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FOR THE YEAR
FormDBR-38 City of Dublin BEGINNING
Tax Return For Businesses 2022 ENDING
EIN/FID Number Check the appropriate box if:
Name REFUND (An amount must be placed in Line 6B
for this return to be considered a valid refund request)
Address AMENDED tax year
Filing Status - check only one •Did you file a City return last year? YES NO
City C-Corporation •Is this a consolidated corporation return?
S-Corporation YES NO
State Zip Code Fiduciary (Trust and Estates) inactivated? NO
•Should your account be YES
Partnership/Association If YES, please explain:
(do not use this form for Schedule C filers)
REQUIRED: ATTACH A COPY OF YOUR FEDERAL RETURN INCLUDING ALL
• City(ies) of income #1
SUPPORTING SCHEDULES TO THE BACK OF THIS RETURN #2
• Local business address if different from mailing address: • Nature of Business
• Trade Name
• Federal Business Activity Code (NAICS) _________________________________________________
Part A TAX CALCULATION Complete Page 2 now.
Column A Column B TAX Column C
Total Net Taxable Income* RATE Tax Due
DUBLIN 2.0%
*Entry in Column B cannot be less than zero (see instructions)
1. TOTAL NET TAX DUE (Total of Column C)………………………………………………………………..……….. 1 $
2. LESS CREDITS OVERPAYMENT FROM PRIOR YEAR RETURN ONLY ....... 2a 2
ESTIMATED TAX PAYMENTS ...…. 2b
3. BALANCE DUE (Line 1 Less Line 2). If Line 2 is greater than Line 1, enter amount (in brackets) here and carry to Line 6 3 $
4. PENALTY: 15%__________ + INTEREST_________ + LATE FEE = __________ (see instructions) 4 $
5. TOTAL AMOUNT DUE (Add lines 3 and 4). NOTE: no payment is due if the amount is $10.00 or less 5 $
6. OVERPAYMENT CLAIMED ( if Line 2 exceeds Line 1)…………………………….…. 6 $
A. Enter the amount from Line 6 you want CREDITED 6A $
to you next year tax estimate……………………………….
B. Enter the amount from Line 6 you want REFUNDED 6B $
(must be greater than $10.00)
Part B THESE QUESTIONS MUST BE ANSWERED A Declaration of Estimated City Tax is REQUIRED for all business entities.
Date of incorporation/inception Are any employees leased in the year covered by this return? YES NO
Date City business commenced If YES; please provide the name, address and FID number of the leasing company
Check whether this return was prepared on: cash or accrual basis
Has City income tax been withheld from and remitted for all taxable employees Gross city wages paid were $
during the period covered by this return? City tax in the amount of $ was withheld from wages and paid to
YES - If YES, provide the EIN(s) # .
Were 1099-MISC forms issued to central Ohio residents? YES NO
NO - If NO, please explain on an attached statement. If YES, attach copies to this return.
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return for
SIGNATURE the taxable period stated, and that the figures used are the same as used for Federal income tax purposes and MAILING INFORMATION
understands that this information may be released to the tax administration of the city of residence and the I.R.S.
Signature May the City of Dublin discuss
Of Officer ► this return with the preparer No Payment Enclosed/Refund Request:
Sign shown below? (see instructions) Mail to: City of Dublin Tax Division
Here Date PO Box 4480
Dublin, Ohio 43016-4480
Title ► YES NO
Paid PTIN Payment Enclosed:
Make payable to: City of Dublin
Preparer’s Date Mail to: City of Dublin Tax Division
Use Signature► PO Box 9062
Only Phone No. ( ) Dublin, Ohio 43017-0962
DBR-38 360 S Yearling Rd
Whitehall, Ohio 43213-9803
Make payable of Whitehallto: City