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File this return with CANTON TAX DEPARTMENT on or before April 18, 2023. If you                                                      CREDIT CARD SERVICE FEES APPLY:                            PHONE: (330) 430-7900
received a federal extension, please attach a copy of your federal extension request                                                 $2.00 or 2.75%, whichever is greater.
                                                                                                                                                                                                MAKE CHECK/MONEY
                                                                            April 18, 2023.                                          PAYMENT BY CREDIT CARD OR ELECTRONIC CHECK                 ORDER PAYABLE TO
                                                                                                                                     Please refer to our website, www.cantonincometax.com       KIM R. PEREZ, TREASURER
                                                                                                                                     to access the payment center to pay by credit card or      INCOME TAX DEPARTMENT
                                                                                                                                     electronic check.                                          PO BOX 9951
                                                                                                                                                                                                CANTON, OH 44711-9951
                                                                                                                                                                                                cantonincometax.com
City of Canton, Ohio Income Tax Return
For Calendar Year ending December 31, 2022.
                                                                                                                                        Indicate Filing Status:             Individual              Joint Return               Other
FOR USE OF ALL INDIVIDUAL TAXPAYERS SUBJECT TO
                    CANTON INCOME TAX                                                                                                   Occupation or Principal Business Activity:
                                                                        2022
                                                                                                                                     Are you or the business entity a resident     (     )  Yes      (    )  No
                                                                                                                                     Moved INTO CANTON on
                                                                                                                                     PREVIOUS ADDRESS
                                                                                                                                     Moved OUT OF CANTON on
                                                                                                                                     DO YOU RENT OR OWN YOUR HOME?                         OWN        RENT
                                                                                                                                        BIRTH DATE
MAKE NAME OR ADDRESS CORRECTION
                                                                                                                                                                             To receive electronic correspondence, please 
ACCT. NO.                       Your Social Security No.                    SPOUSE SS#                                                  PHONE                                provide an email address:
                                                                                                                                                                                                     @                                                                                    .com
1.  WAGES           FILING REQUIRED EVEN IF NO TAX DUE OR NO INCOME EARNED                                                                                                        ALL W-2’S MUST BE ATTACHED
                                EMPLOYER                                                                                      CITY PAID                 TAX PAID             CANTON TAX               TOTAL W-2 WAGES
                                                                                                                                                        OTHER CITIES              WITHHELD

                                                                                                                                TOTAL
2.         Total Income from Back of Form (if applicable)                                                                                                                                       2. $
3.         Wages earned outside Canton by part year non-resident or prior to 18th birthday                                                             3. Deduct  $
4.         Taxable Income (Add Lines 1 and 2 subtract Line 3)                                                                                                                                   4. $
5.         Canton City Tax (2.5% of Line 4)                                                                                                                                                     5. $
6.         CREDITS
           (a)  Canton income tax withhold by employer(s)                                                                        6a  $
           (b)  Municipal tax paid to other cities (not to exceed 2.5%)                                                          6b  $
           (c)  Payment of Declaration of Estimated Tax                                                                          6c  $
           (d)  CREDIT ADJUSTMENT                                                                                                6d  $
           (e)  TOTAL CREDITS (add a, b, c, less d)                                                                              6e  $
7.         BALANCE DUE (If Line 5 exceeds Line 6e enter difference here)                                                                                                                        7. $
8.         Overpayment claimed (If Line 6e exceeds Line 5)                                                                                              8.  $
9.         Credit to 2023 Estimate (If no estimate due use Line 10)                                                                                     9.  $
10.  TO BE REFUNDED (If estimate due use Line 9) (Must be greater than $10.00)                                                  10.  $                                  For direct deposit of your refund, check box
                                                                                                                                                                        and complete bank informaton on reverse side.
11.                                                                                                                                                                                             11. $
12.  Interest 0.58% per month                                                                                                                                                                   12. $
13.  Penalty: 15%                                        (see instructions)                                                                                                                     13. $

14.  Total amount due - MUST BE PAID IN FULL WITH THIS RETURN                                                                                                                                   14. $
                                    NO ASSESSMENTS OR REFUNDS OF $10.00 OR LESS WILL BE COLLECTED OR REFUNDED.

                                                         MANDATORY DECLARATION OF ESTIMATED TAX FOR 2023
                    1.  Total income subject to Canton tax $                                                    Canton tax @ 2.5%.                                                         1.  $
if a local          2.  LESS TAX TO BE WITHHELD                                                                                                                         2.  $
tax, of at          3.  Balance estimated Canton tax                                                                                                                                       3.  $
least 2.25% is      4.  Less Credits:  a.  Overpayment on previous year’s return                                                        4a.   $
not withheld                                b.  Other (Specify)                                                                         4b.   $                              Total Credits     $
 by your            5.  Net tax due (Line 3 less total of Line 4)                                                                                                                          5.  $
employer            6.         Amount paid with this return (not less than 1/4 X line 3 minus Line 4) Make remittance payable to: Kim R. Perez, Canton City Treasurer                      6.  $
                    7.  Balance of Tax                                                                                                                 $
I CERTIFY I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY                                                                     May we discuss this                                                                                     Yes
KNOWLEDGE, I BELIEVE IT IS TRUE, CORRECT, AND COMPLETE.                                                                                                                           tax return with preparer                                                                                No
Signature of Person Preparing, If Other Than Taxpayer                                                                    Date   Signature of Taxpayer or Agent Required                                                                                           Date

Address or Name and Address of Firm                                                                                             Spouse                                                                                                                                                    Date
THIS SPACE FOR TAX OFFICE USE ONLY
AUDITED BY                                        NEW ACCOUNT                              SUSP                             M/M                                POSTED TO                              BANKING DATE                         REFUND CK. NO.



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City of Canton Income Tax Form TY201622                                 COLUMN A COLUMN B     COLUMN C          COLUMN D         COLUMN E COLUMN F  COLUMN G
                                                                                                                                                   TOTAL COLUMNS A-F

1. Municipality Name; enter each City only once                           CANTON

2. Tax rate for each City
                                                                          2.5%              %         %                        %   %           %

3.  AGGREGATE SCHEDULE C INCOME OR (LOSS)

4.  AGGREGATE SCHEDULE E INCOME OR (LOSS)

5.  AGGREGATE PARTNERSHIP/S-CORP INCOME OR 
     (LOSS)

6. MISCELLANEOUS/OTHER INCOME/FORM 1099

7. TOTAL INCOME (ADD LINES 3,4,5, AND 6)                                $        $            $         $                        $        $        $

8. COLUMN A-F IF LINE 7 IS A GAIN ENTER EACH 
     COLUMN AND TOTAL ACROSS 

9. COLUMN A-F IF LINE 7 IS A LOSS ENTER EACH 
     COLUMN AND TOTAL ACROSS 

10. NOL CARRY FORWARD 

11.  ENTER LESSER OF 50% OF 7G OR 50% OF 10G

12.  GAIN PERCENTAGE
                 (Divide each column amount in Line 8 by the total in                       %         %                        %   %           %    100%
                 Line 8 Column G)
13.   APPORTIONED  LOSS
                  (Multiply Loss from Line 9G by Line 12)

14.   APPORTIONED  NOL
                  (Multiply Loss from Line 11G by Line 12)

15.  DEDUCTIBLE LOSS 
    (Add Line 13 and Line 14)

16.  TAXABLE GAIN
                 (Subtract Line 15 from Line 8. Enter 16G on Page 1     $        $            $         $                        $        $        $
                 of Tax Return, Line 2)
               ALLOWABLE CREDIT FOR TAX PAID 
               TO OTHER CITIES
A.    TOTAL TAX PAID OR WITHHELD (Include distributive 
               share of tax paid by Partnership/S Corp)
B. TAX ASSESSED BY OTHER CITY
Please attach other City Tax Returns
C. TAX DUE TO CANTON ON APPORTIONED INCOME
(Multiply Line 16.5                                                                                                                                                 by 2 %)
D. TAX PAID TO OTHER CITY ON APPORTIONED INCOME 
               (Multiply Line 16 by Line 2)
E.  COMPARE LINES A, B, C, AND D, AND ENTER 
               SMALLEST AMOUNT                                                   $            $         $                        $        $        $

ENTER LINE 16 G ON PAGE 1, LINE 2

ENTER LINE E, COLUMN G, ON PAGE 1, LINE 6 B
                                                                                 IF YOU WOULD LIKE YOUR REFUND DIRECT DEPOSITED
                                                                                   PLEASE COMPLETE THE FOLLOWING
ROUTING
NUMBER                                                                    TYPE:    CHECKING     SAVING
ACCOUNT                                                                                                                            NAME OF BANK
NUMBER






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