Fillable Form Ir - Exemption Certificate - 2005 (Page 2 of 3) in pdf

2005 EXEMPTION CERTIFICATE

Income Tax Division

Name and Address (Please print or type)

1 Cascade Plaza – 11

Floor

Akron, Ohio 44308

If you believe that you are not subject to the City Income Tax for 2005

please complete this form and return it to our office by April 15, 2006.

Subsequent earnings of taxable income voids an exemption certificate.

______________________________

____________________________

_____________________________

____________________

Akron City Tax Account Number

Taxpayer Social Security Number

Spouse’s Social Security Number

Daytime Phone Number

I BELIEVE THAT I AM NOT REQUIRED TO FILE A 2005 AKRON INCOME TAX RETURN BECAUSE:

__ I moved from Akron before January 1, 2005 (Move Date___________)

__ I was born after December 31, 1987. (Birth Date_____________)

__ I am a retiree receiving ONLY pension, Social Security, interest and

__ I had no taxable income in 2005.

dividend income (Date retired ____________)

Explain_______________________________________________

Under penalties of perjury, I declare that the information supplied above is true, correct, and complete.

________________________________________

____________ _______________________________________

Taxpayer Signature

Date

Joint Exemption Requires Spouse’s Signature

- - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - -

DETACH HERE

LINE INSTRUCTIONS FOR FORM IR

If your only source of income is from WAGES, complete WORKSHEET A on Form IR Page 2, and the lines in bold type.

Line 1.

If you had wage income in 2005, enter the figure from WORKSHEET A - Line1 ( the total from Column 1).

Line 2.

(Business income only) Only enter the result from WORKSHEET B - Line 4 if the number is greater than zero.

Line 3.

(Business income only) The allowable loss carried forward from prior years can offset business income on Form IR. The

figure on Line 3 cannot exceed the amount reported on Line 2. Be sure to complete WORKSHEET F when arriving at a net

loss figure. A business loss cannot be used to offset wage or non-business income.

Line 4.

2106 Business Deductions are calculated on WORKSHEET E, Line 3. See WORKSHEET E instructions for more details.

Line 5.

If your only source of income was from wages, simply copy the figure from Line 1 and enter it on Line 5. If Lines 2

thru 4 have been used, ADD Lines 1 & 2 and then SUBTRACT Lines 3 & 4 from the result.

Line 6.

Multiply Line 5 by .0225 to calculate the Akron Income Tax due for tax year 2005.

Line 7.

Enter the amount from WORKSHEET A - Line 2. These are the Akron taxes that have been withheld by your

employer(s).

Line 8.

Enter the amount from WORKSHEET A - Line 3 to show the taxes withheld or paid to other cities or JEDDs. To

receive credit for taxes that you paid directly to another city, you must attach a copy of your tax return that you

filed with that city.

Line 9.

Minimum income credit. If your total gross income was $600 or less, enter the amount from Line 6 on Line 9.

Line 10. (Business income only) Enter the amount of taxes already paid by a partnership or S Corporation on income that has been

reported on this return. To receive credit, you must attach a copy of federal Schedule E and K-1.

Line 11. If there is NO Minimum Income Credit (or Line 9 is zero) add Lines 7, 8 & 10.

If there IS a Minimum Income Credit (or Line 9 is not zero) add Lines 7 & 9.

Line 12. Enter the total amount of estimated tax payments you have made to Akron for tax year 2005. Do not include any

payments made for other tax years or for penalty and interest payments.

Line 13. If you had an Akron city income tax credit from last year, enter that amount on this line.

Line 14. Total Credits. Add Lines 11, 12 & 13 and enter the result here.

Line 15. Subtract Line 14 from Line 6. If there is a Balance Due, enter it here and send payment by check or money order, or

complete and return the VISA / MASTERCARD authorization voucher found in these instructions. Make checks

payable to City of Akron. Mail payments to Income Tax Division, 1 Cascade Plaza–11

Floor, Akron OH 44308.

Line 16. If Line 14 is greater than Line 6 you have a credit balance. Enter the difference here.

Line 17. Enter the amount that you would like to be credited to your tax account for next year.

Line 18. If you wish to have the overpayment refunded, enter the amount here and check the box in the upper right hand

section of Form IR. (Note: No taxes, refunds or credits of $1.00 or less will be collected, refunded or allowed.)

You may also make a contribution to the Equipment Funds for Akron Police, Fire & EMS, or Parks & Recreation.

- 3 -

Form Ir - Exemption Certificate - 2005 Page 2

Related Articles

Related forms

Related Categories