Do not staple or paper clip.
2020 Ohio IT 10
Zero Liability / No Refund
Individual Income Tax Return
If deceased
check box
StateCity
ZIP code
Ohio county (rst four letters)
Address line 1 (number and street) or P.O. Box
Primary taxpayer's SSN (required)
Spouse’s SSN (if ling jointly)
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Foreign country (if the mailing address is outside the U.S.)
Foreign postal code
First name Last nameM.I.
Spouse's rst name (only if married ling jointly) Last nameM.I.
Address line 2 (apartment number, suite number, etc.)
If deceased
check box
Use only black ink and UPPERCASE letters.
Preparer's printed name Phone number
Primary signature Phone number
Spouse’s signature Date (MM/DD/YY)
Sign Here (required): I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the return and all enclosures are true,
correct and complete.
Mail to:
Ohio Department of Taxation
P.O. Box 2476
Columbus, OH 43216-2476
Check here to authorize your preparer to discuss this return with the Department
There is no tax liability on my Ohio taxable nonbusiness income
(Ohio IT 1040, line 7) and taxable business income (Ohio IT 1040, line 6).
I was a nonresident of Ohio for the entire tax year and did not have
Ohio-sourced income (e.g. the above address is for mailing purposes only).
I was a nonresident military servicemember for the entire tax year
and my only source of income earned in Ohio is from the military.
I was a civilian spouse of a nonresident servicemember stationed in
Ohio.
Preparer’s TIN (PTIN)
Rev. 9/4/20.
MM-DD-YY Code
Reason(s) For Filing (Required): By ling this return, the primary taxpayer and spouse (if ling jointly) declare that their correctly calculated tax liability
(Ohio IT 1040, line 8c) is $0.00 for one or more of the following reasons (check all that apply):
I understand that I cannot request a refund of any amount on this return.
Single, head of household or qualifying widow(er)
Married ling jointly
Married ling separately
Filing Status Check one (as reported on federal income tax return)Residency Status Check only one for primary
Check only one for spouse (if married ling jointly)
Resident
Part-year
resident
Nonresident
Indicate state
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Resident
Part-year
resident
Nonresident
Indicate state
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Check here if you led the federal extension form 4868.
Ohio Nonresident Statement See instructions for required criteria
Primary meets the ve criteria for irrebuttable presumption as nonresident.
Spouse meets the ve criteria for irrebuttable presumption as nonresident.
Spouse’s SSN
School district #
(see instructions)
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SD#
Important: If you are liable for school district income tax, you cannot le this return. You must le the Ohio IT 1040.
P
20120106
Clear Form