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CITY TAX DEPT. 2022
50 TOWN SQUARE, P.O. BOX 155 LIMA INCOME TAX RETURN IF YOU MOVED DURING TAX YEAR
LIMA, OHIO 45802 FOR USE BY ALL TAXPAYERS ON A CALENDAR YEAR BASIS STATE DATE
OR OTHER TAXABLE PERIOD BEGINNING INTO LIMA OUT OF LIMA
PHONE: (419) 221-5245 AN E D N N I D G 2 0 ,
FAX: (419) 998-5527 CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE ATTACH VERIFICATION
APRIL 15, 2023 FISCAL AND PARTIAL YEARS, File on or before LOCAL PHONE
the 15th day of the 4th month following close of the tax year. SSAN
JOINT SSAN
1. ENTER GROSS WAGES, SALARIES, BONUSES, COMMISSIONS AND OTHER COMPENSATION LIMA TAX WAGES
RECEIVED BEFORE ANY PAYROLL DEDUCTIONS. Attach copies of W-2 Forms ON BACK WITHHELD ETC.
$ $
$ $
$ $
a. TOTAL: IF NO OTHER TAXABLE INCOME ENTER TOTAL WAGES HERE AND ON LINE 6... $ XXXXXXXXXXXX $
2. OTHER INCOME - FROM PAGE 2 (Attach Federal Schedules) (schedule losses cannot offset qualifying wages) .........
3. TOTAL INCOME (total lines 1 and 2) ......................................................................................................................................
4a. ITEMS NOT DEDUCTIBLE (from line m Schedule X below) ................................................................................................. $
b. ITEMS NOT TAXABLE (from line z Schedule X below) .................................................................................................
c. ADD EXCESS OF 4a OVER 4b TO LINE 3. DEDUCT EXCESS OF 4b OVER 4a FROM LINE 3 ............................... XXXXXXXXXXXX
5a. ADJUSTED NET INCOME (line 3 plus or minus line 4c)........................................................................................................
b. AMOUNT ALLOCABLE TO LIMA IF SCHEDULE Y PAGE 2 IS USED % OF LINE 5a..................
c. LESS ALLOCABLE NET LOSS PER PREVIOUS LIMA INCOME TAX RETURN.........................................................
6. AMOUNT SUBJECT TO LIMA INCOME TAX (line 5a or 5b less line 5c) .............................................................................
7. LIMA INCOME TAX (1.5% or .015 of amount shown on line 6) ...........................................................................................
8. CREDITS:(a) LIMA tax withheld by employer(s).................................................................................................................... $
(b) Payments and credits on Declaration of Estimated Tax............................................................................
(c) Earned income, taxes paid City of (By Individuals Only)......................
(x) TOTAL CREDITS ALLOWABLE...................................................................................................................
9. BALANCE OF TAX DUE (line 7 less line 8x) PAYMENTS MUST ACCOMPANY THIS FORM (No payment is due for amount under $10.00) ............ $
10. OVERPAYMENT CLAIMED (If line 8x exceeds line 7 enter difference here (No overpayment is to be claimed on amount under $10.00) $ INTEREST
Enter amount of line 10 you want: CREDITED to your........ Estimated Tax $ REFUNDED $ PENALTY ............ $
TOTAL ............ $
SCHEDULE X – RECONCILIATION WITH FEDERAL INCOME TAX RETURN AS REQUIRED BY ORC SECTION 718 (For Business Use Only)
ITEMS NOT DEDUCTIBLE ADD ITEMS NOT TAXABLE DEDUCT
a. Federally deductible losses from IRC 1221 or 1231 n. Capital gains (IRC 1221 or 1231 property dispositions
property dispositions ........................................................................... $ except to the extent the income and gains apply to
b. Five percent of intangible income reported in letter O, those described in IRC 1245 or 1250) ................................................. $
except that from IRC 1221 property dispositions ............................... o. Federally reported intangible income such as, but not limited
c. Taxes based on income (State) ........................................................... to interest, dividends, and patent and copyright income ....................
d. Taxes based on income (City) ............................................................. p. Amount of Federal Tax Credit to the extent they have
e. Guaranteed payments or accruals to or for current reduced corresponding operating expenses .......................................
or former partners or members ........................................................... q. Not previously deducted IRC Section 179 Expense ............................
f. Federally deducted dividends, distributions, or amounts set r. Partnership, S corp, LLC charitable contributions ...............................
aside for, credited to, or distributed to REIT or RIC investors ............... s. Other
g. Federally deducted amounts paid or accrued to or for
qualified self-employed retirement plans, health
insurance plans, and life insurance plans for owners or
owner-employees of non-C corp entities ............................................
h. Rental activities by partnership, S corp or LLC, Trusts ......................
i. Other ....................................................................................................
m. Total (enter as line 4a above) ............................................................... $ z. Total (enter as line 4b above) ............................................................... $
The undersigned declares that this return (and accompanying schedules) is a IF YOU OWE MORE THAN $200 QUARTERLY ESTIMATE PAYMENTS ARE REQUIRED
true, correct and complete return for the taxable period stated, and that the figures and you may be subject to penalties and interest due to lack of estimated payments. Further, you
used are the same as used for federal income tax purposes and understands that may need to make estimate payments for 2024 if you expect to owe the same or greater amount
this information may be released to the tax administration of the city of residence next year.
and the I.R.S.
Sign Your
Here Signature Date Paid Your
Preparer’s Signature Date
If a joint return, Spouse
both must sign Signature Date Use Only
Print
CHECK BOX IF CITY MAY DISCUSS YOUR RETURN WITH TAX PREPARER. Name PTIN
