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Do not use staples.

Use only black ink.

12020102

Taxable year beginning in

2012

SD 100 Rev. 9/12

School District Income Tax Return

File a separate Ohio form SD 100 for each taxing school district in which you lived during the taxable year.

Taxpayer Social Security no. (required)

If deceased

Spouse’s Social Security no. (only if joint return)

If deceased

Use UPPERCASE letters.

check box

Your ﬁrst name

M.I. Last name

Enter school district # for this return (see pages SD 7-8).

SD#

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

School District Residency – File a separate Ohio form SD 100 for each taxing school district in which you lived during the taxable year.

Check applicable box

Check applicable box for spouse (only if married ﬁling jointly)

Full-year

Part-year resident

Full-year nonresident

Full-year

Part-year resident

Full-year nonresident

resident

of SD# above

resident

of SD# above

Enter date of nonresidency

Filing Status – Check one (must match Ohio income tax return):

Single or head of household or qualifying widow(er)

Do not use staples, tape or glue. Place your W-2(s), check

(payable to School District Income Tax) and Ohio form

Married ﬁling jointly

SD 40P on top of your return. Include forms W-2G and

1099-R if tax was withheld. Place any other supporting

Married ﬁling separately

documents or statements after the last page of your return.

(enter spouse’s SS#)

Go paperless. It’s FREE!

Tax Type – Check one (for an explanation, see page SD 1 of the instructions)

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

I am ﬁ ling this return because during the taxable year I lived in a(n):

Traditional tax base school district. You must start with line 1 below.

Most electronic ﬁ lers receive their refunds

Earned income only tax base school district. You must start with

in 5-7 business days by direct deposit!

Schedule A, line 19 on page 2 of this return.

INCOME INFORMATION – If the amount on line 1 is negative, shade

the negative sign (“–”) in the box provided.

1. Traditional tax base school district ﬁler. Enter on this line your Ohio

taxable income reported on line 5 of Ohio form IT 1040EZ or IT 1040.	}
Earned income only tax base school district ﬁler. Complete Schedule A		1.
on page 2 of this return and then enter on this line the amount you show on

page 2, line 22 of this return.

. 0 0

2. The amount of Ohio taxable income, if any, you earned while not a resident
of the traditional tax base school district whose number you entered above.		,
Earned income only tax base school district ﬁ lers must leave this line blank	2.	,

School district taxable income (line 1 minus line 2; enter -0- if less than zero)............................... 3.

.0 0

NO Payment Enclosed – Mail to:

School District Income Tax

P.O. Box 182197

Columbus, OH 43218-2197

If you have a federal extension of time to ﬁ le, include a copy or the conﬁ rmation number of the extension.

Payment Enclosed – Mail to:

School District Income Tax

P.O. Box 182389

Columbus, OH 43218-2389

2012 SD 100

pg. 1 of 2

2012 SD 100

SS#

12020202

Taxable year beginning in

2012

SD 100 Rev. 9/12

School District Income Tax Return

SD#


3a.	Amount from line 3, page 1			3a.
4.	School district tax rate (use the applicable decimal rate from pages SD 7-8 of the instructions)
	. 0	times line 3a		4.

5.	Senior citizen credit (you must be 65 or older to claim this credit; limit $50 per return)			5.
6.	Total due (line 4 minus line 5; enter -0- if less than zero)			6.
7.	Interest penalty on underpayment of estimated tax. Enclose Ohio form IT/SD 2210 and the
	appropriate worksheet if you annualize			7.
8.	Total due plus IT/SD 2210 interest penalty (add lines 6 and 7)		TOTAL TAX	8.
9.	School district income tax withheld (school district number on W-2(s), W-2G(s) and/or 1099-R(s)
	must agree with school district number in the upper right-hand corner on page 1 of this return) ...			9.
10.	Add the 2012 Ohio form SD 100ES payment(s), 2012 Ohio form SD 40P extension payment(s)
	and 2011 school district overpayment credited to 2012			10.
11.	Add lines 9 and 10		TOTAL PAYMENTS	11.
If line 11 is MORE THAN line 8, go to line 12. If line 11 is LESS THAN line 8, skip to line 15.
12.	If line 11 is MORE THAN line 8, subtract line 8 from line 11		AMOUNT OVERPAID	12.
13.	Amount of line 12 to be credited to 2013 school district income tax liability		...... CREDIT TO 2013	13.
14.	Line 12 minus line 13. Enter here, then skip to line 16			14.
15.	If line 11 is LESS THAN line 8, subtract line 11 from line 8		AMOUNT DUE	15.

16. Interest and penalty due on late-paid tax and/or late-ﬁled return (see page SD 6 of the instructions)...16.

If you entered an amount on line 14, skip to line 18. If you entered an amount on line 15, go to line 17.

,	,	. 0 0
,	,	. 0 0

. 0 0

,	,	. 0 0
,	,	. 0 0
,	,	. 0 0
,	,	. 0 0
,	,	. 0 0
,	,	. 0 0
,	,	. 0 0
,	,	. 0 0
,	,	. 0 0

,,. 0 0

17.Amount due plus interest and penalty (add lines 15 and 16). If payment is enclosed, make check payable to School District Income Tax and include Ohio form SD 40P (see our Web site

at tax.ohio.gov)

AMOUNT DUE PLUS INTEREST AND PENALTY 17.

. 0 0

18. Refund less interest and penalty (line 14 minus line 16). Enter the amount
here. (If line 16 is more than line 14, you have an amount due. Subtract	,	,	.	0	0
line 14 from line 16 and enter this amount on line 17.)	,	,	.	0	0
line 14 from line 16 and enter this amount on line 17.)
YOUR REFUND 18.
YOUR REFUND 18.
If your refund is less than $1.01, no refund will be issued. If you owe less than $1.01, no payment is necessary.

SCHEDULE A – EARNED INCOME ONLY TAX BASE SCHOOL DISTRICT AMOUNTS (See page SD 6 of the instructions.)

Complete this schedule only if you entered an earned income only tax base school district number in the upper right-hand corner on page 1 of this return.

19.	Wages and other compensation described on page SD 6 of the instructions	19.
20.	Net earnings from self-employment described on page SD 6 of the instructions.

	Shade the negative sign (“–”) at right if the amount is less than -0-		.... 20.
21.	Depreciation expense adjustment, if any, described on page SD 6 of the instructions	21.
22.	Add lines 19, 20 and 21. Enter the total here and on line 1 of this return
			.... 22.

,	,	. 0 0
,	,	. 0 0
,	,	. 0 0
,	,	. 0 0

SIGN HERE (required) – See page 1 of this return for mailing information.

I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the return and all enclosures are true, correct and complete.


SIGN HERE (required)		Date
	Your signature	Date

	Spouse’s signature (see page SD 3 of the instructions)	Phone number (optional)

	Preparer’s printed name (see page SD 3 of the instructions)	Phone number

Do you authorize your preparer to contact us regarding this return? Yes No

For Department Use Only

, , .

Code

2012 SD 100

pg. 2 of 2

2012 SD 100

Question	Answer
Form Name	Ohio Sd 100 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	nonresidency, rst, securities and exchange board of india pdf, 2012

Ohio Sd 100 Form – Fill Out and Use This PDF

Ohio Sd 100 Form PDF Details

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