Form It 1040 - Individual Income Tax Return - 2013 Page 2
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4IT 1040
Taxable year beginning in
Rev. 11/13
2013
Individual
13000206
Income Tax Return
SS#
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10a. Amount from line 10 on page 1 .................................................................................................... 10a.
11. Joint fi ling credit. See the instructions on page 19 for eligibility and documentation requirements
0 0
.
(this credit is for married fi ling jointly status only).
% times line 10a (limit $650) ............ 11.
0 0
.
12. Ohio income tax less joint fi ling credit (line 10a minus line 11) ...................................................... 12.
0 0
.
13. Total credits from line 71 on page 4 of Ohio form IT 1040 (enclose page 4) ................................ 13.
0 0
.
14. Earned income credit (see the worksheet on page 20 of the instructions) .................................... 14.
0 0
.
15. Ohio adoption credit ($1,500 per child adopted during the year) .............................................. 15.
0 0
.
16. Manufacturing equipment grant. You must include the grant request form ...........................................16.
17. Ohio income tax (line 12 minus lines 13, 14, 15 and 16; enter -0- if the total of lines 13, 14, 15
0 0
.
and 16 is more than line 12) .......................................................................................................... 17.
18. Interest penalty on underpayment of estimated tax. Enclose Ohio form IT/SD 2210 (see page
0 0
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21 of the instructions) ........................................................................................................................ 18.
0 0
.
19. Unpaid Ohio use tax (see the worksheet on page 33 of the instructions) ...................................... 19.
0 0
.
20. Total Ohio tax liability (add lines 17, 18 and 19) .....................................................TOTAL TAX
20.
21. Ohio income tax withheld (box 17 on W-2; box 15 on W-2G; and box 12 on 1099-R). Place
.
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W-2(s), W-2G(s) and 1099-R(s) after the last page of this return .......... AMOUNT WITHHELD
21.
22. Add the 2013 Ohio form IT 1040ES payment(s), 2013 Ohio form IT 40P extension payment(s)
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and 2012 overpayment credited to 2013 ............................................................................................ 22.
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23. Refundable credits from line 73 on page 4 of Ohio form IT 1040 (enclose page 4) ...................... 23.
0 0
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24. Add lines 21, 22 and 23 ..............................................................................TOTAL PAYMENTS
24.
If line 24 is MORE THAN line 20, go to line 25. If line 24 is LESS THAN line 20, skip to line 29.
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25. If line 24 is MORE THAN line 20, subtract line 20 from line 24.............. AMOUNT OVERPAID
25.
.
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26. Amount of line 25 to be credited to 2014 income tax liability ........................CREDIT TO 2014
26.
27. Amount of line 25 that you wish to donate to the following fund(s):
a. Military injury relief
b. Natural areas
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0 0
.
.
c. Ohio Historical Society
d. Wildlife species
0 0
0 0
.
.
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0 0
28. Line 25 minus the sum of lines 26 and 27a, b, c and d. Enter here, then skip to line 30 ............... 28.
.
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29. If line 24 is LESS THAN line 20, subtract line 24 from line 20 ..........................AMOUNT DUE
29.
30. Interest and penalty due on late-paid tax and/or late-fi led return (see page 21 of the
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instructions) .................................................................................... INTEREST AND PENALTY
30.
If you entered an amount on line 28, skip to line 32. If you entered an amount on line 29, go to line 31.
31. Amount due plus interest and penalty (add lines 29 and 30). If payment is enclosed, make
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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 PENALTY
31.
32. Refund less interest and penalty (line 28 minus line 30). Enter the amount here.
0 0
.
(If line 30 is more than line 28, you have an amount due. Subtract line 28 from
line 30 and enter this amount on line 31.) ............................. YOUR REFUND
32.
If your refund is $1.00 or less, no refund will be issued.
SIGN HERE (required):
I have read this return. Under penalties of perjury, I declare that, to
If you owe $1.00 or less, no payment is necessary.
the best of my knowledge and belief, the return and all enclosures are true, correct and complete.
For Department Use Only
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
Do you authorize your preparer to contact us regarding this return?
Yes
No
Code
MAILING INFORMATION
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 2679
P.O. Box 2057
return is -0- or negative.
Columbus, OH 43218-2679
Columbus, OH 43218-2057
2013 IT 1040
2013 IT 1040
pg. 2 of 4
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