Form Ncty-1040 - City Of Norwalk Income Tax - 2012
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1
2ALT. 1040
Print Final Return
2012
- CITY OF NORWALK INCOME TAX
FILING REQUIRED BY ALL RESIDENTS 18 YEARS OR OLDER EVEN IF NO TAX IS DUE
2010
FILE ON OR BEFORE
APRIL 15, 2013
EXTENSION REQUESTS MUST BE RECEIVED BEFORE
APRIL 15, 2013
2011
FILING IS REQUIRED EVEN IF YOU HAVE
NO INCOME AND NO TAX IS DUE
Check Filing Status
2012
ENTER NUMBER AND EXPIRATION DATE FULLY ANC ACCURATELY
ENTER NAME AND ADDRESS BELOW
( ) Single
( ) Married
Now Filing With ______________________
SS#_______________________________
Card # (16 Digits) __________________________________
( ) Single Previously Filed With
Exp. Date ____________________
Security Pin#
____________
___________________________________
SS#_______________________________
Total Amt. Authorized $ _____________________________
Are You Required To File A Federal Tax Return?
Signature ________________________________________
( ) Yes, include a copy of your 1040, or a
completed Norwalk Alternate 1040 Form
Daytime Phone # __________________________________
( ) No
CHECK THE APPROPRIATE BOX
FULL YEAR RESIDENT PART YEAR RESIDENT
Please visit for the On-Line Tax Preparation Tool.
MOVE IN DATE __________ MOVE OUT DATE__________
Enter your:
Business Fed. I.D. No.
Social Security No.
Spouse Security No.
Phone #
NORWALK TAX WITHHELD
OTHER MUNICIPAL
QUALIFYING WAGES
EXCLUDE SCHOOL
TAX WITHHELD
EMPLOYER’S NAME
LOCATION
(USUALLY BOX 5 OF THE W-2 FORM)
NOT TO EXCEED 1.50%
DISTRICT INCOME TAX
1a.
1b.
1c.
ON REVERSE SIDE
(LOSSES ON LINE 2 CANNOT OFFSET W-2 INCOME FROM LINE 1C) (Total of Lines 1c, 1d and 2)
2012
NO TAX DUE, REFUND OR
CREDIT IF $4.99 OR LESS
2013
*
*
4/15/2013
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2012
4/15/2013)
2013
REQUIRED IF ESTIMATED TAX LIABILITY IS $100 OR GREATER
Multiply by tax rate 1.5 percent for gross tax total................
...........
...........
...........
...........
2013
(At least 22
/
% of Line 3 of Declaration)
15, 2013
1
2
Total Due
2012
& Payable
2013
4/15/2013
CHECK BOX NEXT TO SIGNATURE TO AUTHORIZE CITY TO DISCUSS RETURN WITH TAX PREPARER.
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