Completed form is due by April 18, 2023
2022EX

                                        Step 1

Please answer the following questions, about this past year, by placing an X on the correct line.

                                                                Yes         No
          Were you employed?
          Did you have gambling/lottery winnings?
          Were you self-employed?
          Did you receive rental income?

                                        Step 2                  Account
Name
Address

Phone                                         Email

          SSN                                           SSN

                                        Filing Status

               Single                                           Married filing separately
               Married filing joint                             Head of household

                                        Step 3
               My income is exempt from Newark Tax because:
                      Please place an X on the appropriate line.
                                                                You         Spouse
          Under 18 - enter birth date
          Retired - pension income -enter date retired
          Did not live in Newark - enter date moved out
          Student - enter anticipated date of graduation
          Active duty military for the entire year
          I had no taxable income for the year
          Other

          I hereby declare that the above information is true under penalty of perjury.

Signature                   Date                      Signature                        Date

Signature                               Date          May we contact:       Yes          No

All forms received by the Newark Tax Office are subject to review.  Returns  received after the due 
               date may be subject to billable penalty and interest charges.

Mail to:
                                                                Questions?
                                                                740-670-7580  phone
Newark City Tax Office
                                                                740-670-7581  fax
PO Box 4577                                                     citytax@newarkohio.net
Newark, OH  43058-4577

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2022EX                    Instructions

This return is for residents who need to file an annual return but have no taxable income.  
        Please follow these 3 steps to complete this return.

                          Step 1

   For each question, please answer yes or no by placing an X in the correct column.

If you receive a warning that you need to use a different return, then you have taxable 
income that must be reported. The information  below will assist you in determining what 
return you should file.

                          Were you employed?

If you worked for an employer who withheld your Newark City Tax for you and you answered 
NO to the other questions listed, you will need to file a 22SF Return.

                       Did you have gambling/lottery winnings?
                          Were you self-employed?
                       Did you receive rental income?

If you answered YES to ANY of these questions, then you will need to file a 22LF.

                          Step 2

                       Please enter the information requested.

Account Enter your Newark Tax Account number.  If this is unknown, please leave blank.

Name    Enter the name or names of residents filing.

        Enter your current street address.  If your mailing address is different, please 
Address
        write the mailing address on the back of your return.

Phone   Please provide a number where you can be reached if we have any questions.

Email   Please enter your Email address.

        Enter full Social Security Number.  If filing jointly, enter spouce's full Social 
SSN
        Security Number.  New State Law requires that you provide this information.

Filing 
        Place an X in the line beside your filing status.
Status

                                           Step 3

Place an X on the line that best describes your income for 2022.

If a date is requested, please enter it on the line to the right.  If filing joint, please enter the 
dates requested for both you and your spouse.

Note - Active duty military does not apply to any civilian pay you earned from the Ohio 
National Guard or from any branch of the Department of Defense.

Enter today's date and then print your return.  Please sign your return.  Your spouse should 
also sign if you are filing a joint return.

Mail the completed return to the address listed.  This return can be folded so that the "Mail 
to" address will fit in a standard #10 window envelope.

Your return is due in our office on or before April 18, 2023.

A drop box is available for your convenience on the 4th Street side of the City Municipal 
Building located at the corner of 4th and West Main Streets in downtown Newark.

          Questions ?

If you have any questions, please contact us.  Our phone number and Email address are 
                                           listed below.

If you would like us to prepare your return for you, please call to schedule an appointment.

          Tax Assistance Hours
Monday - Tuesday                             8:00 am - 4:30 pm
Wednesday                                    11:30 am - 4:30 pm
Thursday - Friday                            8:00 am - 4:30 pm

Thank you for filing your Newark City Annual Tax Return.

Newark City Income Tax Office
1st Floor, Newark City Municipal Building
40 W Main Street, Newark, Ohio

Phone (740) 670-7580                                    Fax (740) 670-7581
Email  citytax@newarkohio.net
Website  www.newarkohio.gov/department-of-taxation/