File with Fairfield Income Tax
701 Wessel Drive
Fairfield OH 45014-3611
(513) 867-5327
Fax (513) 867-5333
Forms available at
www.fairfield-city.org
PROVIDE NAME & ADDRESS OR CHANGES BELOW
Your social security number
Spouse’s social security number
Resident Date moved in
Non Resident Date moved out
Sole Proprietor
City of Employment
Phone #
FILING Single
STATUS Married filing joint return (even if only one had income). Did you file joint or separate last year?
Joint Separate
Married filing separate return. Enter spouse’s social security number above and full name here:
INCOME 1. Total W-2 wages. W-2s MUST BE ATTACHED .................................................................................. 1 $
2. Other Taxable Income or Deductions from Line 23* from side two (back) of this form ............ 2 $
3. Total Taxable Income ................................................................................................................ 3 $
TAX 4. Fairfield Tax is 1.5% (.015) of Line 3 ........................................................................................ 4 $
TAX WITHHELD, 5. Tax Credits: Credit will only be given with proper documentation.
PAYMENTS A. Fairfield income tax withheld............................................................5A $
AND B. Income tax withheld/paid to other cities (1.5% maximum) .......... 5B $
CREDITS C. Prior year overpayments ................................................................ 5C $
D. Estimated payments........................................................................ 5D $
E. Total tax credits (Lines 5A through 5D) ............................................................................ 5E $
BALANCE DUE 6. Balance Due, if Line 4 is greater than Line 5E. Subtract Line 5E from Line 4 ........................ 6 $
7. Overpayment, if Line 4 is less than Line 5E. Subtract Line 4 from 5E .................................. 7 $
A. REFUND amount ............................................................................ 7A $
B. CREDIT amount.............................................................................. 7B $
(Amounts less than $1.00 are not paid, refunded, or credited).
ESTIMATE 8. Total income subject to tax $ multiply by tax rate of 1.5% (.015) ................ 8 $
FOR NEXT 9. Estimated income tax to be withheld or paid to other cities .................................................. 9 $
YEAR 10. Estimated tax due (Line 8 minus Line 9).
If less than $200, estimated payments are not required
10 $
11. First quarter estimated tax payment (minimum of 22.5% (.225) of Line 10) .......................... 11 $
12. Prior year tax credit from Line 7B above.................................................................................. 12 $
13. If Line 12 is greater than Line 11, enter 0, otherwise enter amount of Line 11 less Line 12 13 $
TAX DUE 14. TOTAL TAX DUE (Lines 6 and 13) .......................................................................................... 14 $
PAYMENT BY CREDIT CARD (Check One)
i[r No.
PAYMENT BY CHECK: Payable to Fairfield Income Tax Exp. Date:
The undersigned declares that this return (and accompanying schedules) is true, correct and complete for the taxable period stated and that
the figures used herein are the same as used for Federal Income Tax purposes.
May we discuss return with your tax practitioner? (Check One) Yes No
SIGNATURE OF TAXPAYER DATE
SIGNATURE OF TAXPAYER DATE
SIGNATURE OF PREPARER, IF OTHER THAN TAXPAYER DATE
NAME AND ADDRESS OF PREPARER TELEPHONE NUMBER
SIGNATURE(S) REQUIRED
DECLARATION OF ESTIMATED TAX FOR 2009 (See Instructions for requirements)
FOR TAX DIVISION USE ONLY
Date
Tax Bal
Interest
Penalty
Total
FORM IR
CITY OF FAIRFIELD
INDIVIDUAL INCOME TAX RETURN 2008
OR
FISCAL PERIOD TO
CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15TH
AND FISCAL YEAR TAXPAYERS FILE BY THE 15TH DAY OF THE
FOURTH MONTH AFTER THE CLOSE OF THE PERIOD.
IF TAXPAYER AND SPOUSE ARE FULLY RETIRED AND WITHOUT TAXABLE INCOME, PLACE AN X IN THE BOX, COMPLETE SIGNATURE SECTION BELOW.
ATTACH W-2’S HERE
IF TAXPAYER AND SPOUSE ARE FULLY RETIRED AND WITHOUT TAXABLE INCOME, PLACE AN X IN THE BOX, COMPLETE SIGNATURE SECTION BELOW.
DECLARATION OF ESTIMATED TAX FOR 2011 (See Instructions for requirements)
SIGNATURE(S) REQUIRED
2010
CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 18TH
AND FISCAL YEAR TAXPAYERS FILE BY THE 15TH DAY OF THE
FOURTH MONTH AFTER THE CLOSE OF THE PERIOD.
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** DENOTES MANUALLY ENTERED FIELDS
** DENOTES MANUALLY ENTERED FIELDS
RESET FORM
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FOR BEST RESULTS
ENTER DATA & TAB
TO NEXT FIELD
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City of Fairfield Individual Income Tax Return 2008 – Page 2
All appropriate Federal schedules and forms MUST be attached. A return is NOT complete unless schedules and forms are included.
OTHER TAXABLE INCOME OR DEDUCTIONS
15. Taxable income not reported on a W-2 form .............................................................................................................................. 15 $
(Income on 1099-INT, 1099-R, 1099-D, 1099-G and W2-P are not taxable.)
16. Schedule C
A. Business Name 16A $
Business Address
Date Started Date Ended
B. Business Name 16B $
Business Address
Date Started Date Ended
C. Total Schedule C Profit/Loss .................................................................................................................................................. 16C $
17. Rental Property – Losses without an exact location will be disallowed.
A. Address 17A $
City/State/Zip
B. Address 17B $
City/State/Zip
C. Address 17C $
City/State/Zip
D. Address 17D $
City/State/Zip
E. Total Rental Profit/Loss ........................................................................................................................................................ 17E $
18. Partnership Income/Loss Applicable losses without exact locations will be disallowed.
A. Partnership Name/ID 18A $
Address
B. Partnership Name/ID 18B $
Address
C. Partnership Name/ID 18C $
Address
D. Total Partnership Profit/Loss ................................................................................................................................................ 18D $
19. Total business profit/loss (Line 16C, Line 17E and Line 18D). If a loss, the amount can be carried forward for
maximum of three (3) years to offset future business profit/loss and can NOT be used to offset W-2 wages or 1099 ............ 19 $
20. Prior business loss from previously filed tax returns. Limited to the last three (3) years. (Attach Schedule) ........................ 20 $
21. Net business profit/loss if Line 19 is less than zero or less than Line 20, enter zero (0.00).
Otherwise subtract Line 20 from Line 19 .................................................................................................................................... 21 $
22. Deductions and non-taxable income (see instruction sheet for details)
A. 22A $
B. 22B $
C. 22C $
D. Total deductions and non-taxable income .................................................................................................................................... 22D $
23. Total other taxable income or deductions (Line 15 plus Line 21 minus Line 22D. Enter this amount on Line 2*................................ 23 $
*NOTE: LOSSES ARE NOT DEDUCTIBLE FROM WAGE INCOME. Only Employee business expenses (attach Form 2106) and/or wages earned outside the
City of Fairfield while a non-resident are allowed to be deducted from wages.
Other Deductions [Non-Resident Wages and or Employee Business Expenses (Form 2106) include forms & calculations]
Schedule E (Rental and/or Partnership) Profit/Loss. S-Corporations are excluded from individual’s income. (attach Federal Schedule and K-1s.)
Schedule C (Business Operations) Profit/Loss (attach Federal Schedule)
Other Taxable Income (attach Form)
2010
(Attach form or documentation)
** ALL FIELDS ON THIS PAGE MUST BE MANUALLY ENTERED
** ALL FIELDS ON THIS PAGE MUST BE MANUALLY ENTERED
BUSINESS LOSSES MAY NOT OFFSET WAGE INCOME
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