Ohio Form It/sd 2210 - Interest Penalty On Underpayment Of Ohio Or School District Income Tax - Long Method - 2012

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IT/SD 2210 Long
Rev. 8/12
10211411
2012 Ohio Form IT/SD 2210 – Interest Penalty on
Underpayment of Ohio or School District Income Tax – Long Method
Include with your 2012 income tax return (see listing below).
Indicate below which Ohio income tax return you are fi ling in conjunction with this form (check only one appropriate box) and click the
appropriate link to retrieve the companion worksheet if you annualize.
IT 1040EZ or IT 1040, Individual Income Tax Return – complete Section 1 below
IT 1040EZ Worksheet
or
IT 1040 Worksheet
IT 1040X, Amended Individual Income Tax Return – complete Section 1 below
IT 1040 Worksheet
SD 100, School District Income Tax Return – complete Section 1 below
SD 100 Worksheet
SD 100X, Amended School District Income Tax Return – complete Section 1 below
SD 100 Worksheet
SD 100E or amended SD 100E, School District Income Tax Return (for estates) – complete Section 2 below
SD 100E Worksheet
IT 1041 or amended IT 1041, Fiduciary Income Tax Return – complete Section 2 below
IT 1041 Worksheet
IT 1140 or amended IT 1140, Pass-Through Entity and Trust Withholding Tax Return – complete Section 2 below
IT 1140 Worksheet
IT 4708 or amended IT 4708, Composite Income Tax Return for Pass-Through Entity Investors Other Than C Corporations –
complete Section 2 below
IT 4708 Worksheet
Use UPPERCASE letters.
Section 1
Taxpayer’s fi rst name
M.I.
Last name
Spouse’s fi rst name (only if married fi ling jointly)
M.I.
Last name
Taxpayer’s Social Security no. (required)
Spouse’s Social Security no. (only if married fi ling jointly)
Section 2
Name of pass-through entity, trust or estate
Additional line, if necessary, for name of pass-through entity, trust or estate
Federal employer I.D. number
Social Security no. of decedent (estates)
.
0 0
Total interest penalty due (from page 3, line 9) ......................................................................
Please include pages 1, 2 and 3 when you fi le your Ohio income tax return. If you use the “annualized income” method (see worksheets
on pages 4-10), you must also include (i) the completed worksheet and (ii) the annualized income tax worksheet you prepared for IRS
form 2210.
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.
- 1 -

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