Individual Income Tax Return - Village Of Westfield Center,ohio
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1File with:
Westfield Center
Income Tax Dept.
PO Box 750
Westfield Center, OH
44251
Phone 330-887-5151
Name:
Village of Westfield Center
Individual Income Tax Return
For the Calendar Year of
Make check or money order
payable to:
Westfield Center
Income Tax
Office Use Only
Did you live in Westfield Center all year?
Yes
No
If No, Move in date
VV-2 Income: List Gross Income by Employer to the Right (attach W-2s)
Move out date
Total
Income: Business, Rents, or Professional: (Attach Federal Schedule C or E)
A. Total Gross Income subject to Westfield Center Tax
B. Total Westfield Center Income Tax Due ("A" multiplied by .01)
C. Credits paid on Westfield Center Income Tax
1. Westfield Center Income Tax Withheld
2. Payments on Declarations of Estimated Income Tax for
(year)
3. Credit from Previous Tax Year
A
B
4. Tax Credit for Taxes Paid to another city, NOT TO EXCEED 1% EACH W-2
Total
D. Balance of Tax Due (must be paid with the filing of this return)
E. If your credits (C) are larger than your tax due (B) then enter Overpayment here
(Amount of $1.00 or less is not refundable or payable)
I'se Xtoindicate whether overpayment istobe refunded toyou D or applied against your Declaration ofEstimated Tax D
Declaration of Estimated Income for:
F. Total Estimated Income Subject to Westfield Center Tax
G. Total Estimated Tax Due ("F" multiplied by .01)
H. Amount Due with Declaration ("G" multiplied by .25)
I. Less Overpayment applied against your Declaration of Estimated Tax
J. Amount Paid with Declaration
C
D
E
Amount
Amount
I hereby certify thatthis is a true, correct, and complete return pursuant to the Westfield Center Ordinances and Regulations.
Signed
Date
Signed
Date
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