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Form BR File With BUSINESS ACCOUNT CITY OF MIDDLETOWN 2023 - CITY OF MIDDLETOWN - 2023 INCOME TAX DIVISION TAXABLE PERIOD BEGINNING ____________________ AND ENDING _________________ P.O. BOX 428739 MIDDLETOWN, OHIO 45042 CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15, 2024 FEDERAL ID (513) 425-7862 FISCAL YEAR DUE ON 15 TH DAY OF THE 4TH MONTH AFTER YEAR END www.cityofmiddletown.org EXTENSION REQUESTS MUST BE ATTACHED TO YOUR RETURN. TAXPAYERS NAME AND ADDRESS (MAKE ADDRESS CORRECTIONS) CONSOLIDATED RETURN AMENDED RETURN SHOULD YOUR ACCOUNT BE INACTIVATED? YES NO IF YES, PLEASE EXPLAIN: __________________________________________ FILING STATUS (CHECK ONE) CORPORATION S-CORPORATION PARTNERSHIP LLC FIDUCIARY (TRUSTS AND ESTATES) BUSINESS TELEPHONE: __________________________________________ EMAIL: ___________________________________________________________ OFFICE USE ONLY 1. Adjusted Federal Taxable Income (attach copy of Federal return) . . . . . . . . . . . . . . . . . . . . . 1 $______________ 1 ______________ 2. Adjustmen ts (from Line M, Schedule X) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 $______________ 2 ______________ 3. Taxable income before apportionment (Line 1 plus/minus Line 2) . . . . . . . . . . . . . . . . . . . . . 3 $______________ 3 ______________ 4. Net loss carryforward (limited to 5 years) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 $______________ 4 ______________ 5. Taxable income after NOLs (Line 3 minus Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 $______________ 5 ______________ 6. Apportionment percentage _______% (from Line 5, Schedule Y) . . . . . . . . . . . . . . . . . . . . . 6 $______________ 6 ______________ 7.. Income subject to Middletown Income tax (Line 5 multiplied by Line 6) . . . . . . . . . . . . . . . . . 7 $______________ 7 ______________ 8. Middletown tax is 2.0% (0.02) of Line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 $ ______________ 8 ______________ 9. Tax Credits: A. Estimated Payments . . . . . . . . . . . . . . . . . . . . . . . . . 9 A $_______________ 9A _____________ B. Prior Year Overpayments . . . . . . . . . . . . . . . . . . . . . 9 B $_______________ 9B _____________ C. Total tax credits (Lines 9A and 9B) . . . . . . . . . . . . . 9 C $_______________ 9C _____________ 10.0. Balance due (if Line 8 is greater than Line 9C) Line 8 minus Line 9C . . . . . . . . . . . . . . . . . . .10 $____________ 10 _____________ 11.1.Overpayment (i f Line 8 is less than Line 9C) Line 9C minus Line 8 . . . . . . . . . . . . . . . . . . . . 11 $____________ 11 ______________ A. Refund Amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11A $_______________ 11A _____________ B. Credit Amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11B $_______________ 11B _____________ DECLARATION OF ESTIMATED TAX FOR 2024 12. Total estimated income subject to tax (to avoid penalty, no less than Line 7) . . . . . . . . . . . . 12 $_______________ 12 _______________ 13. Estimated tax due (multiply Line 12 by 2.0% {0.02}). If less than $200, estimated payments are not required. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 $_______________ 13 _______________ 14. First quarter tax due before credits (at least 25% of Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14 $_______________ 14 _______________ 15. Prior year tax credit from Line 11B above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 $_______________ 15 _______________ 16. Net estimated first quarter tax due with this return (Line 14 minus Line 15). ( finegative, enter zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 $_______________ 16 _______________ 17. TOTAL TAX DUE (Lines 10 and 16). Make Check payable to Middletown Income Tax Divison . . 17 $_______________ 17 _______________ *First quarter estimatedth tax paymentsth th shouldth be paid with this return. Subsequent estimated payments are due by the 15 day of the 6 , 9 and 12 months after the beginning of the taxable year. The undersigned declares that this return (and accompanying schedule) is a true, correct and complete return FOR OFFICIAL USE ONLY - PENALTY & INTEREST of the taxable period stated and that the figures used herein are the same as used for Federal Tax purposes. FAILURE TO PAY ESTIMATE BY DEC 15 $ _______________________ Signature of Taxpayer or Agent ______________________________________________________________ FAILURE TO PAY ESTIMATE BY JAN 31 $ ___________________ FAILURE TO FILE BY APRIL 15 $ _______________________ Title ____________________________________________________ Date __________________________ ___________________ FAILURE TO PAY TAX DUE BY APRIL 15 ________________________________________________________________________________________ INTEREST $ __________________________________________ Name & address of person or firm preparing this return Telephone number of the preparer _______________________________________________________________________________ PENALTY $ _______________________ May we discuss this return with the taxpreparer? Yes No TOTAL PENALTY & INTEREST $ _______________________$ ___________________ GRAND TOTAL $ _______________________
