City of Cincinnati
11111
Click on the fields below and type in your
Business Tax Return
Income Tax Division
information. Then print the form and mail it to
2015
our office.
PO Box 637876
OR
Cincinnati OH 45263-7876
Phone: (513) 352-2546
FISCAL PERIOD _______ TO _______
TO EXPEDITE PROCESSING,
Fax: (513) 352-2542
PLEASE DO NOT STAPLE
Calendar Year Taxpayers file on or before April 15, 2016
Website:
THIS SPACE IS FOR OFFICIAL USE ONLY
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Fiscal Year Due on 15
Day of 4
Month After Year End
Did you file a City return last year?
Is this a combined corporate return?
Should your account be inactivated?
YES
NO
YES
NO
YES
NO
If YES, please explain:
Filing Status (Check one)
Account Number __________________
FID #: __________________
C-Corporation
Email:
S-Corporation
Name
LLC
Partnership/Association
Address
Fiduciary (Trusts and Estates)
Amended Return
City/State/Zip
Refund
(Amount must be entered on
Line 13 to be a valid refund request)
If the information above is incorrect, please make corrections.
Part A
2015 TAX CALCULATION
Adjusted Federal Taxable Income (Enclose Copy of Federal Return) From Form ________ Line ________
1.
$
2.
Adjustments (From Line L, Schedule X)……………………………………………………………………………………
$
3.
Taxable income before apportionment (Line 1 plus/minus Line 2)………………………………………………………
$
0.0000%
4.
Apportionment percentage (From Step 5, Schedule Y) _________%…………………………………………………
5.
Cincinnati taxable income (Multiply Line 3 by Line 4)……………………………………………………………………
$
Other separately stated items. Net operating loss carryforward claimed, Cincinnati stock options deducted from
6.
$
adjusted federal taxable income and Cincinnati rental income or (loss)………………………………………………
7.
Amount subject to Cincinnati income tax (Line 5 plus or minus Line 6)……..………………………………………….
$
8.
Cincinnati income tax (Multiply Line 7 by 2.1% [.021])…………………………………………………………………
$
9 a.
Estimates paid on this year’s liability………………………………………
$
9 b.
Credits applied to this year’s liability……………………………………….
$
10.
Total payments and credits (Lines 9a + 9b) ……………………………………………………………………………..
$
11.
Tax due (Subtract Line 10 from Line 8)…………………………………………………………………………………….
$
12.
Overpayment (Line 10 greater than Line 8)………………………………
$
…
(Amounts less than $5.00 will not be refunded)
13.
Amount to be refunded
$
14.
Credit to next year…………………………………………………………..
$
Part B
DECLARATION OF ESTIMATED TAX FOR 2016
15.
Total Estimated Income Subject to Tax…………………………………………………………….………………………
$
16.
Cincinnati Estimated Income Tax Due (Multiply Line 15 by 2.1% [.021])……………………….……………………...
$
17.
Quarter One Estimated Tax Due Before Credits (at least 25% of Line 16)……………………………………………..
$
18.
Less Credits (from Line 14 above) or Amounts Already Paid on This Year’s Liability.………….…………..………...
$
19.
Net Estimated Tax Due if Line 17 Minus Line 18 is Greater Than Zero*………………………………………………..
$
TOTAL AMOUNT DUE—Combine Line 11 above with Line 19
20.
$
(Make checks payable to the City of Cincinnati or pay online at )
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* Subsequent estimated payments are due by the 15
day of the 6
, 9
and 12
months after the beginning of the taxable year.
*Failure to remit timely estimated payments will result in the assessment of interest and penalties.
*If the total estimate due after applicable credits for 2016 is less than $200.00, then no declaration is required to be filed.
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 and understands that this information may be
released to the Internal Revenue Service.
May the City Tax Division
Signature of Person Preparing Return
PTIN
Signature of Officer or Agent
Date
discuss this return with the
preparer shown to the left?
(
) YES
(
) NO
Name of Person Preparing Return
Phone Number
Name and Title
Phone Number
TOL