Form It 1040ez - Individual Income Tax Return For Full-Year Ohio Residents - 2014 Page 4

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Taxable year beginning in
Schedule J
2014
Rev. 11/14

Primary SS#
Schedule J
Dependents Claimed on the Ohio IT 1040EZ or IT 1040 Return
Use UPPERCASE letters.
Use this dependent schedule to claim dependents on your Ohio form IT 1040EZ or IT 1040. If you have more than 14 dependents, copy page 2 of this sched-
ule and include all completed pages with your income tax return. Do not list on this schedule the primary and/or spouse reported on the income tax return.
7. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
8. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
9. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
10. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
11. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
12. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
13. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
14. Dependent’s Social Security no. (required)
Dependent's date of birth (MM/DD/YYYY)
Dependent’s fi rst name
M.I.
Last name
2014 Schedule J
2014 Schedule J
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