Income Tax Return Form PDF Details

Filing an Income Tax Return is an annual obligation that ensures individuals contribute to public services and infrastructure, dictated by the CITY OF SPRINGFIELD DIVISION OF TAXATION. The form, due by April 15 of the following year, is targeted at individuals, accounting for wages, compensation, and additional income with provisions for those who have moved during the tax year. Key components of the return include declaring non-taxable income, calculating taxable earnings from various sources, and determining the city tax based on a 2% rate. Taxpayers also need to navigate through adjustments to income, credits for taxes paid to other cities or developments, and penalties for underpayment or late submissions. Detailed instructions accompany each section to guide the taxpayer, highlighting the necessity of attaching documentation such as W-2 and 1099 forms, along with federal schedules for a coherent submission. The form emphasizes accurate reporting, reflecting figures used for federal tax purposes, and mandates an amendment if audits alter the reported tax liability. Individuals must declare their understanding and compliance by signing, indicating whether a tax practitioner was involved, thereby ensuring accountability and adherence to the taxation process in Springfield.

QuestionAnswer
Form NameIncome Tax Return Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesspringfield ohio tax, city of sringfield ohio 2019 tax forms, city of springfield income tax, city taxes springfield ohio

Form Preview Example

CITY OF SPRINGFIELD DIVISION OF TAXATION P.O. BOX 5200 SPRINGFIELD, OH 45501 TELEPHONE: (937) 324-7357 FAX: (937) 328-3471

______ INCOME TAX RETURN

DUE BY APRIL 15 OF FOLLOWING YEAR

INDIVIDUAL FILING ONLY

www.ci.springfield.oh.us

TAXPAYER

ACCT #

SPOUSE

ACCT #

 

 

 

 

TELEPHONEPHONE NUMBERr

 

 

 

 

 

 

TELEPHONELEPHONE NUMBERr

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IF YOU MOVED DURING THE YEAR: DATE MOVED: IN

 

OUT

 

IF YOU MOVED DURING THE YEAR: DATE MOVED: IN

 

OUT

FORMER ADDRESS

 

 

 

 

 

FORMER ADDRESS

 

 

 

 

PART I

I HAVE ONLY NON-TAXABLE INCOME

I AM NOT REQUIRED TO FILE

SEE INSTRUCTIONS

STASTATEREASONSOURCE

PART I

I HAVE ONLY NON-TAXABLE INCOME

 

 

SEE INSTRUCTIONS

I AM NOT REQUIRED TO FILE

STASTATEREASONSOURCE

PART II

1.

2.

3.

4.

5.

 

 

INCOME

 

 

 

 

 

PART II

1.

TOTAL WAGES AND COMPENSATION (See instructions)

 

1.

 

 

 

 

 

 

(See W2 Sample)

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

TOTAL OTHER INCOME((FrorommWWorksheet BtonB onreversreversside,e sideNot. SeLessinstructionsTha-0-)

.)

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

NET ADJUSTMENTS (From Worksheet C on reverse side)

 

3.

 

 

 

 

4.

TOTAL TAXABLE INCOME (Add lines 1 through 3)

 

4.

 

 

 

 

5.

SPRINGFIELD CITY TAX 2% (Multiply line 4 by .02)

 

5.

 

 

 

 

 

 

 

PAYMENTS AND CREDITS

6.

7.

8.

9.

10.

11.

11.

12.

12.

13.

13.14.

145.

156.

CHECK ONE: CREDIT

REFUND

6.

ESTIMATED PAYMENTS / PRIOR YEAR OVERPAYMENT CREDIT

6.

 

 

 

 

 

7.

WITHHELD FOR SPRINGFIELD (From W-2)

7.

 

 

 

 

 

 

 

 

 

 

8.

OTHER CITY TAX CREDIT OR J.E.D.D. TAX CREDIT (From Worksheet D on reverse side)

8.

 

 

 

 

 

 

 

 

 

 

 

TOTAL PAYMENTS AND CREDITS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

(Add Linesesli 66ththroughough 8)8. See Instructions)

9.

 

 

 

 

 

10.

BALANCE OF TAX DUE (line 5 minus line 9)

10.

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

UNDER-PAYMENT OF ESTIMATE PENALTY

 

 

11.

 

 

 

 

 

 

11.

INTEREST DUE (See Instructions.)

 

 

11.

 

 

 

 

 

 

12.

LATE PENALTY

 

12.

 

 

 

 

 

 

 

 

 

 

 

 

12.

LATE PENALTIES (See Instructions.)

 

12.

 

 

 

 

 

 

13.

INTEREST

 

13.

 

 

 

 

 

 

13.

TOTAL PENALTY AND INTEREST (add Lines 11 and 12)

 

 

 

13.

 

 

14.

TOTAL PENALTY AND INTEREST (Add Lines 11 through 13)

 

14.

 

 

14.

10

 

 

 

 

 

 

 

 

5.

TOTAL TAX,PENALTYANDINTEREST((AddLLines10 anand1413)

 

145..

 

 

165..

OVERPAYMENTPAYMENT (If(IfLiLinee 9 9exceedsis moreLithane 5)Line 5. See Instructions)

 

156..

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSFER TO SPOUSE

(NO REFUNDS OR CREDIT IF LESS THAN $1.00)

CHECK ONE:

CREDIT

2008

REFUND

TRANSFER TO SPOUSE

PART III

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

TAXPAYER

 

(DATE)

SOCIAL SECURITY NUMBER

SPOUSE

 

(DATE)

PPARTEPA ER SIVGS

 

 

 

 

 

 

 

 

 

 

PREPARER S SIGNATURE (OTHER THAN TAXPAYER)

 

(DATE)

 

F.E.I.N. OR SOC. SEC. NO.

 

 

 

ADDRESS (AND ZIP CODE)

 

 

 

 

TELEPHONE

 

 

 

 

IF THIS RETURN WAS PREPARED BY A TAX PRACTITIONER, MAY WE CONTACT YOUR PRACTITIONER DIRECTLY WITH QUESTIONS REGARDING THE PREPARATION OF THIS RETURN?

YES

NO

 

(MAKE CHECK OR MONEY ORDER PAYABLE TO COMMISSIONER OF TAXATION, SPRINGFIELD, OHIO, IF $1.00 OR MORE)

 

 

PLEASE ATTACH COPIES OF ALL W-2 FORMS, 1 0 9 9 S, AND APPLICABLE FEDERAL SCHEDULES

TAXPAYER

WORKSHEET A - WAGES AND COMPENSATION (From W-2 s)

Location where earned -

Total wages

Withheld for

List separately

(as shown on W-2 form)

Springfield

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(To Part B,II, Line 1)

WORKSHEET B - OTHER INCOME (From Schedules and Attachments)

SPOUSE

WORKSHEET A - WAGES AND COMPENSATION (From W-2 s)

Location where earned -

Total wages

Withheld for

List separately

(as shown on W-2 form)

Springfield

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(To Partt B,II Line 1)

WORKSHEET B - OTHER INCOME (From Schedules and Attachments)

TYPE

Proprietorship Income (Schedule C)

Rental Income

(Schedule E)

Partnership Income (Schedule E/K-1)

Farm Income

(Schedule F)

Other Income

LOCATION

(To(Part B,II Line 2)

Net Taxable Gain From Fed. Schedule

Net Taxable Loss From Fed. Schedule

(Not Less Than -0-)

TYPE

Proprietorship Income (Schedule C)

Rental Income

(Schedule E)

Partnership Income (Schedule E/K-1)

Farm Income

(Schedule F)

Other Income

LOCATION

(To(Partt B,II Line 2)

Net Taxable Gain From Fed. Schedule

Net Taxable Loss From Fed. Schedule

(Not Less Than -0-)

Losses from schedules or businesses, including multiple partnerships, may not offset gains from other

Losses from schedules or businesses, including multiple partnerships, may not offset gains from

 

or

 

sole

farms in the

of

indi-

scheduleschedulbusinessessother

or businessexcepts exceptproprietorships,ole proprietorshiprentals, reandtals and farms inameth

namtheofsameth

 

vidual. Net

may not offset

 

or W-2 income.

 

same individualosses. Net losses may

notpersonalffset serviceonalpcompensation,ervice compenwagesation, wages or W-2 income.

Partnership losses may not offset partnership, sole proprietorship, rental or farm gains. Partnership losses may not offset partnership, sole proprietorship, rental or farm gains.

Jointly owned rental property gains/losses are allocated equally among owners of record, unless Jointly owned rental property gains/losses are allocated equally among owners of record. otherwise indicated.

WORKSHEETT C --AADJUSTMENTSJUSTMENTS TOTOININCOMEOME - Must fully explain and support

with documentation and calculations. Proration of income results in proration of credit.

EMPLOYEE BUSINESS EXPENSE

$

 

 

......................EMPLOYEE BUSINESS EXPENSE (e)

$

 

 

(See Instructions)

*

 

(To Part B, Line 3)

 

 

 

 

(To Part B,II, Line 3)

 

 

FEDERAL

A AND FORM 2106

 

*MUSTATTACHH BOTH SCHEDULSCHEDULEA AN 2106

 

 

SEE INSTRUCTIONS FOR DEDUCTION LIMITATIONS.

 

 

 

OTHER ADJUSTMENTS

$

 

 

OTHER ADJUSTMENTS

$

(To Part B, Line 3)

 

 

 

 

 

(To Part B,II, Liine 3)) Must fully explain, plus support with documentation and calculations. Proration of

income results in proration of credit.

WORKSHEET D - CREDIT FOR OTHER CITY TAX OR JOINT ECONOMIC DEVELOPMENT DISTRICT (JEDD) TAX PAID - SEE INSTRUCTIONS WORKSHEET D - OTHER CITY TAX CREDIT AND JOINT ECONOMIC

DEVELOPMENTOther City CreditDISTRICTAllowed: 1/2TAXofCREDITtax correctly- SEEpaid,INSTRUCTIONSmaximum allowable credit 1% of taxable income earned in other jurisdictions.

D-1

Cities orA J.E.D.D. with tax rateB UP TO 2%.

C

D

E

Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other entity.

 

TAXABLE

OTHER

 

2 % of

LESSER of

L CATION

TAXABLE INCOME

 

 

TAX PAID

LOCATION

INCOME

CITY TAX

Column B

Column C or D

 

PAID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

ALLOWABLE CREDIT, (To Part B,

Line 8)

 

X .5

 

 

 

D-2

 

 

 

 

 

 

 

 

 

 

 

 

 

Cities with tax rate GREATER than 2% (i.e. Dayton - 2.25%, Oakwood - 2.5%)

Other City Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other city.

Losses fromm schedulesles or businesses,nesses, iincludingcluding mmultipleltiple ppartnerships,rtnerships, mamay nonot ooffsetset ggainsins ffromom

other

or

sole

farms in the

of

indi-

scheduleschedulbusinessessother

or businessexcepts exceptproprietorships,le pr

prietorshiprentals, reandtals and farms innameth namtheofsameth

 

vidual. Net

may not offset

or W-2 income.

 

same individualosses. Net losses may notpersonalffset servicersonalpcompensation,ervice compenwagesation, wages or W-2 income.

Partnership losses may not offset partnership, sole proprietorship, rental or farm gains. Partnership losses may not offset partnership, sole proprietorship, rental or farm gains.

Jointly owned rental property gains/losses are allocated equally among owners of record, unless Jointly owned rental property gains/losses are allocated equally among owners of record. otherwise indicated.

WORKSHEETT C --AADJUSTMENTSJUSTMENTS TOTOININCOMEOME - Must fully explain and support

with documentation and calculations. Proration of income results in proration of credit.

EMPLOYEE BUSINESS EXPENSE

$

 

 

......................EMPLOYEE BUSINESS EXPENSE (e)

$

 

 

(See Instructions)

*

 

(To Part B, Line 3)

 

 

 

 

(To Part B,II, Line 3)

 

 

FEDERAL

A AND FORM 2106

 

*MUSTATTACH BOTH SCHEDULSCHEDULEA AN 2106

 

 

SEE INSTRUCTIONS FOR DEDUCTION LIMITATIONS.

 

 

 

OTHER ADJUSTMENTS

$

 

 

OTHER ADJUSTMENTS

$

(To Part B, Line 3)

 

 

 

 

 

(To Part B,II, Liine 3)) Must fully explain, plus support with documentation and calculations. Proration of

income results in proration of credit.

WORKSHEET D - CREDIT FOR OTHER CITY TAX OR JOINT ECONOMIC

DEVELOPMENT DISTRICT (JEDD) TAX PAID - SEE INSTRUCTIONS

 

 

 

WORKSHEET D - OTHER CITY TAX CREDIT AND JOINT ECONOMIC

 

 

 

DEVELOPMENTOther City CreditDISTRICTAllowed: 1/2TAXofCREDITtax correctly- SEEpaid,INSTRUCTIONSmaximum allowable credit 1% of

 

taxable income earned in other jurisdictions.

 

 

 

 

 

D-1

 

 

 

 

 

 

 

 

 

 

 

 

Cities orA J.E.D.D. with tax rateB UP TO 2%.

 

C

D

 

 

E

 

Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other

 

entity.

 

 

 

 

TAXABLE

 

 

OTHER

2 % of

 

 

LESSER of

 

LOCATLOCATIONN

 

TAXABLECITYNCOMETAX

TAX

 

 

 

INCOME

Column B

 

PAID

 

 

 

 

 

 

PAID

 

 

Column C or D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALLOWABLE CREDIT,

 

(To Part B, Line 8)

 

X

 

.5

 

 

 

 

 

 

 

 

 

 

D-

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cities with tax rate GREATER than 2% (i.e. Dayton - 2.25%, Oakwood - 2.5%)

Other City Credit Allowed: 1/2 of tax correctly paid, max. 1% of taxable income earned in other city.

A

LOCATION

B

TAXABLE INCOME

C

OTHER CITY

TAX PAID

D

E

 

LESSER of

2% of Column B

Column C or D

 

 

 

 

TOTALTAL

XX ..55

A

 

 

 

 

B

 

 

C

 

 

D

 

E

 

 

 

 

 

 

 

OTHER CITY

 

 

 

 

LESSER of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION

TAXABLE INCOME

TAX PAID

2% of Column B

 

Column C or D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTOTALAL

XX ..5

ALLOWABLE CREDIT, (To Part B, Line 8) ALLOWABLE CREDIT, (To Part II, Line 8)

ALLOWABLE CREDIT, (To Part B, Line 8) ALLOWABLE CREDIT, (To Part II, Line 8)