Form It 1040x - Ohio Amended Individual Income Tax Return

IT 1040X

Rev. 11/14

Reason and Explanation of Corrections

Please attach documentation to support any adjustments to line items. Refer to pages 4 and 5 of the

instructions to identify required documentation for complete processing of the amended return.

Taxpayer name

Social Security number

Year

Reason(s):



Net operating loss carryback (IMPORTANT: Be sure to

Earned income credit increased



complete and attach Ohio form IT NOL, Net Operating Loss

Earned income credit decreased

Carryback Worksheet and check the box on the front of this



Ohio Adoption credit increased

return indicating that you are amending for an NOL.)



Ohio Adoption credit decreased

Federal adjusted gross income decreased



Ohio use tax increased

Federal adjusted gross income increased



Ohio use tax decreased

Filing status changed



Ohio form IT/SD 2210 interest penalty amount increased

Residency status changed



Ohio form IT/SD 2210 interest penalty amount decreased

Exemptions increased (attach Schedule J)



Manufacturing grant increased

Exemptions decreased (attach Schedule J)



Manufacturing grant decreased

Ohio form IT 1040, Schedule A, additions to income



Refundable business credits increased

Ohio form IT 1040, Schedule A, deductions from income



Refundable business credits decreased

Ohio form IT 1040, Schedule B, credit increased



Ohio withholding increased

Ohio form IT 1040, Schedule B, credit decreased



Ohio withholding decreased

Ohio form IT 1040, Schedule C, credit increased



Estimated and/or Ohio form IT 40P amount or previous year

Ohio form IT 1040, Schedule C, credit decreased

carryforward overpayment increased



Ohio form IT 1040, Schedule D, credit increased



Estimated and/or Ohio form IT 40P amount or previous year



Ohio form IT 1040, Schedule D, credit decreased

carryforward overpayment decreased



Ohio form IT 1040, Schedule E, credit increased

Amount paid with original ﬁ ling did not equal amount reported



Ohio form IT 1040, Schedule E, credit decreased

as paid with the original ﬁ ling



Joint ﬁ ling credit increased



Joint ﬁ ling credit decreased

Detailed explanation of adjusted items (attach additional sheet(s) if necessary):

E-mail address (optional)

Telephone number (optional)

Federal Privacy Act Notice

Because we require you to provide us with a Social Security number, the Federal Privacy Act of

1974 requires us to inform you that providing us with your Social Security number is mandatory.

Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this informa-

tion. We need your Social Security number in order to administer this tax.

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Form It 1040x - Ohio Amended Individual Income Tax Return - 2014 Page 2

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