Form It 1040ez - Individual Income Tax Return For Full-Year Ohio Residents - 2014 Page 2
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4Taxable year beginning in
IT 1040EZ
Rev. 11/14
2014
Individual Income Tax
Return for Full-Year
SSN
Ohio Residents
0 0
.
10a. Amount from line 10 on page 1 .................................................................................................. 10a.
11. Joint filing credit. See instructions on page 17 for eligibility and documentation requirements
0 0
.
(this credit is for married filing jointly status only).
% times line 10a (limit $650) ...........11.
0 0
.
12. Ohio income tax less joint filing credit (line 10a minus line 11) .................................................... 12.
0 0
.
13. Earned income credit (see the worksheet on page 20 of the instructions) .................................. 13.
0 0
.
14. Ohio income tax less earned income credit (line 12 minus line 13) ............................................. 14.
15. Interest penalty on underpayment of income tax. Enclose Ohio form IT/SD 2210 (see page
0 0
.
17 of the instructions) ................................................................................................................... 15.
16. Sales and use tax due on Internet, mail order or other out-of-state purchases (see
0 0
.
instructions on page 34). If you certify that no sales or use tax is due, check here .............
16.
0 0
.
17. Total Ohio tax liability (add lines 14, 15 and 16) ................................................... TOTAL TAX17.
18. Ohio income tax withheld (box 17 on W-2; box 15 on W-2G; and box 12 on 1099-R).
0 0
.
Place W-2(s), W-2G(s) and 1099-R(s) after the last page of this return .... AMOUNT WITHHELD18.
REFUND OR AMOUNT YOU OWE
If line 18 is MORE THAN line 17, go to line 19. If line 18 is LESS THAN line 17, skip to line 22.
0 0
.
19. If line 18 is MORE THAN line 17, subtract line 17 from line 18............. AMOUNT OVERPAID19.
20. Amount of line 19 that you wish to donate to the following fund(s):
a. Military injury relief
b. Wildlife species
c. Ohio Historical Society
0 0
0 0
0 0
.
.
.
d. State nature preserves
e. Breast / cervical cancer
0 0
0 0
.
.
0 0
.
21. Line 19 minus the sum of lines 20a, b, c, d and e. Enter the amount here, then skip to line 23 .... 21.
0 0
.
22. If line 18 is LESS THAN line 17, subtract line 18 from line 17 .......................... AMOUNT DUE22.
23. Interest and penalty due on late-paid tax and/or late-filed return (see page 17 of the instructions).
0 0
.
......................................................................................................INTEREST AND PENALTY23.
If you entered an amount on line 21, skip to line 25. If you entered an amount on line 22, go to line 24.
24. Amount due plus interest and penalty (add lines 22 and 23). If payment is enclosed, make
0 0
.
check payable to Ohio Treasurer of State and include Ohio form IT 40P (see our Web site at
tax.ohio.gov) .........................................AMOUNT DUE PLUS INTEREST AND PENALTY24.
25. Refund less interest and penalty (line 21 minus line 23). Enter the amount
0 0
.
here. (If line 23 is more than line 21, you have an amount due. Subtract
line 21 from line 23 and enter this amount on line 24.) ......... YOUR REFUND25.
If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary.
SIGN HERE (required)
I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and
For Department Use Only
belief, the return and all enclosures are true, correct and complete.
Your signature
Date (MM/DD/YYYY)
,
,
.
Spouse’s signature (see page 10 of the instructions)
Phone number (optional)
Preparer’s printed name (see page 10 of the instructions)
Phone number
Code
Do you authorize your preparer to contact us regarding this return?
Yes
No
NO Payment Enclosed
– Mail to:
Payment Enclosed
– Mail to:
Enclose your federal income
Ohio Department of Taxation
Ohio Department of Taxation
tax return if line 1 on page 1 of this
P.O. Box 182294
P.O. Box 182850
return is -0- or negative.
Columbus, OH 43218-2294
Columbus, OH 43218-2850
2014 IT 1040EZ
2014 IT 1040EZ
pg. 2 of 2
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