Form Sd 100x - Ohio Amended School District Income Tax Return - 2013 Page 2
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3SD 100X
SS#
Year
SD#
Rev. 11/13
SCHEDULE A – Traditional Tax Base School District Amounts
Complete this schedule only if you fi led a traditional tax base school district return (SD 100).
15. Enter on this line your Ohio taxable income reported on line 5 of Ohio form IT 1040EZ
00
...............
.....
15.
or IT 1040. Shade the negative sign (“–”) at right if the amount is less than -0-
16. Small business investor income deduction add-back (see page SD 5 in the 1040
00
16.
instructions)
..................................................................................................................................
00
17.
.............................
.....
17. Total traditional tax base school district income (add lines 15 and 16)
18. The amount of traditional tax base school district income, if any, you earned while
00
18.
............................................
not a resident of the school district number you entered on page 1
19. School district taxable income (line 17 minus line 18; enter -0- if less than zero). Enter
00
19.
here and on line 1 of this return
...................................................................................................
SCHEDULE B – Earned Income Tax Base School District Amounts
Complete this schedule only if you fi led an earned income only tax base school district return (SD 100).
00
.................
20.
20. Wages and other compensation described on page SD 6 of the IT 1040 instructions
21. Net earnings from self-employment described on page SD 6 of the instructions.
00
..................................
.....
21.
Shade the negative sign (“–”) at right if the amount is less than -0-
00
22. Depreciation expense adjustment, if any, described on page SD 6 of the instructions
................
22.
23. School district taxable income (add lines 20, 21 and 22; enter -0- if less than zero). Enter
00
here and on line 1 of this return
....................................................................................................
23.
Reason and Explanation of Corrections
Please attach documentation to support any adjustments to line items. Refer to page 3 of these
instructions to identify required documentation for complete processing of the amended return.
Reason(s):
Net operating loss carryback (please be sure to complete
Ohio form IT 1040, Schedule A, additions to income
and include form IT NOL, Net Operating Loss Carryback
Ohio form IT 1040, Schedule A, deductions from income
Worksheet)
Senior citizen credit claimed
Federal adjusted gross income decreased (see #4 in
Ohio form IT/SD 2210 interest penalty amount increased
the SD 100X instructions)
Ohio form IT/SD 2210 interest penalty amount decreased
Federal adjusted gross income increased (see #4 in
the SD 100X instructions)
School district withholding increased
Change in amount of earned income (earned income
School district withholding decreased
only tax base fi lers)
Estimated and/or Ohio form SD 40P amount or previous year
Filing status changed
carryforward overpayment increased
Residency status changed
Estimated and/or Ohio form SD 40P amount or previous year
carryforward overpayment decreased
Exemptions increased (traditional tax base fi lers)
Amount paid with original fi ling did not equal amount reported
Exemptions decreased (traditional tax base fi lers)
as paid with the return
Additional explanation (attach additional sheet(s) if necessary):
E-mail address (optional)
Telephone number (optional)
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