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

Spouse’s fi rst name (only if married filing jointly)

M.I.

Last name

Mailing address (for faster processing, use a street address)

City

State

ZIP code

Ohio county (fi rst four letters)

Home address (if different from mailing address) – do NOT show city or state

ZIP code

County (fi rst four letters)

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

Foreign postal code

Single, head of household or qualifying widow(er)

Do not staple or otherwise attach. Place your

Married filing jointly

W-2(s), check (payable to Ohio Treasurer of State),

Ohio form IT 40P and any other supporting documents

Married filing separately



or statements after the last page of your return.

(enter spouse’s SS#)

Include forms W-2G and 1099-R if tax was withheld.

Is someone else claiming you or your spouse (if joint return)

Yes

No

Go paperless. It’s FREE!

as a dependent?

Visit tax.ohio.gov to try Ohio I-File.

Enter the number of dependents. If one or more, include Schedule

J with your Ohio income tax return (see instructions on page 16)....

Most taxpayers who file their returns electronically

Ohio Political Party Fund

Yes

No

and request direct deposit will receive their refunds

in 10-15 business days. Paper returns will take

Do you want $1 to go to this fund?

approximately 30 days to process.

If joint return, does your spouse want $1 to go to this fund?

Note: Checking “Yes” will not increase your tax or decrease your refund.

INCOME AND TAX INFORMATION – If amount is negative, type a negative sign (“–”) before the figure.

10a.

Amount from line 10 on page 1

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

10a.

. 0 0

11.

Joint fi ling credit. See instructions on page 17 for eligibility and documentation requirements

. 0 0

(this credit is for married fi ling jointly status only).

% times line 10a (limit $650)

11.

12.

Ohio income tax less joint fi ling credit (line 10a minus line 11)

12.

. 0 0

13.

Earned income credit (see the worksheet on page 20 of the instructions)

13.

. 0 0

14.

Ohio income tax less earned income credit (line 12 minus line 13)

14.

. 0 0

15.

Interest penalty on underpayment of income tax. Enclose Ohio form IT/SD 2210 (see page

. 0 0

17 of the instructions)

15.

16.

Sales and use tax due on Internet, mail order or other out-of-state purchases (see

. 0 0

instructions on page 34). If you certify that no sales or use tax is due, check here

16.

17.

Total Ohio tax liability (add lines 14, 15 and 16)

TOTAL TAX17.

. 0 0

18.

Ohio income tax withheld (box 17 on W-2; box 15 on W-2G; and box 12 on 1099-R).

. 0 0

Place W-2(s), W-2G(s) and 1099-R(s) after the last page of this return....

AMOUNT WITHHELD18.

REFUND OR AMOUNT YOU OWE

If line 18 is MORE THAN line 17, go to line 19. If line 18 is LESS THAN line 17, skip to line 22.

. 0 0

19.

If line 18 is MORE THAN line 17, subtract line 17 from line 18

AMOUNT OVERPAID19.

20.

Amount of line 19 that you wish to donate to the following fund(s):

a. Military injury relief

b. Wildlife species

c. Ohio Historical Society

1.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

2.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

3.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

4.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

5.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

6.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

2014 Schedule J

2014 Schedule J

- 1 -

7.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

8.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

9.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

10. Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

11.

Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

12. Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

13. Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

14. Dependent’s Social Security no. (required)

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

Dependent’s first name

M.I.

Last name

2014 Schedule J

2014 Schedule J

- 2 -