Form It 1040 - Individual Income Tax Return - 2006
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4IT 1040
2006
Rev. 10/06
Individual Income Tax Return
06000103
Please do not
use staples.
For the year Jan. 1 - Dec. 31, 2006 or
Spouse's Social Security number (only if joint return)
Your Social Security number
other taxable year beginning
Check if
Check if
deceased
deceased
Please use only UPPERCASE letters
Your first name
M.I.
Last name
Spouse's first name (only if joint return)
M.I.
Last name
Home address (number and street)
City
State
ZIP code
Ohio county (first four letters)
OH
NONE
Foreign country
Foreign postal code
In care of/executor's name (must indicate if refund will be issued in decedent’s name)
Ohio Residency Status
(see instructions on page 9)
Part-year
to
Resident
Nonresident
resident from:
State abbreviation
Filing Status
– check one (same status as reported on federal income tax)
For Departmental Use Only
Single or head of household
Married filing jointly
or qualifying widow(er)
Married filing separately -
enter spouse's SS#
Ohio Political Party Fund
Yes
No
Do you want $1 to go to this fund? .................................................
If joint return, does your spouse want $1 to go to this fund? ..........
Note: Checking "Yes" will not increase your tax or decrease your refund.
Ohio Public School District
0000
(see pages 35-39)
INCOME INFORMATION
1.
Federal adjusted gross income
(from federal forms 1040, line 37; or 1040A, line 21; or 1040EZ, line 4)
00
If amount is a loss, enter it as a negative number using a minus sign........................................................................ 1.
00
2. Ohio adjustments. Amount from line 48 on page 3 ...................................................................................................
2.
00
3.
Ohio adjusted gross income (line 2 added to or subtracted from line
1).................................................................... 3.
4. Personal exemption and dependent exemption deduction.
00
x $1,400.................................................. 4.
Enter the number of your personal and dependent exemptions:
00
5. Ohio taxable income (line 3 minus line 4, -0- if line 3 is less than line 4) ................................................................. 5.
SIGN HERE (required)
Continue to IT 1040 – pg. 2
I have read this return. Under penalties of perjury, I declare that to the best of my knowledge
For Departmental Use Only
and belief, the return is true, correct and complete.
Your signature
Date
,
,
.
Spouse’s signature (if filing jointly, BOTH must sign)
Phone number
Preparer’s signature
Phone number
Code
NO Payment Enclosed
- Mail to:
Payment Enclosed
- Mail to:
Ohio Department of Taxation
Ohio Department of Taxation
P.O. Box 2679
P.O. Box 2057
Columbus, OH 43270-2057
Columbus, OH 43270-2679
IT 1040 – pg. 1 of 4
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