Form It 1040ez - Individual Income Tax Return For Full-Year Ohio Residents - 2012
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Do not use staples.
Taxable year beginning in
IT 1040EZ
Rev. 10/12
2012
Individual Income Tax
12010106
Return for Full-Year
Ohio Residents
Use only black ink.
If deceased
Spouse’s Social Security no.
If deceased
Taxpayer Social Security no. (required)
(only if joint return)
check box
check box
Use UPPERCASE letters.
Your fi rst name
M.I.
Last name
Spouse’s fi rst name (only if married fi ling jointly)
M.I.
Last name
Mailing address (for faster processing, use a street address)
Ohio county (fi rst four letters)
City
State
ZIP code
Home address (if different from mailing address) – do NOT show city or state
ZIP code
County (fi rst four letters)
Foreign country (provide this information if the mailing address is outside the U.S.)
Foreign postal code
E-mail address
Filing Status
– Check one (as reported on federal income tax return)
Do not use staples, tape or glue. Place your W-2(s), check
(payable to Ohio Treasurer of State) and Ohio form
Single or head of household or qualifying widow(er)
IT 40P on top of your return. Include forms W-2G and
Married fi ling jointly
1099-R if tax was withheld. Place any other supporting
documents or statements after the last page of your return.
Married fi ling separately
(enter spouse’s SS#)
Go paperless. It’s FREE!
Yes
No
Ohio Political Party Fund
Visit tax.ohio.gov to try Ohio I-File.
Do you want $1 to go to this fund? ..........................................
Most electronic filers receive their refunds
If joint return, does your spouse want $1 to go to this fund? ...
in 5-7 business days by direct deposit!
Note: Checking “Yes” will not increase your tax or decrease your refund.
Ohio School District Number for 2012
(see pages 43-48 of the instructions)
INCOME AND TAX INFORMATION –
If amount is negative, type a negative sign (“–”) before the fi gure.
1.
Federal adjusted gross income
(from IRS form 1040, line 37; 1040A, line 21;
0 0
0
.
or 1040EZ, line 4) ........................................................................................................................... 1.
0 0
0
.
2. Enter the amount from the
worksheet
worksheet
on page 18 of the instructions ........................................... 2.
0 0
0
.
3. Ohio adjusted gross income (line 1 minus line 2) ........................................................................... 3.
4. Personal exemption and dependent exemption deduction – multiply your personal and
1700
0 0
.
1
dependent exemptions
times $1,700 and enter the result here .......................................... 4.
0
0 0
.
5. Ohio taxable income (line 3 minus line 4; enter -0- if line 3 is less than line 4) .............................. 5.
0 0
0
.
6. Tax on line 5 (see tax tables on pages 35-41 of the instructions) ................................................... 6.
0 0
88
.
7. If line 5 is $10,000 or less, enter a credit of $88; otherwise, enter -0- or leave blank ..................... 7.
0
0 0
.
8. Ohio tax less line 7 credit (line 6 minus line 7; enter -0- if line 6 is less than line 7) ....................... 8.
0 0
20
.
1
9. Exemption credit: Number of personal and dependent exemptions
times $20 .................. 9.
0
0 0
.
10. Ohio tax less exemption credit (line 8 minus line 9; enter -0- if line 8 is less than line 9) ............. 10.
2012 IT 1040EZ
2012 IT 1040EZ
pg. 1 of 2
Click Here for the 2012 Instruction Booklet
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