File this return with CANTON TAX DEPARTMENT on or before April 15, 2010 or on or
MAKE CHECK OR MONEY ORDER PAYABLE TO:
PHONE: (330) 430-7900
before the fifteenth day of the fourth month after close of a fiscal year or period. Requests
MAIL TO:
“Robert C. Schirack,
for extensions must be submitted in writing and filed on or before April 15, 2010 or Fiscal
ROBERT C. SCHIRACK
Canton City Treasurer”
Deadline.
TREASURER
Has your Federal tax liability for any prior year been
CITY OF CANTON
changed in the year covered by this return as a result of
INCOME TAX DEPARTMENT
City of Canton, Ohio Income Tax Return
any examination by the Internal Revenue Service?
PO BOX 9951
Yes
No
CANTON, OH 44711-9951
2009
If yes, has an amended City return been filed for such year
For Calendar Year ending December 31, 2009, or
or years?
Yes
No
for the
months ending
Indicate Filing Status:
Corporation
S Corporation
FOR USE OF ALL CORPORATE TAXPAYERS SUBJECT TO
Partnership
Other
CANTON INCOME TAX
Principal Business Activity:
CORPORATE RETURN
Is the business entity a resident
(
) Yes
(
) No
Moved INTO CANTON on
PREV. ADDRESS
OR Moved OUT OF CANTON on
PRESENT ADDRESS
MAKE NAME OR ADDRESS CORRECTION
ACCT. NUMBER
FEDERAL I.D. NUMBER
PHONE (
)
FILING REQUIRED EVEN IF NO TAX DUE OR NET OPERATING LOSS
1. Canton Taxable Income (Page 2 Line 6)
1. $
2. Canton City Tax (2% of Line 1)
2. $
3. CREDITS
3A. $
3(A) Municipal tax paid to other cities
3B. $
3(B) Payment of Declaration of Estimated Tax
3(C) Credit Adjustment
3C. $
3(D) TOTAL CREDITS (A plus B less C)
3D. $
4. BALANCE DUE (If Line 2 exceeds Line 3D enter difference here)
4. $
5.
Overpayment claimed (If Line 3D exceeds Line 2)
5. $
6. Credit to 2010 Estimate (If no Estimate due use Line 7)
6. $
7.
TO BE REFUNDED (If Estimate due, use Line 6)
7. $
8. Late filing fine - (returns filed after Filing Deadline) enter $25.00 fine
8. $
9. Interest Penalty 3% per month, effective the sixteenth of each month
9. $
10.
Estimate less than 75% - Fine $25.00
Interest Penalty 9% per quarter
10. $
MUST BE PAID IN FULL WITH THIS RETURN
11.
Total amount due -
11. $
NO TAXES OF LESS THAN $1.00 SHALL BE COLLECTED OR REFUNDED
MANDATORY DECLARATION OF ESTIMATED TAX FOR 2010
1.
TOTAL INCOME SUBJECT TO CANTON TAX $
CANTON TAX @ 2%
1. $
2.
LESS CREDITS:
A. OVERPAYMENT ON PREVIOUS YEAR’S RETURN
2A. $
B. PREVIOUS PAYMENTS IF THIS IS AN AMENDED DECLARATION
2B. $
C. OTHER (SPECIFY)
TOTAL CREDITS $
2C. $
3.
NET TAX DUE (LINE 1 LESS TOTAL LINE 2)
3. $
4. $
4.
AMOUNT PAID WITH THIS RETURN (NOT LESS THAN 1/4 x line 3) REMITTANCE PAYABLE TO “Robert C. Schirack, Canton City Treasurer”
5.
BALANCE OF TAX (NOT MORE THAN 3/4 x line 3)
5. $
METHOD OF PAYMENT
$
/
/
EXPIRATION DATE
Check
MasterCard
(Amount Authorized)
I CERTIFY I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY KNOW-
LEDGE, I BELIEVE IT IS TRUE, CORRECT, AND COMPLETE.
Signature of Person Preparing, If Other Than Taxpayer
Date
Address or Name and Address of Firm
Signature of Taxpayer or Agent Required
Date
THIS SPACE FOR TAX OFFICE USE ONLY
AUDITED BY
NEW ACCOUNT
SUSP
M/M
POSTED TO
BANKING DATE
REFUND CK. NO.