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Primary Taxpayer
CITY OF STOW, OHIO Retired as of _____/_____/_____
INCOME TAX RETURN Social Security / disability income only for all of 2023
FOR THE CALENDAR YEAR 2023 Unemployment income for all of 2023
TELE: (330) 689-2849 No taxable income for 202 3 - explain: __________________________
FAX: (330) 689-2847 Under 18 for all of 2023 - Date of birth: _____/_____/_____
www.stowohio.org PRINT NAME, ADDRESS AND PHONE NUMBER
Active duty military income only for all of 2023
Non-resident for all of 2023
Business / rental closed or sold: _____/_____/_____
Joint Taxpayer
Retired as of _____/_____/_____
Social Security / disability income only for all of 2023
Unemployment income for all of 2023
No taxable income for 2023 - explain: __________________________
PRIMARY SOCIAL SECURITY JOINT SOCIAL SECURITY Under 18 for all of 2023 - Date of birth: _____/_____/_____
Active duty military income only for all of 2023
Did you move during 2023 ? FROM STOW ON TO Non-resident for all of 2023
YES NO TO STOW ON FROM Business / rental closed or sold: _____/_____/_____
PART YEAR RESIDENTS: You should complete this form using only information on income received and taxes withheld or paid while living or working in
Stow. Did you work remotely any time during 2023? ☐ YES ☐ NO
INCOME
1. GROSS WAGES AND SALARIES (FROM WORKSHEET I COLUMN C ON BACK OF FORM.)......................................1 $
2. NON-WAGE TAXABLE INCOME (FROM WORKSHEET II LINE 5 OR WORKSHEET III, IF APPLICABLE.) ................. 2 $
3. TOTAL TAXABLE INCOME (ADD LINES 1 & 2.) ..............................................................................................................................................................3 $
TAX
4. STOW TAX DUE BEFORE CREDITS (MULTIPLY LINE 3 BY 2%.)..................................................................................................................................4 $
CREDITS
5. CREDIT FOR TAX WITHHELD ON WAGES & SALARIES (FROM WORKSHEET I COLUMN F.)...................................5 $
6. CREDIT FOR TAX PAID ON NON-WAGE INCOME ..........................................................................................................6 $
7. 20 23 ESTIMATED TAX PAYMENTS MADE TO THE CITY OF STOW. ..............................................................................7 $
INCLUDES ANY OVERPAYMENT CARRIED FROM 2022TO 20 23.
8. TOTAL CREDITS (ADD LINES 5, 6 & 7.)............................................................................................................................8 $
9. SUBTRACT LINE 8 FROM LINE 4. ..................................................................................................................................................................................9 $
OVERPAYMENT
NO TAXES OF $10.00 OR LESS SHALL BE REFUNDED OR CREDITED
10. ENTER THE OVERPAYMENT AMOUNT YOU WANT APPLIED TO YOUR 2024 ESTIMATED TAX. ................................10 $
11. ENTER THE OVERPAYMENT AMOUNT YOU WANT REFUNDED. (ALLOW 90 DAYS FOR YOUR REFUND)...............11 $
BALANCE DUE
12. IF THE AMOUNT ON LINE 9 IS GREATER THAN $10.00, ENTER THAT AMOUNT HERE. THIS IS YOUR 202 3BALANCE DUE..............................12 $
THIS AMOUNT MUST BE PAID WITH THIS FORM ON OR BEFORE APRIL 15, 20 24 OR THE IRS DUE DATE.
13. PENALTY AND INTEREST (SEE INSTRUCTIONS.). ......................................................................................................................................................13 $
ESTIMATED INCOME TAX (LEAVE LINES 14-20 BLANK IF YOU WANT THE CITY TO CALCULATE YOUR ESTIMATED TAX FOR 2024 BASED ON YOUR 2023 INCOME.)
14. ESTIMATED TAXABLE INCOME FOR 2024TAX YEAR.....................................................................................................14 $
15. ESTIMATED TAX DUE (MULTIPLY LINE 14 BY 2%.) ........................................................................................................15 $
16. TAXES TO BE WITHHELD AND PAID TO STOW AND OTHER MUNICIPALITIES. ..........................................................16 $
17. ESTIMATED TAX DUE FOR 2024 TAX YEAR (SUBTRACT LINE 16 FROM LINE 15.) ....................................................17 $
18. FIRST QUARTER OF ESTIMATED TAX PAYABLE TO CITY OF STOW (MULTIPLY LINE 17 BY 25%)............................18 $
19. 2023 OVERPAYMENT (FROM LINE 10) APPLIED TO 2024 ESTIMATED TAXES. ..........................................................19 $
20. NET AMOUNT DUE FOR FIRST QUARTER 20 24 (SUBTRACT LINE 19 FROM LINE 18.) ..........................................................................................20 $
TOTAL AMOUNT DUE WITH FORM
21. ADD LINES 12, 13 AND 20 AND ENTER THE SUM HERE. This is the total amount due with this form on or before5April241 or, 20the IRS Due Date......21 $
Make checks payable to: CITY OF STOW INCOME TAX DIVISION. MAIL TO: PO Box 3649 Akron, OH 44309-3649
RETURNS WITHOUT PAYMENT – MAIL COMPLETED RETURN AND ALL REQUIRED SCHEDULES TO: CITY OF STOW, PO BOX 1668, STOW OHIO 44224

I AUTHORIZE THE INCOME TAX DIVISION TO DISCUSS MY ACCOUNT WITH THE PREPARER NAMED BELOW. CHECK HERE
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND ACCOMPANYING SCHEDULES AND STATEMENTS, AND TO THE BEST OF
MY KNOWLEDGE AND BELIEF, THEY ARE TRUE, CORRECT AND COMPLETE.
DECLARATION OF PREPARER (OTHER THAN TAXPAYER) IS BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.

SIGNATURE OF PRIMARYTAXPAYER DATE

SIGNATURE OF JOINTTAXPAYER (IF JOINT RETURN) DATE

SIGNATURE OF PERSON (AND FIRM) PREPARING RETURN, ADDRESS & PHONE NO.

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WORKSHEET I - WAGE AND SALARY
A COPY OF EACH FORM W-2, 1099-MISC, 1099-K, W-2G, PAGE 1 OF FEDERAL FORM 1040

SPECIAL INSTRUCTIONS
I. The amount in Column D must have been withheld or paid to your work city. If it was not, enter zero in
Column D.
II. If the tax withheld was paid to the City of Stow, enter the actual amount of tax withheld for Stow in
Column F and ignore the amounts in Columns D & E.

Column A Column B Column C Column D Column E Column F
Date wages Name of municipality in Income earned Multiply Column C Multiply Column C enter smaller of
were earned which income was earned. in Column B by 2%. Column D or E.
(month/day). municipality. tax rate.

Total Column C Total Column F

WORKSHEET II - NON-WAGE INCOME
A COPY OF EACH FEDERAL FORM OR SCHEDULE USED MUST BE ATTACHED.

1. NET PROFIT (LOSS) FROM SCHEDULE C. $
2. RENTAL PROFIT (LOSS) FROM SCHEDULE E. $
3. OTHER NON-WAGE INCOME (ATTACH EXPLANATION). $
4. LOSS CARRY FORWARD FROM PRIOR YEAR(S). $
5. COLUMN TOTAL (IF LESS THAN ZERO, USE ZERO). $

CARRY TOTAL FROM LINE 5 TO FRONT OF RETURN LINE 2.

WORKSHEET III - NON-WAGE INCOME
FOR USE BY THOSE INDIVIDUALS WITH NET PROFIT/DISTRIBUTIVE SHARE INCOME SOURCED IN
MULTIPLE MUNICIPALITIES WITH CURRENT AND/OR PRIOR YEAR LOSSES. CONTACT THE CITY OF
STOW INCOME TAX OFFICE TO OBTAIN THIS SCHEDULE.

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