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Form preview City of springfield oh form CITY OF SPRINGFIELD DIVISION OF TAXATION P. O. BOX 5200 SPRINGFIELD OH 45501 TELEPHONE 937 324-7357 FAX 937 328-3471 TAXPAYER DUE BY APRIL 15 OF FOLLOWING YEAR INDIVIDUAL FILING ONLY SPOUSE ACCT TELEPHONE NUMBERr TELEPHONE IF YOU MOVED DURING THE YEAR DATE MOVED IN OUT FORMER ADDRESS PART I www. ci. springfield. oh. us INCOME TAX RETURN I HAVE ONLY NON-TAXABLE INCOME I AM NOT REQUIRED TO FILE SEE INSTRUCTIONS STATE REASON STATE SOURCE INCOME TOTAL WAGES AND COMPENSATION See instructions See W2 Sample From Worksheet B reverse side Not Less Than -0- TOTAL OTHER INCOME From Worksheet B on on reverse side. See instructions. 2. NET ADJUSTMENTS From Worksheet C on reverse side TOTAL TAXABLE INCOME Add lines 1 through 3 SPRINGFIELD CITY TAX 2 Multiply line 4 by. 02 PAYMENTS AND CREDITS ESTIMATED PAYMENTS / PRIOR YEAR OVERPAYMENT CREDIT WITHHELD FOR SPRINGFIELD From W-2 OTHER CITY TAX CREDIT OR J*E*D*D* TAX CREDIT From Worksheet D on reverse side TOTAL PAYMENTS AND CREDITS Add Lines66through 8 See Instructions Add lines through 8. BALANCE OF TAX DUE line 5 minus line 9 UNDER-PAYMENT OF ESTIMATE PENALTY INTEREST DUE See Instructions. LATE PENALTY LATE PENALTIES See Instructions. INTEREST TOTAL PENALTY AND INTEREST add Lines through 13 TOTAL TAX PENALTY AND INTEREST Add Lines 10 and 13 OVERPAYMENT Line 9 exceeds than Line 5. See Instructions OVERPAYMENT If If Line 9 is moreLine 5 CHECK ONE CREDIT REFUND TRANSFER TO SPOUSE NO REFUNDS OR CREDIT IF LESS THAN 1. 00 CHECK ONE The undersigned declares that this return and accompanying schedules is a true correct and complete return for the taxable period stated and that the figures used herein are the same as used for Federal Income Tax purposes and if an audit of Federal return is made which affects tax liability shown on this return an amended return will be filed within 3 months. SOCIAL SECURITY NUMBER DATE PREPARER S SIG ADDRESS AND ZIP CODE F*E*I. N* OR SOC. SEC. NO. IF THIS RETURN WAS PREPARED BY A TAX PRACTITIONER MAY WE CONTACT YOUR PRACTITIONER DIRECTLY WITH QUESTIONS REGARDING THE PREPARATION OF THIS RETURN MAKE CHECK OR MONEY ORDER PAYABLE TO COMMISSIONER OF TAXATION SPRINGFIELD OHIO IF 1. 00 OR MORE YES NO PLEASE ATTACH COPIES OF ALL W-2 FORMS 1 0 9 9 S AND APPLICABLE FEDERAL SCHEDULES WORKSHEET A - WAGES AND COMPENSATION From W-2 s Location where earned List separately Total wages as shown on W-2 form Withheld for Springfield To Part B Line 1 To Part II WORKSHEET B - OTHER INCOME From Schedules and Attachments TYPE Net Taxable Gain From Fed* Schedule LOCATION Net Taxable Loss Proprietorship Income Schedule C Rental Income Partnership Income Schedule E/K-1 Farm Income Other Income Not Less Than -0- Losses from schedules or businesses including multiple partnerships may not offset gains from other schedules or businesses except sole proprietorships rentals and farmsfarms in the name of the indiother schedules or businesses except sole proprietorships rentals and in the name of the same vidual*individual* Net lossesoffset not offset service compensation wages or wages or W-2 income.
Form preview Ms sales tax form 2002 DIRECT 001 Mississippi Sales Tax Return Form 72-010-01-8-1-000 Rev. 8/02 DO NOT STAPLE THIS RETURN Instructions Round to nearest dollar. Do not include pennies. See enclosed for detailed instructions. Please insert the appropriate Tax Code for each Tax Category in the boxes provided* The Tax Codes are listed in the instructions. Your return cannot be processed without the Tax Code. 1a* Tax Code for General Sales Tax Rate. Gross Income or Sales. 3a* Deductions From Schedule on back. 4a* Taxable Gross Income. 5a* Rate of Tax From Table in instructions. 6a* Tax Category 2a* Tax Calculated - To Line 7 or Line 12. 1b. 3b. 5b. 6b. 1c* Name Address City State 2c* 3c* 4c* 6c*. Year Last Month Monthly OR Quarterly Annual m m You MUST use the filing period assigned by the Tax Comm* Only standard filing periods may be used* The periods are 4d. 5d. 6d. 2d. Address Change Make changes above 1e. 2e. 3e. 4e. 5e. 6e. y y Quarterly 01 to 03 04 to 06 07 to 09 or 10 to 12 Annual 01 to 12 Additional Tax Final Return Close Account Tax Summary This Section Must be Completed Tax Due for Tax Codes 12 13 28 56 65 73 74 and 93 Excess Collections Balance Line 7 plus Line 8 Discount 2 of Line 9 Limited to 50. 00 per Return Balance of Tax Due Line 9 minus Line 10 64 71 72 80 85 86 87 Total Tax Due Line 11 plus Line 12 Tax Credit See Instructions Net Tax Due Line 13 Minus Tax Code From Table in instructions. Amended Return to Change of Status 3d. - First Month Filing Period 1d. Zip Account Number If your Account Number is not on the label or no label is present enter your Account Number here. 5c* This form must be filed even though no tax is due. Copies or reproductions of the official form are not acceptable. Failure to submit your return on the original form may result in a penalty. Due Date Due 1st to 20th delinquent after 20th. No discount allowed and add penalty if delinquent. 2b. 4b. SL Penalty See Instructions Credit Adjustments See Additional Assessments See Total Due I declare under the penalties of perjury that this return including any accompanying schedules has been examined by me and to the best of my knowledge and belief is a true correct and complete return* Signature of Taxpayer or Agent Mail Return To P. O. Box 960 Jackson MS 39205 Date Phone Number Schedule of Itemized Deductions Sales to/of Dollars 1. Sales Tax Included*. 2. Wholesale sales - Sales for Resale. 3. Sales to Direct Pay Permit Holders. 4. Sales to Material Purchase Certificate Holders. 5. Sales Delivered Outside of 6. Sales of Prescription Drugs and Medicines. 7. Sales of Motor Fuels. 8. Sales of Food Purchased with Food Stamps. 9. Other Non-Taxable Sales List Total*. Prime Contractor Tax Schedule 1 1/2 - Tax Code 60 - For Contracts Taxable at 1 1/2 Column 1 Material Purchase Certificate Number 10. Total - To Tax Category on front of the return Use Tax Code 60. Compensation Received this Month or Contract Amount Amount of Contractor s Tax Due this Month. Do not include pennies. See enclosed for detailed instructions. Please insert the appropriate Tax Code for each Tax Category in the boxes provided* The Tax Codes are listed in the instructions. Your return cannot be processed without the Tax Code. 1a* Tax Code for General Sales Tax Rate. Gross Income or Sales.
Form preview West virginia estimated tax fo... DETACH STUB before mailing WV/IT-140ES INDIVIDUAL ESTIMATED INCOME TAX PAYMENT VOUCHER Rev. 10/99 Instructions for making your estimated payments are on the back of this form. PAYMENT DUE DATE TAX YEAR enter year ending date West Virginia Estimated Income Tax Your Last Name Your First Name Date Paid Check No. Check here if you need additional vouchers to make future payments for this tax year. Make your remittance payable to the State Tax Department. Spouse s Social Security Number SPOUSE Your Social Security Number YOU Due Date of Payment FISCAL YEAR FILERS ONLY Spouse s Last Name if different Spouse s First Name Complete the estimated tax worksheet in the instruction brochure Form IT-140ESI to calculate your estimated tax and the minimum amount you should pay with each voucher. Use the payment table in the brochure to track your estimated payments and credits. Mailing Address City Amount of This Payment State Zip Code. Amount Paid INSTRUCTIONS FOR MAKING ESTIMATED PAYMENTS DO NOT USE SPACE ABOVE If you expect to owe at least 600 in State tax when you file your annual income tax return you are required to make estimated tax payments using this form* Determine your estimated tax using the instruction brochure Form IT-140ESI. Write the amount of your payment on this form* You must pay at least the minimum amount calculated using the instructions to avoid being penalized however you may pay more than the minimum if you wish. Be sure to post your payment in the payment table. If you are not a calendar year taxpayer you should see the instructions to determine the due dates of your payments. When entering the amount of your payment please print your numbers like the examples below. Make your check or money order payable to Mail your voucher and payment to Internal Auditing Division - EST PO Box 342 Charleston WV 25322-0342. Make your remittance payable to the State Tax Department. Spouse s Social Security Number SPOUSE Your Social Security Number YOU Due Date of Payment FISCAL YEAR FILERS ONLY Spouse s Last Name if different Spouse s First Name Complete the estimated tax worksheet in the instruction brochure Form IT-140ESI to calculate your estimated tax and the minimum amount you should pay with each voucher. Use the payment table in the brochure to track your estimated payments and credits. Mailing Address City Amount of This Payment State Zip Code. Use the payment table in the brochure to track your estimated payments and credits. Mailing Address City Amount of This Payment State Zip Code. Amount Paid INSTRUCTIONS FOR MAKING ESTIMATED PAYMENTS DO NOT USE SPACE ABOVE If you expect to owe at least 600 in State tax when you file your annual income tax return you are required to make estimated tax payments using this form* Determine your estimated tax using the instruction brochure Form IT-140ESI. Amount Paid INSTRUCTIONS FOR MAKING ESTIMATED PAYMENTS DO NOT USE SPACE ABOVE If you expect to owe at least 600 in State tax when you file your annual income tax return you are required to make estimated tax payments using this form* Determine your estimated tax using the instruction brochure Form IT-140ESI. Write the amount of your payment on this form* You must pay at least the minimum amount calculated using the instructions to avoid being penalized however you may pay more than the minimum if you wish.
Form preview Print 2016 bethlehem city pa t... FORM 531 INSTRUCTION SHEET CITY OF BETHLEHEM TAX BUREAU 10 E. CHURCH STREET BETHLEHEM PA 18018 MAILING ADDRESS P. Failure to file your return may subject you to a fine of up to 500. 00. A HUSBAND AND WIFE MAY NOT FILE JOINTLY ON THIS FORM. TAX CALCULATIONS MUST BE REPORTED SEPARATELY. JOINT FILING I. E. COMBINING INCOME ETC. IS NOT PERMITTED. Failure to receive a Local Earned Income Tax Return is no excuse for a taxpayer not filing a return. Deductions will automatically be denied when required documentation is not attached. IMPORTANT - WHO MUST FILE A FINAL RETURN All residents of the City of Bethlehem and the Borough of Freemansburg who are employed or self-employed and all non-residents who work or are self-employed within the City of Bethlehem and the Borough of Freemansburg. Any person who receives a tax form if you received a tax form but did NOT work you must still return the form and indicate the reason that no income is shown full time student homemaker disabled retired unemployed etc. INSTRUCTIONS FOR COMPLETING THE LOCAL EARNED INCOME TAX RETURN FORM 531 Line 1 List GROSS earnings wages salaries commisions etc. regardless where received. Attach a copy of the withholding statements W-2 from each employer. If you had no earnings indicate the reason why homemaker disabled unemployed etc. Line 2 Business expenses for which an employee has NOT been reimbursed are allowed as a deduction from gross wages provided such expenses are required by the employer in order for the taxpayer to keep his present job. Refer to section on Unreimbursed Business Expenses. Business deductions must be taken with regard to each business SEPARATELY as a deduction from the business income thereof and CANNOT be consolidated in any form. Attach appropriate PA schedules. Failure to receive a Local Earned Income Tax Return is no excuse for a taxpayer not filing a return. Deductions will automatically be denied when required documentation is not attached. IMPORTANT - WHO MUST FILE A FINAL RETURN All residents of the City of Bethlehem and the Borough of Freemansburg who are employed or self-employed and all non-residents who work or are self-employed within the City of Bethlehem and the Borough of Freemansburg. Any person who receives a tax form if you received a tax form but did NOT work you must still return the form and indicate the reason that no income is shown full time student homemaker disabled retired unemployed etc. INSTRUCTIONS FOR COMPLETING THE LOCAL EARNED INCOME TAX RETURN FORM 531 Line 1 List GROSS earnings wages salaries commisions etc. regardless where received. Attach a copy of the withholding statements W-2 from each employer. If you had no earnings indicate the reason why homemaker disabled unemployed etc. Line 2 Business expenses for which an employee has NOT been reimbursed are allowed as a deduction from gross wages provided such expenses are required by the employer in order for the taxpayer to keep his present job. TAX CALCULATIONS MUST BE REPORTED SEPARATELY. JOINT FILING I. E. COMBINING INCOME ETC. IS NOT PERMITTED. Failure to receive a Local Earned Income Tax Return is no excuse for a taxpayer not filing a return. Deductions will automatically be denied when required documentation is not attached. IMPORTANT - WHO MUST FILE A FINAL RETURN All residents of the City of Bethlehem and the Borough of Freemansburg who are employed or self-employed and all non-residents who work or are self-employed within the City of Bethlehem and the Borough of Freemansburg. Any person who receives a tax form if you received a tax form but did NOT work you must still return the form and indicate the reason that no income is shown full time student homemaker disabled retired unemployed etc. INSTRUCTIONS FOR COMPLETING THE LOCAL EARNED INCOME TAX RETURN FORM 531 Line 1 List GROSS earnings wages salaries commisions etc. regardless where received. Attach a copy of the withholding statements W-2 from each employer.
Form preview Rev 1737 1 form REV-1737-1 EX 6-08 PO BOX 280601 HARRISBURG PA 17128-0601 START NONRESIDENT DECEDENT AFFIDAVIT OF DOMICILE This affidavit must be completed and sworn to by a person having personal knowledge of these facts preferably by a surviving spouse or member of the decedent s family. Name of Decedent Legal Address at Time of Death Street Address Date of Death MM/DD/YYYY City/Borough State ZIP Code The following information is submitted in support of the statement that the above individual was not domiciled in the Commonwealth of Pennsylvania at the date of death. Names and addresses of the decedent s surviving spouse and members of his/her immediate family Name and Relationship to Decedent Did the decedent ever live in Pennsylvania If yes during what periods Yes No What was the nature of decedent s place s of residence during the five years immediately preceding death Indicate whether decedent resided in a house or apartment and whether it was rented or owned by the decedent and/or whether decedent resided in a hotel or the home of relatives or friends. Was the decedent employed during the five years preceding death If yes list the name s and address es of employer s. If yes state the court that admitted the will to probate and the date admitted and attach a copy including all codicils and a certificate of issuance of letters testamentary. If the decedent did not leave a will has an administrator of the estate been appointed 8. At any time during the last five years did the decedent execute a will codicil trust indenture deed mortgage lease or any other document in which the decedent was described as a resident of Pennsylvania If yes describe such document. Reset Entire Form RETURN TO TOP NEXT PAGE PRINT FORM continued Page 2 If yes where and when was it paid 10. To what regional office of the Internal Revenue Service did the decedent forward his federal income tax returns during the last five years preceding death 11. At the time of death did the decedent own individually or jointly any interest in real property including lease-holds or tangible personal property located in Pennsylvania 12. In what business activities was the decedent engaged during the last five years preceding death 13. What is the estimated gross value of the decedent s estate exclusive of real property and tangible property located outside of Pennsylvania If yes in which state was it registered If yes provide the name and address of the church or any other organization* 16. State the purpose or reason the decedent owned real property in Pennsylvania* 17. Include any other information you wish to submit in support of the contention that the individual was not domiciled in Pennsylvania at the time of death. If more space is needed use additional sheets of paper of same size. Name of Person Completing Affidavit Relationship to Decedent City Under penalties of perjury I declare that based on my personal knowledge of the decedent the information provided on this form is true correct and complete.

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