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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.

22000102

Sequence No. 1

AMENDED RETURN - Check here and include Ohio IT RE.

NOL CARRYBACK - Check here and include Schedule IT NOL.

Primary taxpayer's SSN (required)

If deceased

Spouse’s SSN (if filing jointly)

If deceased

School district #

Do not staple or paper clip.

First name

M.I.

Last name

Spouse's first name (if filing jointly)

M.I.

Last name

Address line 1 (number and street) or P.O. Box

Address line 2 (apartment number, suite number, etc.)

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)

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)

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

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

Do not write in this area; for department use only.

MM-DD-YY Code

2022 IT 1040 – page 1 of 2

2022 Ohio IT 1040

SSN

Individual Income Tax Return

7a.Amount from line 7 on page 1

7a.

8a.Nonbusiness income tax liability on line 7a (see instructions for tax tables)

8a.

8b.Business income tax liability – Ohio Schedule IT BUS, line 14 (include schedule)

8b.

8c. Income tax liability before credits (line 8a plus line 8b)

8c.

9. Ohio nonrefundable credits – Ohio Schedule of Credits, line 35 (include schedule)

10.Tax liability after nonrefundable credits (line 8c minus line 9; if negative, enter zero)

10.

11. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210)

11.

12.Unpaid use tax (see instructions)

............................................................................................................................

12.

13.Total Ohio tax liability before withholding or estimated payments (add lines 10, 11 and 12)

13.

14.Ohio income tax withheld – Schedule of Ohio Withholding, part A, line 1 (include schedule and

income statements)

14.

15.Estimated and extension payments (from Ohio IT 1040ES and IT 40P), and credit carryforward

from last year's return

15.

16.Refundable credits – Ohio Schedule of Credits, line 41 (include schedule)

16.

17. Amended return only – amount previously paid with original and/or amended return

17.

18. Total Ohio tax payments (add lines 14, 15, 16 and 17)

18.

19.Amended return only – overpayment previously requested on original and/or amended return

19.

20.Line 18 minus line 19. Place a "-" in the box if negative

......20.

If line 20 is MORE THAN line 13, skip to line 24. OTHERWISE, continue to line 21.

21.Tax due (line 13 minus line 20). If line 20 is negative, ignore the "-" and add line 20 to line 13

21.

22.Interest due on late payment of tax (see instructions)

22.

23.TOTAL AMOUNT DUE (line 21 plus line 22). Include Ohio IT 40P (if original return) or

IT 40XP (if amended return) and make check payable to “Ohio Treasurer of State”

AMOUNT DUE23.

24.Overpayment (line 20 minus line 13)

24.

25. Original return only – portion of line 24 carried forward to next year’s tax liability

25.

26. Original return only – portion of line 24 you wish to donate:

a. Wildlife Species

b. Military Injury Relief

c. Ohio History Fund

Total....26g.

d. Nature Preserves/Scenic Rivers

e. Breast/Cervical Cancer

f. Wishes for Sick Children

22000202 Sequence No. 2

27. REFUND (line 24 minus lines 25 and 26g).............................................................................YOUR REFUND27.

Sign Here (required): I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge

If your refund is $1.00 or less, no refund will be issued.

and belief, the return and all enclosures are true, correct and complete.

If you owe $1.00 or less, no payment is necessary.

Primary signature

Phone number

NO Payment Included – Mail to:

Spouse’s signature

Date

Ohio Department of Taxation



P.O. Box 2679

Check here to authorize your preparer to discuss this return with the Department.

Columbus, OH 43270-2679

Preparer's printed name

Phone number

Payment Included – Mail to:

Ohio Department of Taxation

P.O. Box 2057

Preparer's TIN (PTIN)

Columbus, OH 43270-2057

2022 IT 1040 – page 2 of 2

2022 Ohio Schedule

of Adjustments

Use only black ink. Use whole dollars only.

Primary taxpayer’s SSN

22000302

Sequence No. 3

	Additions
	(Only add the following amounts if they are not included on Ohio IT 1040, line 1)
1.	Non-Ohio state or local government interest and dividends	1.
2.	Ohio pass-through entity taxes excluded from federal adjusted gross income	2.
2.		2.
3.	Ohio 529 plan funds used for non-qualified expenses	3.
3.	Ohio 529 plan funds used for non-qualified expenses	3.
4.	Losses from sale or disposition of Ohio public obligations	4.
4.	Losses from sale or disposition of Ohio public obligations	4.
5.	Nonmedical withdrawals from a medical savings account	5.
5.	Nonmedical withdrawals from a medical savings account	5.
6.	Reimbursement of expenses previously deducted on an Ohio income tax return	6.
6.		6.
Federal
7.	Internal Revenue Code 168(k) and 179 depreciation expense addback	7.
7.		7.
8.	Exempt federal interest and dividends subject to state taxation	8.
8.		8.
9.	Federal conformity additions	9.
9.	Federal conformity additions	9.
10.	Total additions (add lines 1 through 9 ONLY). Enter here and on Ohio IT 1040, line 2a	10.
10.		10.

	Deductions
	(Only deduct the following amounts if they are included on Ohio IT 1040, line 1)
11.	Business income deduction – Ohio Schedule IT BUS, line 11	11.
12.	Employee compensation earned in Ohio by residents of neighboring states	12.
12.		12.
13.	Taxable refunds, credits, or offsets of state and local income taxes (federal 1040, Schedule 1, line 1)	13.
13.		13.
14.	Taxable Social Security benefits (federal 1040 and 1040-SR, line 6b)	14.
14.		14.
15.	Certain railroad benefits	15.
15.	Certain railroad benefits	15.
16.	Interest income from Ohio public obligations and purchase obligations; gains from the
16.
	disposition of Ohio public obligations; or income from a transfer agreement	16.
17.	Amounts contributed to an Ohio county's individual development account program	17.
17.		17.
18.	Amounts contributed to a STABLE account: Ohio's ABLE plan	18.
18.	Amounts contributed to a STABLE account: Ohio's ABLE plan	18.
19.	Income earned in Ohio by a qualifying out-of-state business or employee for disaster
19.
	work conducted during a disaster response period	19.
Federal
20.	Federal interest and dividends exempt from state taxation	20.
20.	Federal interest and dividends exempt from state taxation	20.
21.	Deduction of prior year 168(k) and 179 depreciation addbacks	21.
21.		21.
22.	Refund or reimbursements from the federal 1040, Schedule 1, line 8z for federal
22.
	itemized deductions claimed on a prior year return	22.

2022 Schedule of Adjustments – page 1 of 2

2022 Ohio Schedule

of Adjustments

Primary taxpayer’s SSN

23.	Repayment of income reported in a prior year	23.

24.	Wage expense not deducted based on the federal work opportunity tax credit	24.
25.	Federal conformity deductions	25.
Uniformed Services
26.	Military pay received by Ohio residents while stationed outside Ohio	26.
27.	Compensation earned by nonresident military servicemembers and their civilian spouses	27.
28.	Uniformed services retirement income	28.
29.	Military injury relief fund grants and veteran’s disability severance payments	29.
30.	Certain Ohio National Guard reimbursements and benefits	30.
Education
31.	Amounts contributed to Ohio CollegeAdvantage: Ohio’s 529 Plan	31.
32.	Pell/Ohio College Opportunity taxable grant amounts used to pay room and board	32.
33.	Ohio educator expenses in excess of federal deduction	33.
Medical
34.	Disability benefits	34.
35.	Survivor benefits	35.
36.	Unreimbursed medical and health care expenses (see instructions for worksheet; include a copy)	...................36.
37.	Medical savings account contributions/earnings (see instructions for worksheet; include a copy)	37.
38.	Qualified organ donor expenses	38.
39.	Total deductions (add lines 11 through 38 ONLY). Enter here and on Ohio IT 1040, line 2b	39.

22000402

Sequence No. 4

2022 Schedule of Adjustments – page 2 of 2

	2022 Ohio Schedule IT BUS
	Business Income
	Use only black ink/UPPERCASE letters.	22260102
	Primary taxpayer’s SSN	22260102
	Primary taxpayer’s SSN

Sequence No. 5

Enter all business income that you (and your spouse, if filing jointly) received during the tax year on this schedule. Enter only those amounts that are included in your federal adjusted gross income. Only one IT BUS should be used for each return filed. See R.C. 5747.01(B). Use whole dollars only.

Part 1 – Business Income From IRS Schedules

Note: Do not include amounts listed on the IRS schedules below that are nonbusiness income.

See R.C. 5747.01(C). If the amount on a line is negative, place a “-“ in the box provided.

1.	Schedule B – Interest and Ordinary Dividends	1.
2.	Schedule C – Net Profit or Loss From Business (Sole Proprietorship)
			....2.

3.	Schedule D – Capital Gains and Losses
			....3.
4.	Schedule E – Supplemental Income and Loss		....4.

5.	Guaranteed payments or compensation from a pass-through entity to a 20% or greater direct
	or indirect owner	5.
6.	Schedule F – Net Profit or Loss From Farming
			.... 6.

7.	Other business income or loss not reported above (e.g. form 4797 amounts)		....7.

8.	Total business income (add lines 1 through 7)		....8.

Part 2 – Business Income Deduction
9.	Enter the lesser of line 8 above or Ohio IT 1040, line 1. If negative, enter zero;
	stop here and do not complete Part 3	9.
10.	Enter $250,000 if filing status is single or married filing jointly; OR
	Enter $125,000 if filing status is married filing separately	10.
11.	Enter the lesser of line 9 or line 10. Enter here and on Ohio Schedule of Adjustments, line 11	11.

Part 3 – Taxable Business Income

Note: If Ohio IT 1040, line 5 is zero, do not complete Part 3.

12.	Line 9 minus line 11		12.
13.	Taxable business income (enter the lesser of line 12 above or Ohio IT 1040, line 5). Enter.	here and
13.		here and
	on Ohio IT 1040, line 6		13.

14.	Business income tax liability – multiply line 13 by 3% (.03). Enter here and on Ohio IT 1040, line 8b		14.	.

Do not write in this area; for department use only.

2022 Schedule IT BUS – page 1 of 2

2022 Ohio Schedule IT BUS

Business Income

Primary taxpayer’s SSN

Part 4 – Business Sources

22260202

Sequence No. 6

List all sources of business income, with Ohio sources listed first. Also separately list your ownership percentage and/or your spouse’s ownership percent- age (if filing jointly). If necessary, complete additional copies of this page and include with your return.

1. FEIN / SSNPrimary ownership

Business name

Spouse’s ownership

			.			%
			.

2. FEIN / SSN

Primary ownership

Spouse’s ownership

Business name

3. FEIN / SSN

Primary ownership

Spouse’s ownership

Business name

4. FEIN / SSN

Primary ownership

Spouse’s ownership

Business name

5. FEIN / SSN

Primary ownership

Spouse’s ownership

Business name

6. FEIN / SSN

Primary ownership

Spouse’s ownership

Business name

7. FEIN / SSN

Primary ownership

Spouse’s ownership

Business name

8. FEIN / SSN

Primary ownership

Spouse’s ownership

Business name

2022 Schedule IT BUS – page 2 of 2

hio

Department of

2022 Ohio Schedule of Credits

Taxation

Use only black ink. Use whole dollars only.

Primary taxpayer’s SSN

22280102 Sequence No. 7

Many of these credits must be calculated using a worksheet and/or be supported by additional required documentation. See the instructions for worksheets and information on supporting documentation.

Nonrefundable Credits

1.	Tax liability before credits (from Ohio IT 1040, line 8c)		1.
2.	Retirement income credit (include 1099-R forms)		2.
3.	Lump sum retirement credit (include a copy of the worksheet and 1099-R forms)		3.
4.	Senior citizen credit (must be 65 or older to claim this credit)		4.
5.	Lump sum distribution credit (include a copy of the worksheet and 1099-R forms)		5.
6.	Child care & dependent care credit (include a copy of the worksheet)		6.
7.	Displaced worker training credit (include a copy of the worksheet and all required documentation)		7.
8.	Campaign contribution credit for Ohio statewide office or General Assembly		8.
9.	Income-based exemption credit		9.
10.	Total (add lines 2 through 9)		10.
11.	Tax less credits (line 1 minus line 10; if negative, enter zero)		11.
12.	Joint filing credit (see instructions for table).	% times line 11, up to $650	12.
12.	Joint filing credit (see instructions for table).	% times line 11, up to $650	12.
13.	Earned income credit		13.
13.	Earned income credit		13.
14.	Home school expenses credit (include copies of all required documentation)		14.
15.	Scholarship donation credit (include copies of all required documentation)		15.
16.	Nonchartered, nonpublic school tuition credit (include copies of all required documentation)		16.
17.	Vocational job credit (include a copy of the credit certificate)		17.
18.	Ohio adoption credit		18.
19.	Nonrefundable job retention credit (include a copy of the credit certificate)		19.
20.	Credit for eligible new employees in an enterprise zone (include a copy of the credit certificate)		20.
21. Grape production credit			21.
22.	InvestOhio credit (include a copy of the credit certificate)		22.
23.	Lead abatement credit (include a copy of the credit certificate)		23.
24.	Opportunity zone investment credit (include a copy of the credit certificate)		24.

Do not write in this area; for department use only.

2022 Schedule of Credits – page 1 of 2

	2022 Ohio Schedule of Credits
	2022 Ohio Schedule of Credits
		Primary taxpayer’s SSN


25.	Technology investment credit carryforward (include a copy of the credit certificate)		25.
26.	Enterprise zone day care & training credits (include a copy of the credit certificate)		26.
27.	Research & development credit (include a copy of the credit certificate)		27.
28.	Nonrefundable Ohio historic preservation credit (include a copy of the credit certificate)		28.
29.	Total (add lines 12 through 28)		29.
30.	Tax less additional credits (line 11 minus line 29; if negative, enter zero)		30.

22280202

Sequence No. 8

Nonresident Credit

Dates of Ohio residency

Other state of residency

31.	Nonresident Portion of Ohio adjusted gross income -
31.	Nonresident Portion of Ohio adjusted gross income -
	Ohio IT NRC Section I, line 18 (include a copy)	31.
32.	Ohio adjusted gross income (Ohio IT 1040, line 3)	32.
32.	Ohio adjusted gross income (Ohio IT 1040, line 3)	32.
33a.	Divide line 31 by line 32 (four decimals; do not round;			.
33a.	Divide line 31 by line 32 (four decimals; do not round;
	if greater than 1, enter 1.0000)		33a.
33.	Nonresident credit (line 30 times line 33a)				33.
33.	Nonresident credit (line 30 times line 33a)				33.
Resident Credit
34.	Resident credit – Ohio IT RC, line 7 (include a copy)				34.
35.	Total nonrefundable credits (add lines 10, 29, 33 and 34; enter here and on Ohio IT 1040, line 9)				35.
35.					35.

	Refundable Credits
36.	Refundable Ohio historic preservation credit (include a copy of the credit certificate)				36.
36.					36.
37.	Refundable job creation credit & job retention credit (include a copy of the credit certificate)				37.
37.					37.
38.	Pass-through entity credit (include a copy of the Ohio IT K-1s)				38.
38.					38.
39.	Motion picture & Broadway theatrical production credit (include a copy of the credit certificate)				39.
39.					39.
40.	Venture capital credit (include a copy of the credit certificate)				40.
40.					40.
41.	Total refundable credits (add lines 36 through 40; enter here and on Ohio IT 1040, line 16)				41.
41.					41.

2022 Schedule of Credits – page 2 of 2

2022 Ohio Schedule

of Dependents

Use only black ink/UPPERCASE letters.

Primary taxpayer's SSN

22230102

Sequence No. 9

Do not list the primary filer and/or spouse (if filing jointly) as dependents on this schedule. Use this schedule to claim dependents. If you have more than 15 dependents, complete additional copies of this schedule and include them with your income tax return. Abbreviate the “Dependent’s relationship to

you” if necessary.
1. Dependent’s SSN	Dependent's date of birth (MM-DD-YYYY)	Dependent’s relationship to you

Dependent’s first name

M.I. Dependent's last name

2. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I. Dependent's last name

7. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I. Dependent's last name

Do not write in this area; for department use only.

2022 Schedule of Dependents – page 1 of 2

2022 Ohio Schedule

of Dependents

22230202

Primary taxpayer's SSN

Sequence No. 10

8. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

9. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

10. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

11. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

12. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

13. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

14. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

15. Dependent’s SSN

Dependent's date of birth (MM-DD-YYYY)

Dependent’s relationship to you

Dependent’s first name

M.I.

Dependent's last name

2022 Schedule of Dependents – page 2 of 2

Question	Answer
Form Name	Ohio Form It 1040Ez
Form Length	16 pages
Fillable?	Yes
Fillable fields	2369
Avg. time to fill out	39 min 49 sec
Other names	ohio state tax forms printable, filling in ohio it 1040 2020 tax form pdf, 1099 form ohio printable, state of ohio tax forms 2021

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