Ohio Form It 1040Ez – Fill Out and Use This PDF

Do not staple or paper clip.

2022 Ohio IT 1040

hio

Department of

Individual Income Tax Return

Taxation

Use only black ink/UPPERCASE letters. Use whole dollars only.

First name

M.I.

Last name

Spouse's first name (if filing jointly)

M.I.

Last name

City

State

ZIP code

Ohio county (first four letters)

Foreign country (if the mailing address is outside the U.S.)

Foreign postal code

Residency Status – Check only one for primary

Filing Status – Check one (as reported on federal income tax return)

Resident

Part-year

Nonresident 

Single, head of household or qualifying widow(er)

resident

Indicate state

Married filing jointly

Check only one for spouse (if filing jointly)

Resident

Part-year

Nonresident 

Spouse’s

SSN

resident

Indicate state

Married filing separately

Ohio Nonresident Statement – See instructions for required criteria

Federal extension filers - check here.

Primary meets the five criteria for irrebuttable presumption as nonresident.

Spouse meets the five criteria for irrebuttable presumption as nonresident.

If someone can claim you (or your spouse if filing jointly) as a

dependent, check here.

1. Federal adjusted gross income (federal 1040 or 1040-SR, line 11). Place a "-" in the box

if negative

.....1.

2a.Additions – Ohio Schedule of Adjustments, line 10 (include schedule)

2a.

2b.Deductions – Ohio Schedule of Adjustments, line 39 (include schedule)

2b.

3. Ohio adjusted gross income (line 1 plus line 2a minus line 2b). Place a "-" in the box if negative

....3.

..........................................................4. Exemption amount (include Schedule of Dependents if applicable)

4.

Number of exemptions including you and your spouse/dependents, if applicable:

5. Ohio income tax base (line 3 minus line 4; if negative, enter zero)

5.

6. Taxable business income – Ohio Schedule IT BUS, line 13 (include schedule)

6.

7. Taxable nonbusiness income (line 5 minus line 6; if negative, enter zero)

7.