Form Sd 100 - School District Income Tax Return - 2013 Page 2

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Taxable year beginning in
SD 100
Rev. 11/13
2013
School District
SS#
13020206
Income Tax Return
SD#
0 0
.
6a. Amount from line 6, page 1 ........................................................................................................... 6a.
7. School district income tax withheld (school district number on W-2(s), W-2G(s) and/or 1099-R(s)
0 0
.
must agree with school district number in the upper right-hand corner on page 1 of this return) ..... 7.
8. Add the 2013 Ohio form SD 100ES payment(s), 2013 Ohio form SD 40P extension payment(s)
0 0
.
and 2012 school district overpayment credited to 2013 .................................................................. 8.
0 0
.
9. Add lines 7 and 8 ........................................................................................TOTAL PAYMENTS
9.
If line 9 is MORE THAN line 6a, go to line 10. If line 9 is LESS THAN line 6a, skip to line 13.
0 0
.
10. If line 9 is MORE THAN line 6a, subtract line 6a from line 9 ..................... AMOUNT OVERPAID
10.
0 0
.
11. Amount of line 10 to be credited to 2014 school district income tax liability .......CREDIT TO 2014
11.
0 0
.
12. Line 10 minus line 11. Enter here, then skip to line 14.................................................................. 12.
0 0
.
13. If line 9 is LESS THAN line 6a, subtract line 9 from line 6a ............................. AMOUNT DUE
13.
0 0
.
14. Interest and penalty due on late-paid tax and/or late-fi led return (see page SD 4 of the instructions) ... 14.
If you entered an amount on line 12, skip to line 16. If you entered an amount on line 13, go to line 15.
15. Amount due plus interest and penalty (add lines 13 and 14). If payment is enclosed, make
0 0
check payable to School District Income Tax and include Ohio form SD 40P (see our Web site
.
at tax.ohio.gov) ......................................AMOUNT DUE PLUS INTEREST AND PENALTY
15.
16. Refund less interest and penalty (line 12 minus line 14). Enter the amount
here. (If line 14 is more than line 12, you have an amount due. Subtract
0 0
.
line 12 from line 14 and enter this amount on line 15.)
....................................................................................... YOUR REFUND
16.
If your refund is $1.00 or less, no refund will be issued. If you owe $1.00 or less, no payment is necessary.
SCHEDULE A – TRADITIONAL TAX BASE SCHOOL DISTRICT AMOUNTS
(See page SD 5 of the instructions.)
Complete this schedule only if fi ling a traditional tax base school district return.
17. Enter on this line your Ohio taxable income reported on
line 5 of Ohio form IT 1040EZ
0 0
.
or IT 1040.
If the amount is less than -0-, type a negative sign (“–”) before the fi gure at right ..... 17.
0 0
.
18. Small business investor income deduction add-back (see instructions on page SD 5) ................ 18.
19. Total traditional tax base school district income (add lines 17 and 18). If the amount is less
0 0
.
than -0-, type a negative sign (“–”) before the fi gure at right ......................................................... 19.
20. The amount of traditional tax base school district income, if any, you earned while not
0 0
.
a resident of the school district whose number you entered above .............................................. 20.
21. School district taxable income (line 19 minus line 20; enter -0- if less than zero). Enter
0 0
.
here and on line 1 of this return .................................................................................................... 21.
SCHEDULE B – EARNED INCOME TAX BASE SCHOOL DISTRICT AMOUNTS
(See page SD 6 of the instructions.)
Complete this schedule only if fi ling an earned income only tax base school district return.
0 0
.
22. Wages and other compensation described on page SD 6 of the instructions ............................... 22.
23. Net earnings from self-employment described on page SD 6 of the instructions. If the amount
0 0
.
is less than -0-, type a negative sign (“–”) before the fi gure at right .............................................. 23.
0 0
.
24. Depreciation expense adjustment, if any, described on page SD 6 of the instructions................. 24.
25. School district taxable income (add lines 22, 23 and 24; enter -0- if less than zero). Enter here
0 0
.
and on line 1 of this return ............................................................................................................. 25.
SIGN HERE (required):
I have read this return. Under penalties of perjury, I declare that, to
See page 1 of this return for mailing information.
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 SD 3 of the instructions)
Phone number (optional)
Preparer’s printed name (see page SD 3 of the instructions)
Phone number
Do you authorize your preparer to contact us regarding this return?
Yes
No
Code
2013 SD 100
2013 SD 100
pg. 2 of 2

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