Form Sd 100x - Ohio Amended School District Income Tax Return - 2013

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Calendar Year

SD 100X

Ohio Amended School District

2 0

Income Tax Return for Year 2013

Rev. 11/13

For Department Use Only

(Check only one box in each column)

Your ﬁ rst name

M.I.

Last name

Your Social Security number

Filing Status:

Original

Amended

Single or head of household or

If a joint return, spouse's ﬁ rst name

M.I.

Last name

Spouse's SSN (only if MFJ)

qualifying widow(er)

Married ﬁ ling joint return (MFJ)

Home address (number and street)

County

Married ﬁ ling separately

City, town or post ofﬁ ce, state and ZIP code

Ohio public school district number

(from original SD 100 return)

School District Residency

– File a separate Ohio form SD 100X for each taxing school district in which you lived during the taxable year.

Check applicable box

Check applicable box for spouse (only if married ﬁ ling jointly)

Part-year resident

Full-year

Full-year nonresident

Part-year resident

Full-year

Full-year nonresident

of SD # above

resident

of SD # above

resident

of SD # above

As Filed

As Amended

Traditional tax base school district. You must start with 1A below.

or as Last Amended

(Complete and attach Explanation

Earned income only tax base school district. You must start with 1B below.

of Corrections on page 2.)

or as Last Corrected

1. A. Traditional tax base school district ﬁ ler. Complete Schedule A on

page 2 of this return and enter on this line the school district taxable

income from the last line of Schedule A.

B. Earned income only tax base school district ﬁ ler. Complete

Schedule B on page 2 of this return and enter on this line the school

district taxable income from the last line of Schedule B

....................

2. School district tax rate

% times line 1

....................................

3. Senior citizen credit (you must be 65 or older to claim this credit; limit

.....................................................................................

$50 per return)

4. School district tax less credit (line 2 minus line 3)

................................

.............................................

5. Interest penalty (attach Ohio form IT/SD 2210)

6. Total due before withholding and payments (add lines 4 and 5)

...........

7. School district income tax withheld

.......................................................

8. School district estimated tax, SD 40P payments and previous year's

credit carryover to year whose return you are amending

......................

9. Amounts previously paid

.......................................................................

10.

10. Total of lines 7 through 9 ..........................................................................................................................

11. Overpayment shown on original return, on previously ﬁ led amended returns and on previously

11.

corrected returns (even if you have not yet received the refund) .............................................................

12.

12. Line 10 minus line 11 ................................................................................................................................

13. If line 12 is less than line 6 (as amended), subtract line 12 from line 6 and enter the amount owed.

13.

Make your check or money order payable to School District Income Tax ........ AMOUNT YOU OWE

14. If line 12 is greater than line 6 (as amended), subtract line 6 from line 12. Enter the amount of your

14.

refund ...................................................................................................................... YOUR REFUND

If your refund is less than $1.01, no refund will be issued. If you owe less than $1.01, no payment is necessary. Be sure to attach the page 2

Explanation of Corrections.

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge

and belief it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Date received

Code

Interest

Your signature

Date

Mail to:

Spouse's signature (see Ohio form SD 100 instructions)

Phone number

Ohio Department of Taxation

P.O. Box 182389

Preparer's name (please print)

Phone number