Individual Tax Return 2016 Form - City Of Cincinnatiincome Tax Division
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1
2City of Cincinnati
11111
Click on the fields below and type in your
Individual Tax Return
Income Tax Division
information. Then print the form and mail it to
2016
PO Box 637876
our office.
Cincinnati OH 45263-7876
Tax Return is due by
TO EXPEDITE PROCESSING,
Phone: (513) 352-2546
April 18, 2017
PLEASE DO NOT STAPLE
E-file available at:
THIS SPACE IS FOR OFFICIAL USE ONLY
Social Security Number: _________________
Please check all that apply:
Account Number: __________________
Spouse’s SSN:_________________________
First year filer_________________
Used Federal Sch C, E, F or K-1__
Name(s)
Email: ____________________________
Athlete or Entertainer___________
Amended Return_______________
Refund
Current Address:
(Amount must be entered on
Line13 to be a valid refund request)_____
City/State/Zip:
Account Should be Closed__________
Reason: _________________________
If part-year, resident indicate dates of Cincinnati residency: From_____________To______________
Part A
Tax Calculation
Total Qualifying Wages (Enclose W-2 Forms & Copy of Federal Tax Return) For Multiple W-2s Complete
$
Worksheet A on Page 2………………………………………………………………(Use Box 5, Not Box 1)
1.
$
Less Employee Deductions (Enclose Federal Form 2106 and Schedule A)………………..……………………….
2.
$
3.
Taxable Wages Before Adjustment. (Line 1 minus Line 2) …………..………………………………………..……..…
$
4.
Less Nontaxable Income (part year or non-residents only) (provide calculations)…………………………………….
$
5.
Taxable Qualified Wages (Line 3 minus Line 4)………………………………………………………...…………………
Other Income or (Loss) from Federal Schedules C, E, F, K-1, 1099-MISC less Carryforward Loss claimed
$
(Complete Worksheet B on page 2 and enclose copies of all Federal Schedules)………………………………
6.
$
Cincinnati Taxable Income (Line 5 plus Line 6) Losses on Line 6 do not offset W-2 Income from Line 5……..
7.
$
8.
Cincinnati Income Tax (Multiply Line 7 by 2.1% [.021])…………………………………………………………………...
$
9 a.
Cincinnati Tax Withheld (per W-2s)……………………………………….
$
9 b.
Estimates Paid (including credit from a previous year)…………………..
Other Local Taxes Paid, Not to Exceed 2.1% (Enclose W-2s or Other
$
9 c.
City returns)…………………………………………………………………..
$
10.
Total Payments and Credits (Lines 9a + 9b + 9c)…….…………………………………………………………………..
$
(Amounts less than $10.00 are not due)
11.
Tax Due (Subtract Line 10 from Line 8)
………………………………………..
Federal Extension filed
$
12.
Overpayment (Line 10 greater than Line 8)………………………………
If yes, attach copy
$
Yes
(Amounts less than $10.00 will not be refunded)..
13.
Amount to be Refunded
$
No
14.
Credit to Next Year…………………………………………………………..
Part B
Declaration of Estimated Tax for 2017
$
15.
Total Estimated Income Subject to Tax……………………………………………….……………………………………
$
16.
Cincinnati Estimated Income Tax Due (Multiply Line 15 by 2.1% [.021])……….……………………………………...
$
17.
Estimated Taxes Withheld from Wages…………………………………………………………………………………….
Estimated Tax Due after Withholding (Line 16 less Line 17) STOP if this amount is less than $200.00….………..
$
18.
$
19.
Quarter One Estimated Tax Due Before Credits (25% of Line 18)……………………………………………….……...
$
20.
Less Credits (from Line 14 above) or Amounts Already Paid on this Year’s Liability………………………….………
$
21.
Net Estimated Tax Due if Line 19 Minus Line 20 is Greater Than Zero*………………………………………………..
TOTAL AMOUNT DUE—Combine Line 11 above with Line 21
22.
$
Make checks payable to "City of Cincinnati" or pay online at
(
)
*Subsequent estimated payments are due 07/31/17, 10/31/17 and 01/31/18
*Failure to remit timely estimated payments will result in the assessment of interest and penalties.
*If the total estimate due after applicable credits for 2017 is less than $200.00, then no declaration is required.
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.
May the City Tax Division
Paid Preparer Name
PTIN
Signature of Taxpayer or Agent
Date
discuss this return with the
preparer shown to the left?
Name of Firm or Employer
Signature of Spouse
Date
(
) YES
(
) NO
Address of Firm or Employer
Telephone Number
Daytime Telephone Number
TOL
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