CITY OF SPRINGFIELD
2007 INCOME TAX RETURN
DIVISION OF TAXATION
Due by April 15, 2008
P.O. Box 5200
SPFLD, OH 45501
eld.oh.us
Telephone: (937) 324-7357
INDIVIDUAL FILING ONLY
Fax: (937) 328-3471
If you moved during the year: Date moved in
moved out
If you moved during the year: Date moved in
moved out
Former Address
Former Address
Telephone
Telephone
PART A
PART A
I AM NOT REQUIRED TO FILE
SEE INSTRUCTIONS I AM NOT REQUIRED TO FILE
SEE INSTRUCTIONS
STATE REASON
STATE REASON
TAXPAYER
SPOUSE
ACCT #
ACCT #
PART B
PART B
ATTACH W-2’S AND FEDERAL SCHEDULES ON REVERSE SIDE
INCOME
1. $
TOTAL WAGES AND COMPENSATION (See W2 Sample)
1. $
2.
TOTAL OTHER INCOME (From Worksheet B on reverse side, Not Less Than -0-)
2.
3.
NET ADJUSTMENTS (From Worksheet C on reverse side)
3.
4.
TOTAL TAXABLE INCOME (Add lines 1 through 3)
4.
5. $
SPRINGFIELD CITY TAX - 2% (Multiply line 4 by .02)
5. $
PAYMENTS AND CREDITS
6. $
ESTIMATED PAYMENTS / PRIOR YEAR OVERPAYMENT CREDIT
6. $
7.
WITHHELD FOR SPRINGFIELD (From W-2)
7.
8.
OTHER CITY TAX CREDIT OR J.E.D.D. TAX CREDIT (From Worksheet D on reverse side)
8.
9.
TOTAL PAYMENTS AND CREDITS (Add lines 6 through 8)
9.
10. $
BALANCE OF TAX DUE (line 5 minus line 9)
10. $
11. $
OVERPAYMENT
11. $
_____ CREDIT TO 2008 _____ REFUND
_____ CREDIT TO 2008 _____ REFUND
OFFICE USE ONLY
OFFICE USE ONLY
PART C
PART C
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 if an audit of Federal return is made which affects tax liability shown on this return, an amended return will be filed within 3 months.
TAXPAYER
(Date)
SPOUSE
(Date)
Social Security Number
Social Security Number
Preparer’s signature (other than taxpayer)
(Date)
Address (and Zip Code)
F.E.I.N. or Soc. Sec. No.
If this return was prepared by a tax practitioner, may we contact your practitioner directly
with questions regarding the preparation of this return?
YES
NO
(make check or money order payable to COMMISSIONER OF TAXATION, SPRINGFIELD, OHIO, if $1.00 or more)
METHOD OF PAYMENT
METHOD OF PAYMENT
R
R
$
CREDIT CARD EXPIRATION DATE
/
/
$
CREDIT CARD EXPIRATION DATE
/
/
(Amount Authorized)
(Amount Authorized)
PHONE NUMBER
HOME
WORK
PHONE NUMBER
HOME
WORK
CARDHOLDER SIGNATURE
CARDHOLDER SIGNATURE