Form It 1040ez - Individual Income Tax Return For Full-Year Ohio Residents - 2013
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1
2Do not use staples.
Taxable year beginning in
IT 1040EZ
Rev. 11/13
2013
Individual Income Tax
13010106
Return for Full-Year
Ohio Residents
Use only black ink.
Enter school district # for
If deceased
Taxpayer Social Security no. (required)
Spouse’s Social Security no.
If deceased
(only if joint return)
this return (see pages 43-48).
SD#
check box
check box
Use UPPERCASE letters.
Your fi rst name
M.I.
Last name
Spouse’s fi rst name (only if married fi ling jointly)
M.I.
Last name
Mailing address (for faster processing, use a street address)
Ohio county (fi rst four letters)
City
State
ZIP code
Home address (if different from mailing address) – do NOT show city or state
ZIP code
County (fi rst four letters)
Foreign country (provide this information if the mailing address is outside the U.S.)
Foreign postal code
E-mail address
Filing Status
– Check one (as reported on federal income tax return)
Do not use staples, tape or glue. Place your W-2(s), check
Single, head of household or qualifying widow(er)
(payable to Ohio Treasurer of State) and Ohio form
IT 40P after the last page of your return. Include forms W-2G
Married fi ling jointly
and 1099-R if tax was withheld. Place any other supporting
documents or statements after the last page of your return.
Married fi ling separately
(enter spouse’s SS#)
Go paperless. It’s FREE!
Visit tax.ohio.gov to try Ohio I-File.
Ohio Political Party Fund
No
Yes
Most electronic fi lers receive their refunds
Do you want $1 to go to this fund? ..........................................
in 5-7 business days by direct deposit!
If joint return, does your spouse want $1 to go to this fund? ...
Note: Checking “Yes” will not increase your tax or decrease your refund.
INCOME AND TAX INFORMATION –
If amount is negative, type a negative sign (“–”) before the fi gure.
1.
Federal adjusted gross income
(from IRS form 1040, line 37; 1040A, line 21;
0 0
.
or 1040EZ, line 4) ........................................................................................................................... 1.
0 0
.
2. Enter the amount from the worksheet on page 17 of the instructions ............................................. 2.
0 0
.
3. Ohio adjusted gross income (line 1 minus line 2) ........................................................................... 3.
4. Personal exemption and dependent exemption deduction – multiply your personal and
0 0
.
dependent exemptions
times $1,700 and enter the result here .......................................... 4.
0 0
.
5. Ohio taxable income (line 3 minus line 4; enter -0- if line 3 is less than line 4) .............................. 5.
0 0
.
6. Tax on line 5 (see tax tables on pages 35-41 of the instructions) ................................................... 6.
0 0
.
7. If line 5 is $10,000 or less, enter a credit of $88; otherwise, enter -0- or leave blank ..................... 7.
0 0
.
8. Ohio tax less line 7 credit (line 6 minus line 7; enter -0- if line 6 is less than line 7) ....................... 8.
0 0
.
9. Income-based exemption credit (see instructions on page 17) ...................................................... 9.
0 0
.
10. Ohio tax less exemption credit (line 8 minus line 9; enter -0- if line 8 is less than line 9) ............. 10.
2013 IT 1040EZ
2013 IT 1040EZ
pg. 1 of 2
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