Fayette Income Tax Form - Village Of Fayette
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1
2VILLAGE OF FAYETTE
INCOME TAX RETURN
TAX YEAR
Occupation
DUE ON OR BEFORE APRIL 15
Fayette Resident
Account Number
Social Security No or E.I.D. No
Yes__ No__
NAME AND ADDRESS
Mail To:
Date Moved In or Out
Village of Fayette
of Fayette
Income Tax Department
POB 87
In__Out__ Date_____
Fayette, OH 43521-0087
Phone Number
419-237-2473
Our Web Site:
1. COMPENSATION FROM WAGES - ATTACH W-2'S
NAME OF EMPLOYER
WHERE EMPLOYED
Fayette Tax
Other City Tax W/H
GROSS WAGES
Totals
1
If All of Your Fayette Income is from Wages and You Have No Adjustments to
The Wages, You may Transfer the Amount on Line 1 to Line 12 & Compute Your Tax
2. Income From Self-Employment
2
(Attach Federal Schedule 'C', 'E', 'F' or K-1's)
3. Income From Rents or Leases
3
(Attach Federal Schedule 'E')
4. Partnership Income
4
(Attach Federal Form 1065 or use Amojnt from Line 34 on Page 2)
5. Corporation Income
5
(Attach Federal 1120, 1120S, 1120A)
6. Misc. Income
6
(Attach 1099's or explain source) Do Not Include Dividends or Interest
7. Additions to Income
7
(From Section A, Line 27 on Page 2)
8. Deductions From Income
8
(From Section B, Line 32 on Page 2)
9. Adjusted Net Income
9
(Add Lines 1 thru 9)
10. Percent of Line 9 Allocable to Fayette if Allocation Formula is Used From
Section Y, Line 35 on Page 2______. ______% x Line 9
10
11. Loss Carried Forward
11
(Limited to five most recent prior years)
12. Fayette Taxable Income
12
(Lines 9 + 11 or if there is an entry on Line 10, add Lines 10+11)
13. Tax on Line 12 @1.50%
13
14. City Tax Withheld: ATTACH W-2's_______ Paid by Partnership
14 (
)
15A. Fayette Residents:
15A (
)
Tax Paid to Other Cities on Income on Line 12: Attach City Returns
15B. Other Credits
15B (
)
16. Tax Due Before Deduction for Estimate Payments Line 13
16
(14=15A=15B)
17. Payments and Credit for Estimated Tax
17
18. Balance of Tax Due - Subtract Line 17 from line 16
18
19
19. Add 2210 Assessment for Underpayment of Estimated Tax (Attach Form FAY2210
20. Add Penalty & Interest for Late Payment
20
21. Total Tax, Penalties & Interest Due - Add Lines 18, 19, and 20
21
Payment Must Accompany Return. Make Payment Payable to Village of Fayette Income Tax
22. If Line 18 is an Overpayment, Indicate the Amount to be Credited to the Next Tax Year (_____._____)
or The Amount to be refunded (_______.______)
Amounts Under $1.00 Are Not Due Nor Refundable
Tax Preparer
Tax Payer
MUST
MUST
Sign Here
____________________________________ Sign Here _____________________________
Signature of Tax Preparer
Date
Signature of Taxpayer
Date
This Box For Tax Preparer Use Only
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