00
8. Total estimated income subject to tax $ _______________ multiply by tax rate of 1.5% for gross tax of . . . . . . . . . . . . . . $
9. Less expected tax credits
A. Withheld by employer for City of Sharonville. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
B. Payments to another municipality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
C
redit may NOT exceed 1.5% of that portion of earnings taxed - see Page 2, Line 5C Instructions
C. Total credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
$0.00
10. Net estimated tax due for 2016 (Line 8 minus Line 9C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
11A. Amount due with this declaration (not less than 1/4 of Line 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
B. Less overpayment credited from prior year (from Line 7B above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C. Net amount due with this declaration (Line 11A minus Line 11B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
$0.00
12. Total of this payment (Line 6C plus Line 11C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Make check or money order payable to
CITY OF SHARONVILLE TAX
To pay online: / To pay by phone: 1-800-487-4567
I certify that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct and complete.
If prepared by a person other than taxpayer the declaration is based on all information of which preparer has any knowledge.
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May we discuss this
return with the
preparer shown to
Printed Name of Person Preparing if Other Than Taxpayer
the left?
Yes
No
Address
and
Telephone Number
Signature of T
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