Form 2016lf - Newark Income Tax Page 2

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Part 3 - Credit Calculation
17
Newark Tax ( Bring forward from Box 16)
A - Withheld Tax/Other Credits
18
Newark tax withheld on W-2s
19
Other city credit (see instructions)
20
Partnership/S-Corp tax payments
21
Total credits (add 18 - 20)
22
Newark Tax after credits (subtract Box 17-less Box 21)
If Box 22 is $200 or more, see instructions for important information regarding your 2017 tax. You
may be required to file a 2017 Estimated Tax Return.
B - Estimated Tax Payments
23
Estimated 2016 tax payments
24
Taxes carried forward from a prior year
25
Total estimated tax payments (add 23+24)
Part 4 - Payment/Overpayment Information
26
2016 Tax Payment Due (Box 22 less Box 25)
If Box 26 is less than $10.01 - no payment due
Make checks payable to: Newark City Income Tax
27
2016 Overpayment (indicate how to apply below)
If Box 27 is less than $10.01 - no credit or refund
Credit Account
Refund
I hereby declare that the information stated above is true under penalty of perjury.
Signature
Date
Signature
Date
May we contact this preparer?
Signature of Preparer (if different from taxpayer)
Date
Yes
No
Mail to:
Questions?
740-670-7580 phone
Newark City Tax Office
740-670-7581 fax
PO Box 4577
citytax@newarkohio.net
Newark, OH 43058-4577

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