J.e.d.d Individual Income Tax Return Form - Joint Economic Development District - Springfield - 2012

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SPRINGFIELD-BECKLEY MUNICIPAL AIRPORT
JOINT ECONOMIC DEVELOPMENT DISTRICT ( J.E.D.D. )
Income Tax Division
76 E High Street
Springfield, Ohio 45502
Telephone: (937) 324-7357
Fax: (937) 328-3471
2012 J.E.D.D INDIVIDUAL INCOME TAX RETURN
Due by April 15, 2013
Taxpayer Name & Address
Social Security Number _______-____-_________ or
Account Number
Phone Number
1. Total Taxable Income Earned in the J.E.D.D.
$
_____________________
2. J.E.D.D. Income Tax @ 1% (Multiply Line 1 by .01)
$
_____________________
3a. 2012 Estimated Payments Paid
$
________________
3b. Amount Withheld for J.E.D.D. (from your W-2)
$
________________
3c. Total of Estimated Payments and Withholding (line 3a. + line 3b.)
$
_____________________
4. Balance of Tax Due (line 2 minus line 3c.)
(Disregard Amounts Under $1.00)
$
_____________________
5. Overpayment (if line 3c. exceeds line 2.)
5a. Refund
.$
5b. Credit to 2013
..$
______________
_______________
6. Total Estimated J.E.D.D. Tax due for 2013
$
________________
7. Less Credit for Tax to be Withheld plus amount of line 5b.
$
________________
8. Net 2013 Estimated Tax Due (line 6. minus line 7.)
$
________________
st
9. 1
Quarter 2013 Estimated Amount Due (1/4 of line 8.)
$
_____________________
10. TOTAL AMOUNT DUE by April 15, 2013 (line 4. + line 9.)
$
_____________________
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 Signature
Date
Preparer s Signature (other than taxpayer)
Date
Address and Phone Number
(REV 11/12)

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