Individual Income Tax Return - City Of Montgomery - 2015
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City of Montgomery Individual Income Tax Return 2015
City of Montgomery Tax Office
Tax Office use only
10101 Montgomery Road
Montgomery, OH 45242
Due on or before April 18, 2016. Filing is mandatory even if no tax due
Phone: 513-891-2424
A minimum penalty of $25 will be assessed for late filing of this return
Make check or money order payable to The City of Montgomery
Fax: 513-891-2994
If amount due is less than $1.01, no payment is due
No refunds under $1.01.
Account Number
SS# Mr.
SS# Mrs/Ms
Phone: Home
Other
Email address:
If moved in or out of Montgomery during current year, please give date of move:
Moved in:
Moved out:
1.
Qualifying wages - see instructions on page 2 ………………………………………………………………….……...……...………..
$
Attach W-2 form(s), and page one of the Federal 1040, as well as any Federal schedules for amounts shown on Lines 12, 17, 18 and 21.
2.
Less Nontaxable Income - see instructions on page 2 (Provide calculations for part-year residency and/or attach form 2106).. $
0
3.
Taxable qualifying wages: (Line 1 minus Line 2) ………………………………………………………………...…………...…………
$
4.
Other income (from Page 2) ……………………………………………………………….. ………………………………..………...…
$
0
5.
Taxable income (Line 3 plus Line 4) Business losses may not offset W-2 Income from Line 3 ………….……………….……… $
0
6.
Montgomery tax (1% of Line 5) ………………………………….……………………………..………………………..………………… $
7.
Credits
a. Montgomery tax withheld per W-2(s) ……………..………………..………………………………………$______________
b. 2015 estimated tax paid to Montgomery ………………………………………………………………..… $______________
c. 2015 tax paid to City or Village of __________________________ see instructions on page 2….... $______________
d. Prior year overpayment …………………………………………………………………………………….. $______________
0
e. Total credits (Line 7a through 7d) ………………………………………………………………………...……………………….…..
$
0
2015 Tax Due $
8.
If Line 6 is greater than Line 7e, payment of balance must accompany this return……………….……...…….…..
9.
If Line 6 is less than Line 7e, overpayment is to be refunded $____________or credited $ __________ to next year’s estimate
Late filing penalty $
Penalty on taxes due $
Interest on taxes due $
Total:
:
Card #
Exp Date
Verification Code
Declaration of Estimated Tax for Year 2016—MANDATORY IF ESTIMATED TAX IS $200 OR GREATER
0
10. Total income subject to tax $___________________ multiply by tax rate of 1% for gross tax of……………..…………………… $
11. Less expected tax credits
a. Withheld by employer for Montgomery, (not to exceed 1% of that portion taxed) ………………….
$______________
b. Payments to another municipality, (not to exceed 1% of that portion taxed) ……………………..
$______________
12. Net estimated tax due for 2016 (Line 10 less Line 11a and 11b) Note: 90% of tax liability due by December 15, 2016 …………. $
13. First Quarter Estimate Payment
a. Amount due with this declaration (not less than 22.5% of Line 12)………………………………………$______________
b. Less overpayment credit from prior year (from Line 9 above) ……..…..………………………….
$______________
c. Net First Quarter Estimate payment ……………………………………………………………………………………………… $
14. Total enclosed payment (Line 8 plus Line 13c) ……………………………………………………….………………….………...……. $
May we contact your preparer directly? Yes
No
Preparer name and phone:
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.
Signature of Person Preparing, if other than Taxpayer
Date
Signature of Taxpayer
Date
Preparer’s Address and Phone
Signature of Taxpayer
Date
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