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PLEASE CHECK IF :
CITY OF TOLEDO 2022 INDIVIDUAL REFUND
CREDIT TO 2023
RESIDENT TAX RETURN AMENDED
BALANCE DUE
DUE ON OR BEFORE 4/18/2023
TAXPAYER ACCOUNT # TAXPAYER SOCIAL SECURITY #
Are you a Toledo Resident? Yes No
Did you file a Toledo tax return in 2021? Yes No
SPOUSE ACCOUNT # SPOUSE SOCIAL SECURITY # IF YES, PLEASE COMPLETE AND FILE THIS RETURN EVEN IF NOTHING OWED
Should your Tax account be inactivated? Yes No
Single Married Filing Joint Married Filing Separate Reason:______________________________________________________
_____________________________________________________________
TAXPAYER First Name, Middle Initial, Last Name
Name ____________________________________________________ DATE MOVED IN:__________________MOVED OUT:_________________
Address___________________________________________________
__________________________________________________________ Attach a copy of your W-2’s, W2-G’s, Schedule(s); C, E, F,
City ______________________ State _______________ Zip _________ and any 1099-MISC or 1099-NEC along with a copy of your
Federal Form 1040 to include Schedule 1.
Phone#(____)___________ Email Address_______________________ Note: Your return is not considered filed until these
May we leave detailed messages at the above phone or email address? Yes No documents are received.
SPOUSE First Name, Middle Initial, Last Name
Name____________________________________________________ File online at https://taxconnect.toledo.oh.gov/taxconnect/
1. W-2 Income (Box 1 from Worksheet A) 1. $__________________
2. Other Income (Line 5C from Worksheet B) – IF A LOSS enter here $(__________) and ZERO on Line 2 2. $__________________
NCOME 3. Net Loss Carryforward from the TOTAL box of the Schedule NOL (Figure cannot exceed amount on Line 2) 3. $__________________
I
4. Adjusted Other Income (subtract Line 3 from 2) Cannot be a negative – see instructions 4. $__________________
5. Adjusted net income subject to Toledo income tax (add Lines 1 & 4) 5. $__________________
AX 6. Toledo Income Tax – Enter 2.5% of Line 5 6. $__________________
T
7. Toledo Income Tax withheld by employers (add Box 2 from Worksheet A and Box 4B from Worksheet B) 7. $__________________
TAX 8. Tax withheld to other municipalities or JEDDs – Do not exceed 2.5% (Box 3 from Worksheet A) 8. $__________________
WITHHELD , 9. Tax paid to other municipalities or JEDDs (Attach other city/JEDD tax return). 9. $__________________
PAYMENTS
& C REDITS If you worked remotely, attach a copy of tax returns for other municipalities for which you are claiming credit.
The taxpayer declares that, I did not work remote during 2022. (signature required)________________________________
10. Estimated payments 10a $_________ and Credit from 2021 10b $______________ …………………. Total 10a + 10b = 10c. $__________________
11. Total allowable credits (add 7, 8, 9 and 10c) 11. $__________________
BALANCE 12. Balance due (subtract Line 11 from Line 6) PAYMENT IS REQUIRED WITH RETURN if more than $10 12. $__________________
D UE
13. Add 2210 assessment for Underpayment of Estimated Tax (see instructions) 13. $__________________
14. Add Penalty & Interest for Late Payment (see instructions) 14. $__________________
15. Balance due to include penalty & interest (add Lines 12 + 13 + 14) 15. $__________________
ESTIMATE
FOR NEXT 16. If Line 11 is greater than Line 6, enter the difference here, if more than $10 16. $__________________
YEAR OR Disburse as follows: 17. CREDIT APPLIED TO NEXT YEAR (Check box at top of form) 17. $__________________
REFUND 18. REFUND (Check box at top of form) 18. $__________________
Important: This return is NOT considered filed until IF YOU OWE MORE THAN $200, QUARTERLY ESTIMATE PAYMENTS ARE REQUIRED
Signature signed by taxpayer and spouse (if applicable). and you may be subject to penalties and interest due to lack of estimated payments. Further you may
need to make estimate payments for 2023 if you expect to owe the same or greater amount next year.
The undersigned declares that this return (and accompanying schedules) is a Payment must accompany return. Make payable to “COMMISSIONER OF TAXATION” & MAIL TO:
true, correct and complete return for the taxable period stated, and that the
figures used are the same as used for federal income tax purposes and REFUND: PAYMENT ENCLOSED NO PAYMENT ENCLOSED
CITY OF TOLEDO INCOME TAX CITY OF TOLEDO INCOME TAX CITY OF TOLEDO INCOME TAX
understands that the information may be released to the tax administration PO BOX 902 PO BOX 993 PO BOX 929
of the city of residence and the I.R.S. Toledo, OH 43697-0902 Toledo, OH 43697-0993 Toledo, OH 43697-0929
Sign Your Paid Your
Here Signature______________________________Date____________ Preparer’s Signature_______________________________Date_______________
Use Only Print
If a joint return Spouse Name __________________________________PTIN______________
both must sign Signature ______________________________Date____________
CHECK BOX IF CITY MAY DISCUSS YOUR RETURN WITH YOUR TAX PREPARER Phone Number ____________________________________________
