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CITY OF HUBBARD INCOME TAX RETURN FOR TAX OFFICE USE ONLY
Amount Paid Cash q
Change Tax Year if Necessary u 2017
YEAR _______ qCHECK NO.
OR PERIOD FROM _____________ TO _____________ AUDITED
BY
2018
DUE DATE APRIL 15 Were you a Hubbard resident for the entire year? Yes No q If no: q
OR THE IRS DUE DATE
Make Check or Money Order Payable to: Date moved into Hubbard: __________ Date moved out of Hubbard: __________
Ph: 330-534-6299 HUBBARD CITY INCOME TAX IF YOU RENT, GIVE NAME AND ADDRESS OF LANDLORD
Fax: 330-534-6282 MAIL TO:
www.cityofhubbard.com P.O. Box 307 Name ____________________________________________________________
Hubbard, OH 44425-0307 Address __________________________________________________________
PLEASE READ GENERAL INSTRUCTIONS BEFORE PREPARING THIS RETURN
Indicate here if you are qRetired and have no taxable income.
PLEASE ENTER NAME AND ADDRESS BELOW SOCIAL SECURITY NO. (SELF)
SOCIAL SECURITY NO. (SPOUSE)
FEDERAL ID NO.
Actual Work Location Gross Wages - Highest Hubbard Other City Lesser of Column E
A. PRINT EMPLOYER’S NAME B. City/Township C. Wage on W-2 D. Tax Withheld E. Tax Withheld F. or 1% of Column C
TOTALS: 1C. $ 1D. $ 1F. $
1. WAGES, SALARIES, TIPS & OTHER COMPENSATION (Enclose Forms) (1C) ...................................................................................................... $ ________________
2. PROFIT AND LOSS (LOSSES MAY NOT BE USED TO OFFSET SALARIES, WAGES, COMMISSIONS OR OTHER PERSONAL SERVICES COMPENSATION)
A. Business or Profession} Form(Attach1120,Schedule1120A. 1065C, C-EZ,orInclude1120S)cost of goods..............................sold LOSS ($ ___________ ) PROFIT $ ________________
B. Rents, Partnerships, Estates, Trusts, etc. (Attach Schedule E) ........ LOSS ($ ___________ ) PROFIT $ ________________
C. Farm (Attach Schedule F) ................................................................. LOSS ($ ___________ ) PROFIT $ ________________
D. NET TAXABLE INCOME: Add line A,B,C. of Profit only (losses cannot be used to offset profit).............. $ ________________
3. TAXABLE INCOME (Line 1 plus 2. D.) ................................................................................................................................................................................................. $ __________________
4. CITY TAX DUE 1.5% (.015) of Line 3 ................................................................................................................................................................................................... $ __________________
5. CREDITS
A. Hubbard Income Tax Withheld (1D) .................................................................................... $ ______________
B. Credit for tax paid to other cities (1%) per W-2. (1F) ........................................................... $ ______________
(Use your local wage box on your W-2)
CREDITS C. Payments made on Declaration/Credits and amount paid on extension ............................. $ ______________
D. TOTAL CREDITS (Add lines A,B,C) ...................................................................................................................................................................... $ ________________
6. BALANCE TAX DUE IF LINE 4 is larger than LINE 5D (Payment in full must accompany this form) .............................................................................................. $ _________________
7. LATE FILING PENALTY ($25 PER MONTH / MAXIMUM $150) $ ______________
LATE PAYING PENALTY (15% OF UNPAID TAX) $ ____________ INTEREST (See City Website for Rates) $ ______________ TOTAL 7 $ _________________
8. TOTAL AMOUNT DUE PAYABLE TO CITY OF HUBBARD (Line 6 plus Line 7) PAYMENT IS REQUIRED WITH RETURN $ _________________
9. OVERPAYMENT • AMOUNT to be REFUNDED $ ___________ AMOUNT to be CREDITED to next years return $ ___________
NOTE: Amount of $10.00 or less is not refundable or payable.
DECLARATION OF ESTIMATED TAX FOR YEAR 2018 (SEE GENERAL TAX FILING INFORMATION)
1. Total estimated income subject to tax $ _____________ Multiply the tax rate .015 (1.5%) for gross tax ................................... $ _______________
2. Less any CITY TAX to be withheld - 1% limit per W-2 ................................................................................................................ $ _______________
3. Balance Hubbard City Income Tax declared ............................................................................................................................... $ _______________
4. Less Credits: A. Overpayment on previous years return ............................................................................................................. $ _______________
B. Previous payment, If this is an amended estimate ............................................................................................ $ _______________
5. Unpaid balance of net tax due ..................................................................................................................................................... $ _______________
6. FIRST QUARTER ESTIMATE AMOUNT (DUE APRIL 15 OR THE IRS DUE DATE WITH THIS RETURN) ............................ $ _______________
GRAND TOTAL Line 8 ABOVE and FIRST QUARTER ESTIMATE PAYMENT (line 6) PAY THIS AMOUNT $
I certify that I have examined this return (including accompanying schedules, forms and statement) and believe it is true, correct and complete.
S
I
G Your Signature DATE Preparer’s signature (other than taxpayer) DATE
N
H Phone:
E SPOUSE SIGNATURE If living jointly. BOTH must sign, even if only one had income) DATE Address (and zip code)
E Your telephone number (optional) _____________________________________________________ preparation of this return?
R If this return was prepared by a taxqpreparer, Yes may weqcontact No him/her with questions regarding the 12/10 Rev.
