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Form BR File With BUSINESS ACCOUNT
CITY OF MIDDLETOWN 2023 - CITY OF MIDDLETOWN - 2023
INCOME TAX DIVISION TAXABLE PERIOD BEGINNING ____________________ AND ENDING _________________
P.O. BOX 428739
MIDDLETOWN, OHIO 45042 CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15, 2024 FEDERAL ID
(513) 425-7862 FISCAL YEAR DUE ON 15 TH DAY OF THE 4TH MONTH AFTER YEAR END
www.cityofmiddletown.org EXTENSION REQUESTS MUST BE ATTACHED TO YOUR RETURN.
TAXPAYERS NAME AND ADDRESS (MAKE ADDRESS CORRECTIONS)
CONSOLIDATED RETURN AMENDED RETURN
SHOULD YOUR ACCOUNT BE INACTIVATED? YES NO
IF YES, PLEASE EXPLAIN: __________________________________________
FILING STATUS (CHECK ONE)
CORPORATION S-CORPORATION
PARTNERSHIP LLC
FIDUCIARY (TRUSTS AND ESTATES)
BUSINESS TELEPHONE: __________________________________________
EMAIL: ___________________________________________________________
OFFICE USE ONLY
1. Adjusted Federal Taxable Income (attach copy of Federal return) . . . . . . . . . . . . . . . . . . . . . 1 $______________ 1 ______________
2. Adjustmen ts (from Line M, Schedule X) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 $______________ 2 ______________
3. Taxable income before apportionment (Line 1 plus/minus Line 2) . . . . . . . . . . . . . . . . . . . . . 3 $______________ 3 ______________
4. Net loss carryforward (limited to 5 years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 $______________ 4 ______________
5. Taxable income after NOLs (Line 3 minus Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 $______________ 5 ______________
6. Apportionment percentage _______% (from Line 5, Schedule Y) . . . . . . . . . . . . . . . . . . . . . 6 $______________ 6 ______________
7.. Income subject to Middletown Income tax (Line 5 multiplied by Line 6) . . . . . . . . . . . . . . . . . 7 $______________ 7 ______________
8. Middletown tax is 2.0% (0.02) of Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 $ ______________ 8 ______________
9. Tax Credits:
A. Estimated Payments . . . . . . . . . . . . . . . . . . . . . . . . . 9 A $_______________ 9A _____________
B. Prior Year Overpayments . . . . . . . . . . . . . . . . . . . . . 9 B $_______________ 9B _____________
C. Total tax credits (Lines 9A and 9B) . . . . . . . . . . . . . 9 C $_______________ 9C _____________
10.0. Balance due (if Line 8 is greater than Line 9C) Line 8 minus Line 9C . . . . . . . . . . . . . . . . . . .10 $____________ 10 _____________
11.1.Overpayment (i f Line 8 is less than Line 9C) Line 9C minus Line 8 . . . . . . . . . . . . . . . . . . . . 11 $____________ 11 ______________
A. Refund Amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11A $_______________ 11A _____________
B. Credit Amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11B $_______________ 11B _____________
DECLARATION OF ESTIMATED TAX FOR 2024
12. Total estimated income subject to tax (to avoid penalty, no less than Line 7) . . . . . . . . . . . . 12 $_______________ 12 _______________
13. Estimated tax due (multiply Line 12 by 2.0% {0.02}). If less than $200, estimated
payments are not required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 $_______________ 13 _______________
14. First quarter tax due before credits (at least 25% of Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14 $_______________ 14 _______________
15. Prior year tax credit from Line 11B above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 $_______________ 15 _______________
16. Net estimated first quarter tax due with this return (Line 14 minus Line 15). ( finegative,
enter zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 $_______________ 16 _______________
17. TOTAL TAX DUE (Lines 10 and 16). Make Check payable to Middletown Income Tax Divison . . 17 $_______________ 17 _______________
*First quarter estimatedth tax paymentsth th shouldth be paid with this return. Subsequent estimated payments
are due by the 15 day of the 6 , 9 and 12 months after the beginning of the taxable year.
The undersigned declares that this return (and accompanying schedule) is a true, correct and complete return FOR OFFICIAL USE ONLY - PENALTY & INTEREST
of the taxable period stated and that the figures used herein are the same as used for Federal Tax purposes. FAILURE TO PAY ESTIMATE BY DEC 15 $ _______________________
Signature of Taxpayer or Agent ______________________________________________________________ FAILURE TO PAY ESTIMATE BY JAN 31 $ ___________________
FAILURE TO FILE BY APRIL 15 $ _______________________
Title ____________________________________________________ Date __________________________ ___________________
FAILURE TO PAY TAX DUE BY APRIL 15
________________________________________________________________________________________ INTEREST $ __________________________________________
Name & address of person or firm preparing this return
Telephone number of the preparer _______________________________________________________________________________ PENALTY $ _______________________
May we discuss this return with the taxpreparer? Yes No TOTAL PENALTY & INTEREST $ _______________________$ ___________________
GRAND TOTAL $ _______________________
