MAIL TO: CITY OF GENEVA
DIVISION OF TAXATION
44 NORTH FOREST STREET
GENEVA OH 44041-1393
PHONE (440) 466-3913
Indicate here if you are Retired and have no taxable income Unemployed for the entire year Other _____________________________________________________________
Under 18 (attach proof of age). Date of Birth: __________________________________
DECLARATION OF ESTIMATED TAX FOR YEAR
(REQUIRED IF ESTIMATED TAX IS $200.00 OR MORE)
2. OTHER TAXABLE INCOME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
3. TOTAL INCOME (TOTAL LINE 1C & 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
4. A. NET PROFIT FROM BUSINESS OR PROFESSION FROM PAGE 2. ATTACH FEDERAL SCHEDULES . . . . . . . . . . . . . . . . . . . . $ _____________________________________
B. DISTRIBUTIVE SHARE OF PARTNERSHIP. ATTACH K-1’S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
5. TOTAL TAXABLE INCOME (Total Lines 3 & 4a, b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
6. TAX DUE (Line 5 multiplied by tax rate)
1.5% (one and half percent) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
7. CREDITS:
A. CITY OF GENEVA TAX WITHHELD (LINE 1D). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
B. ESTIMATE PAYMENTS MADE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
C.
CREDIT LIMIT FOR OTHER CITY/JEDD TAX PAID (LINE 1F)
(Credit cannot exceed 1% of income earned in each location.)
$ _______________________
D. CREDIT FROM PRIOR YEAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
E. TOTAL CREDITS (Lines 7 a, b, c and d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
8. BALANCE OF TAX DUE. IF OVERPAYMENT, ENTER ON LINE 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
9. PENALTY_____________ + INTEREST _____________ + $25.00 PER MONTH (maximum $150.00) LATE FILING PENALTY = TOTAL. . . . . . $_____________________________
10. BALANCE (LINE 8 PLUS LINE 9). PAY IN FULL WITH THIS RETURN (Refund or Tax Due of less than $10.01 is NOT payable) . . . . . $___________________________
11. OVERPAYMENT TO BE REFUNDED OR CREDITED TO NEXT YEAR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
I declare that the information contained in this tax return has been examined by me and to the best of my knowledge and belief, is a true and complete return.
1. Annual estimated income $ ___________________________________________________________________________________________ Multiplied by tax rate of 1.5% = Annual Estimated Tax $_____________________________________
2. CREDITS
a. City of Geneva Tax to be withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
b. Tax to be withheld for other cities or JEDD’s limited to 1% of income earned in another city or JEDD . . . . . . . $ _______________________
c. Credit for taxes withheld (Total Line 2a and 2b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
3. Annual Estimate Before Credit Carry Forward (Line 1 less Line 2c) (a & d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
4. Overpayment Credit
from previous year (Line 11 above) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
5. First Quarter Payment (at least 22.5% of Line 3 less Line 4). If less than
zero, enter zero. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _____________________________________
MAKE CHECKS PAYABLE TO: CITY OF GENEVA INCOME TAX
1. If Your Only Source of Income is From Wages - Complete Only Page 1 and Attach City Copy of W-2’s. (Use largest wage figure)
Credit limit for Taxes
Paid to another
City/JEDD
See Instructions
Other City/
JEDD Tax
Withheld
Geneva Tax
Withheld
Taxable
Earnings
(Typically Box 5
of W-2)
Actual Work Location
City/TownshipA. Employer’s Name
TOTALS:
B.
$.F1$.D1$.C1
C. D. E. F.
Account Number
FEDERAL ID NUMBER
Your SS#
Spouse SS#
Phone
Tax Ye ar : ___________________________________________________ Due D at e
________________________________________________________
Fiscal Period from _________________________________________ through __________________________________________
IF YOU MOVED DURING THE YEAR,
COMPLETE THIS BLOCK
Date moved into Geneva _____________________________________
Previous Address _____________________________________________
Date moved out of Geneva ___________________________________
Present Address_______________________________________________
City, State, Zip _________________________________________________
(Signature of firm or person, other than
taxpayer, preparing return)
Signature of Taxpayer
Signature of Spouse (if joint return)
Date Date
Date
Acct. # _____________________________
Payment to be made with this return (Line 10 of Annual Return above plus Line 5 of Estimate) . . . . . . . . . . . . . . . . . . . .
Name ___________________________________________________________________________________________________________________________________
Rev. 11/15
If you used the services of a tax preparer, the Income Tax Division may need to discuss your tax return,
estimated payments and federal schedules with him or her. CHECK THE FOLLOWING BOX IF YOU WISH
TO ALLOW US TO DISCUSS YOUR GENEVA TAX RETURN WITH YOUR PREPARER.
ENTER NAME AND ADDRESS
April 15,
or the IRS
Due Date.
Reset Form
Print Form
2015
2016
2016
Change tax year
if necessary
Items Not Deductible - ADD Items Not Taxable - DEDUCT
SCHEDULE X - ADJUSTMENTS FOR LINE 2 AND 3, SCHEDULE C, ABOVE
Ohio’s Municipal Income Tax Reform, (House Bill 95) created a Uniform Net Profits Base. For taxable years beginning after 2003, be
sure returns comply with Ohio Revised Code 718.01. Excluding Schedule C, E, and F filers, taxable income shall be computed as if
the taxpayer is a C corporation. Include all supporting schedules and statements to support your income calculation.
Review www
.legislature.state.oh.us, click Laws, Acts & Legislation, then Ohio Revised Code, then Title VII, and Chapter 718.
SCHEDULE C - BUSINESS
NOTE - If Column A is used, disregard Column B
1. Net Profit or Loss per your Federal Income Tax Return (attach Federal Schedules). . . . . . . . . . . . . . . . . . . . .
2. Add items not deductible under Tax Ordinance (Schedule X) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Deduct items not taxable under Tax Ordinance (Schedule X) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Adjusted Net Profit - Enter on Line 4A Page 1
5. Business Apportionment Formula - Average Percentage (Schedule Y). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Apportioned Net Profits - Multiply Line 4B by Line 5 - Enter on Line 4A Page 1 . . . . . . . . . . . . . . . . . . . . . . .
COLUMN A COLUMN B
OR
ACTUAL —
TAXABLE TO GENEVA
ALLOCATED —
TAXABLE TO GENEVA
$$
$
$
a. Withdrawal by proprietor or partners, if
included in any expense accounts. . . . . . . . . . . . ___________________________________
b. Payments to partners. . . . . . . . . . . . . . . . . . . . . . ___________________________________
c. All income taxes paid or accrued . . . . . . . . . . . . ___________________________________
d. Net operating loss carry-forward,
from Federal Return. . . . . . . . . . . . . . . . . . . . . . . ___________________________________
e. Capital losses . . . . . . . . . . . . . . . . . . . . . . . . . . . ___________________________________
f. Expenses incurred in the production of
non-taxable income (at least 5% of line 2) . . . . . ___________________________________
g. Total Additions
(enter on Line 2, Schedule C above). . . . . . . . . . $
2. Total Deductions
(enter on Line 3, Schedule C, above) . . . . . . . . . $
h. Capital Gains . . . . . . . . . . . . . . . . . . . . . . . . . . . . ___________________________________
i. Interest Income . . . . . . . . . . . . . . . . . . . . . . . . . . ___________________________________
j. Other - attach explanation citing legal
basis for deduction. . . . . . . . . . . . . . . . . . . . . . . . ___________________________________
$
$
SCHEDULE G - INCOME FROM RENTS not included in Schedule C above
(Copy from Federal Income Tax schedule
or attach Federal Schedules)
Address of Property
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Total
Amt. Rent
$ ________________
________________
________________
$ ________________
Depreciation
$ ________________
________________
________________
$ ________________
Repairs
$ ________________
________________
________________
$ ________________
Other Expense
$ ________________
________________
________________
$ ________________
Net Income
$ ________________
________________
________________
$ ________________
Enter on Line 4A - Page 1. Rental losses may NOT be used to offset wage income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________
SCHEDULE Y - BUSINESS APPORTIONMENT FORMULA
a.
Located
Everywhere
$ ___________________________
$ ___________________________
$ ___________________________
$ ___________________________
$ ___________________________
xxxxxxxxxxxxxxxxxxxxxxx
b.
Located in
Geneva
$ ___________________________
$ ___________________________
$ ___________________________
$ ___________________________
$ ___________________________
xxxxxxxxxxxxxxxxxxxxxxx
Percentage
(b divided
by a)
xxxxxxxxx
xxxxxxxxx
________________ %
________________ %
________________ %
________________ %
Step 1. Average original cost of real and tangible property . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross annual rentals multiplied by 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Step 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Step 2. Total wages, salaries, commissions and other compensation paid to all employees. . . .
Step. 3 Gross receipts from sales and work or services performed. . . . . . . . . . . . . . . . . . . . . . .
Step 4. Total of percentages
Step 5. Average percentage (Divide total percentages by number of percentages used.) Enter here and carry to Line 5 - Schedule C, above. . . . ________________ %
REQUIREMENT FOR DECLARATION OF ESTIMATED TAX FOR CURRENT YEAR
All taxpayer’s who will owe any amount in non-withheld City of Geneva income tax are required to file an Annual Declaration of
Estimated Tax for the year. To avoid penalty and interest charges, the lower of ninety percent of the current year liability or one
hundred percent of the prior year liability must be paid in quarterly installments. For calendar year-end taxpayers, a DECLA
-
RATION OF ESTIMATED TAX FOR THE YEAR must be filed by APRIL 15 OR THE IRS DUE DATE. (The first quarter estimated
tax payment is due at this time.) The remaining estimates will be billed quarterly and
are due as follows:
2nd Quarter June 15th - 3rd Quarter September 15th - 4th Quarter December 15th
For Fiscal year end taxpayers, comparable due dates relate directly to the fiscal period.
For taxpayers filing an extension, the Declaration of Estimated Tax for the current year is due and the first quarter estimate must
be paid by the due date of the declaration.
Rev. 11/15