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Change tax year if necessary u
2016
FOR THE CALENDAR YEAR
2016
TAX RATE 2.0% DUE ON OR BEFORE APRIL 15,
2017
OR THE IRS DUE DATE
PLEASE ENTER NAME AND ADDRESS
EMAIL ADDRESS ____________________________
IF MOVED, GIVE FORWARDING ADDRESS
6. WARREN INCOME TAX - Multiply Line 5 by 2% . . .
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$
7. Credits (a) Warren Tax Withheld by Employer(s) from Line 1a
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C
$
(b) Income Taxes paid other cities (Limit 2%)
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R
$
(c) Payments on Current Declaration (or Credit)
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E
$
(d) Tax Incentive Program Credit (See Instructions)
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D
(x) Total Credits Allowable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I
8a. Balance of Tax Due (Line 6 less Line 7x)
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T
b. PENALTY $ _____________ INTEREST $ _____________ LATE FILING PENALTY ______________
TOTAL 8b.
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S
(see instructions for penalty and interest rates)
9. Tax Due and payable to City of Warren Income Tax (PAYMENT MUST ACCOMPANY THIS FORM)
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10. Overpayment claimed, refund ___________________ Credit to next year Declaration ___________________
0.00
IF OVERPAYMENT OR TAX DUE IS LESS THAN $10.01, NO CREDIT/REFUND WILL BE ISSUED AND NO TAX IS DUE.
THE UNDERSIGNED DECLARES THAT THIS RETURN (AND ACCOMPANYING SCHEDULES), IS A TRUE, CORRECT AND COMPLETE RETURN FOR THE TAXABLE PERIOD STATED.
q
I AUTHORIZE THE WARREN TAX DEPT. TO DISCUSS MY ACCOUNT WITH MY TAX PREPARER.