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2022 WOOSTER INDIVIDUAL INCOME TAX RETURN
STANDARD FORM For Calendar Year 2022
Due on or before April 18, 2023
Primary SSN Spouse SSN Mandatory Filing For ALL Residents
Attach a copy of page 1 of your Federal 1040
Make Check Payable to "City of Wooster"
Complete Name & Address (include spouse's name if joint return)- Please update address if needed MAIL TO: Do not write
CITY OF WOOSTER in this area
INCOME TAX DEPT
PO BOX 1088
WOOSTER OH 44691
Questions?
(330) 263-5226
www.woosteroh.com
Phone: Email: incometax@woosteroh.com
Type of Return (check one) Residency Status (check one )
Individual Joint Resident Non-Resident Part-Year Resident: From___________To __________
Taxable income- Attach all W-2's & Federal Schedules- Please round amounts to the whole dollar
1 Qualifying Wages- (Box 5 of W-2) - Attach ALL W-2's 1
2 Net Profit/Loss from Federal Schedules C, E, F, K-1, etc (Worksheet B) - Attach ALL Schedules 2
3 Other Taxable Income- Attach Federal Schedule 1 3
4 Wooster Taxable Income (Add Lines 1, 2 & 3) - Losses on Line 2 Cannot Offset Income from Lines 1 & 3 4
5 Wooster Income Tax 1.5% (Multiply line 4 by .015) 5
Credits & Payments
6 Wooster Income Tax (Box 19 of W-2, Partner credit payments) 6
7 Other Municipal Income Tax Withheld (Box 19 of W-2, or Worksheet A Column F) Credit Limit 1.5% 7
8 2022 Estimated Payments, Overpayment from 2021, Extension Payment 8
9 Total Payments and Credits (Total lines 6, 7, & 8) 9
Refund or Amount Due ***AMOUNTS $10.00 OR LESS ARE NOT DUE AND WILL NOT BE REFUNDED***
10 Balance Due/Overpayment (Subtract Line 9 from Line 5) 10
11 Late Filing Penalty $25.00 (Per Month or Fraction thereof, Not to Exceed $150.00) 11
Penalty & Interest 12 Penalty 15% of Amount Not Paid Timely 12
13 Interest .42% Per Month of Tax Not Paid Timely 13
14 Amount Due (No Payment Due if Amount on Line 10 is $10.00 or Less)- Add Lines 10, 11, 12, & 13 14
15 Amount To Be Refunded (No Refund if Amount on Line 10 is $10.00 or Less) 15
16 Amount of Overpayment from Line 10 Credited to 2023 16
*** TAX DUE GREATER THAN $200 FOR 2022, YOU MUST ESTIMATE 2023 INCOME TAX ***
(See instructions on page 7)
17 2023 Wooster Income Tax Estimate 17
Declaration of 2023
18 Amount of 2023 Estimate Due With Return ( 25% of Line 17; See Instructions) 18
Estimated Tax
19 Credits (2022 Overpayment- Line 16, and Previous 2023 Estimated Payments) 19
(See Instructions) 20 Amount of 2023 Estimate Due (Subtract Line 19 from Line 18) 20
21 TOTAL PAYMENT DUE (Add Line 14, and Line 20) 21
Under penalties of perjury, I declare that I have examined this return and the 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.
Do you authorize your preparer to contact us regarding this return? Yes No□ □
PLEASE
SIGN Taxpayer's Signature Date Paid Preparer's Signature Date
HERE
Taxpayer's Signature Date Firm or individual
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