Village of Walton Hills Individual Income Tax Return
7595 Walton Rd, Walton Hills, Ohio 44146 Tel (440) 232-7800 Fax (440) 232-4070
Your first name and initial
If joint return, spouse's first name and initial
Home address (number and street)
New address:
City, State, and ZIP code
Previous address:
Column Totals
1 Total W-2 gross wages from Column 1a of W-2 table above (please attach all W-2s) 1
2 Adjustment to wages (please see instructions) 2
3 Adjusted W-2 wages. Subtract line 2 from line 1 3
4
Business/rental
Income
(Schedule
B).
If
Profit on line 16
enter amount. If
Loss on line
15
enter
$0
4
5 Other income 5
6 Total taxable income (add lines 3, 4 and 5) 6
7 Walton Hills tax due before credits (multiply line 6 by 2.50%) 7
8 Taxes withheld and paid to Walton Hills (Column 1b of W-2 Table) 8
9 Credit for taxes paid or withheld in other localities (Column 1e of W-2 Table) 9
9a Credit for business taxes paid to other localities (Column G line 21 of Schedule B) 9a
10 Estimated taxes paid to Walton Hills 10
11 Overpayment or tax credits from prior years 11
12 Total credits (add lines 8, 9, 9a, 10, and 11) 12
13
Difference - if line 7 is greater than line 12, and not less than $10.01, enter tax due.
13
14
Penalty and Interest: Late File $___________ Penalty $___________ Interest $___________
14
15
Difference - if line 12 is greater than line 7, and not less than $10.01, enter overpayment
15
16
Enter the amount of line 15 to apply to estimated payment (carry amount down to line 23) 16
17 Enter the amount of line 15 to be refunded (Note: Amounts $10.00 or less will not be refunded) 17
18 estimated income: Multiply estimated income by 2.5% (enter in Box 18) 18
19 Estimated taxes withheld by resident municipality 19
20 Estimated taxes withheld by other municipalities or JEDDs limited to 2.50% 20
21 Net estimated taxes (subtract lines 19 & 20 from line 18) 21
22
1st Quarter Estimated Taxes Due (Multiply line 21 by 25%)
22
23 Credit for overpayment from line 16 23
24 Estimate due - subtract line 23 from line 22. If less than zero enter $0.00 24
25
Total amount due (add lines 13, 14 and 24) Please make check payable to: Village of Walton Hills
25
Check box to allow the Village to discuss return with tax preparer below:
Tax preparer's signature and printed name
Your signature
If joint return, spouse's signature
W-2 Table (please review instructions before completing)
Date wages were
earned
(Month/Day)
Under penalties of perjury, I declare that I have examined this return and the accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
date moved in/out of Walton Hills:
Walton Hills, OH 44146
Due April ,
Enter Lesser of
Column (1c) or
(1d)
Multiply Column
(1a) by 2.5%
Withheld for
Other Localities
(Box 19 of W2)
Withheld for
Walton Hills
(Box 19 of W2)
Please attach all W2s and Fed Form 1040 with tax return
W2 Gross Wages
(Box 5 or Box 18 of
W2, whichever is
greater)
Change Tax Year if Necessary
