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                                                                                                                                           Acct            Amt               Chk #                                           
                       2023 CITY OF CANFIELD INCOME TAX RETURN
                                           FOR CALENDAR YEAR 2023 OR FISCAL PERIOD ______________ TO ________________
           CALENDAR YEAR TAXPAYERS FILE ON OR BEFORE APRIL 15 , 20                 24    FISCAL FILERS FILE WITHIN 105 DAYS OF PERIOD END
                                                                                                                                                        Mail To: City of Canfield
DECLARING EXEMPTION: Please fill out exemption                         **FILING REQUIRED EVEN IF NO TAX IS DUE**                                       Income Tax Department
certificate on page 2 and sign on this page                                                                                                                    104 Lisbon Street
                                                                                                                                                               Canfield, OH 44406
TAXPAYER(S) NAME AND ADDRESS                                PHONE:                                                                                             PH: 330-533-1101
                                                                                                                                                               FAX: 330-533-2668
NAME:                                                                                IF YOU MOVED OR HAD ANY CHANGE IN STATUS DURING 202,3COMPLETE THE FOLLOWING:

                                                                                     Date moved into City of Canfield______________________________________
ADDRESS:                                                                             Previous Address __________________________________________________
                                                                                     Date moved out of City of Canfield____________________________________
CITY:                       STATE:                          ZIP:                     If name change, give previous name___________________________________
SOCIAL SECURITY # OR FEDERAL ID #:___________________             SPOUSE SOCIAL SECURITY #:_________________________
W-2/W-2G WORKSHEET                               1                     2                3                  4                      5                               6
           Dates wages were                                                   QUALIFYING WAGES                                                           CREDIT ALLOWED FOR 
              Earned                                                                                                                                           OTHER CITIES
            (Month/Day)                                                         ON W-2/W-2G                                                            (if other city tax was withheld, 
                                                                   CITY WHERE (greater of Box 5 or 18  CANFIELD TAX         OTHER CITY TAX             max credit = wages in Box 18 
W-2/W-2G   From       To                   PRINT EMPLOYER'S NAME   EMPLOYED     on W2    )             WITHHELD             WITHHELD                           on W2 x 0.005)
COPIES
MUST BE
ATTACHED

                                                            TOTALS
                   ATTACH A COPY OF 1040, ALL APPLICABLE W-2s/W-2Gs, FEDERAL SCHEDULES, 1099s, EXPLANATIONS, ETC…
                   1.Total W-2 wages from column 3 ………….……….…………….……………………......……….….…………………………………..……..…..…….……… 1 $
INCOME             2. Income other than wages (from pg. 2, line 29)(Attach applicable schedules)       NOTE: NO LOSS CAN OFFSET W2 WAGES.… 2             $
                   3. TOTAL CANFIELD INCOME: ADD LINES 1 AND 2 ……..……….….……….….…………………………………….…….……………………...………... 3 $
TAX                4. CITY OF CANFIELD INCOME TAX- MULTIPLY LINE 3 BY 1.0% (0.01) ……..…………...………………………………….....…...................... 4 $
                   5. CANFIELD income tax withheld fromcolumn 4 …………………………..………….………..….…………………..5                      $
TAX WITHHELD,      6. Prior year credits carried forward………………………………...…………………...…..…….…………..……….… 6 $
PAYMENTS           7. Estimated payments paid for 2023 income tax………………………………………..………….…………………                       7  $
AND CREDITS        8. Credits for taxes withheld to other cities fromcolumn 6 above and pg. 2, line 10B …….….….…     8  $
                   9. TOTAL PAYMENTS AND CREDITS: ADD LINES 5 THROUGH 8 ……….….…………….….....……………… 9 $
                   10. BALANCE DUE. If line 4 is greater than line 9, enter balance here, otherwiseleave blank or write "0" …………....…………..… 10           $
                   11. Late filing and late payment penalty (see instructions) …………………………………...………………..…...………………………………………11 $
BALANCE DUE,       12. Interest (see instructions) …………………………………………………………………….…..……………..……………….………..……………………………12 $
REFUND,            13. TOTAL DUE. Add lines 10 through 12. Carry to line 24 below (No tax due if $10.00 or less) …..………….............................. 13$
 OR CREDIT         14. OVERPAYMENT. If line 4 is less than line 9, enter overpayment here …………..……………………… 14 $
                   15. AMOUNT FROM LINE 14 TO BE REFUNDED (no refund if $10 or less) ….....………………………… 15 $
                   16.  AMOUNT FROM LINE 14 TO BECREDITED TO 20 2(no3         credit if $10 or less) ………………………  16      $
                   DECLARATION OF ESTIMATED TAX - TAXPAYERS OWING MORE THAN $200.00 ARE REQUIRED TO SET UP AND PAY
                   17. Total estimated income subject to tax $________________________ Multiply by tax rate of 1.0% (0.01)………..…………… 17 $
                   18. Estimated taxes to be withheld for Canfield ……………………………..…..……….………………………….. 18 $
ESTIMATE           19. Estimated taxes to be withheld for other cities (limited to 0.5%(0.005) of wages)…… …...…...  19 $
FOR NEXT YEAR      20. Balance of city income tax declared. Subtract lines 18 & 19 from line 17……………………………….……...…………………………………20 $
                   21.  1st Quarter estimated taxes due. Multiply line 20 by52 % (0.25)..…......………………….…………………...….………………………………                       21$
                   22. Less credit for2023 overpayment. Enter line 16 ...……… …………………………………………………..………….………………………………….                       22           $
                   23. Net estimated tax due with return - subtract line 22 from line 21 (If less than zero, enter $0.00) …….………………………………23 $
                   24. Enter balance due from line 13 above (No tax due if $10.00 or less) …………………..………….…....………...………………………………24 $
TAX DUE            25. TOTAL TAX DUE. ADD LINES 23 & 24. PLEASE MAKE CHECKS PAYABLE TO "CITY OF CANFIELD" ……………..…………………… 25 $
      If this return was prepared by a tax practitioner, check here if we may contact him/her directly with questions regarding the preparation of this return.
      The undersigned declares under penalty of perjury that this return (and accompanying schedules) is true, correct and complete for the taxable period stated and that the figures used herein are the same as 
      used for Federal Income Tax purposes.

SIGNATURE OF PREPARER, IF OTHER THAN TAXPAYER                     DATE                                SIGNATURE OF TAXPAYER                                       DATE

NAME AND ADDRESS OF PREPARER (PLEASE PRINT)                 TELEPHONE NUMBER                SIGNATURE OF SPOUSE (IF JOINT RETURN)                                 DATE
                                                                              Page 1

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SCHEDULE OF INCOME FROM OTHER THAN WAGES
RETURNS WILL NOT BE ACCEPTED WITHOUT COPIES OF FEDERAL SCHEDULES C, E, F, FORMS 1120, 1120S, FORM 1065 WHEN APPLICABLE. MUST INCLUDE ALL PAGES,
SCHEDULES & STATEMENTS
TAX CREDIT ALLOWED FOR TAX PAID
INCOME OR LOSS FROM TO OTHER CITIES
FORM OR SCHEDULE FEDERAL SCHEDULE
(LIMITED TO 0.5% OF INCOME)
1. SCHEDULE C - BUSINESS INCOME
(Attach copy of Schedule C)
2. SCHEDULE E - RENTAL INCOME(Residents enter profit/loss fromALL properties.Nonresidents
enter only profit/loss from City of Canfield properties)(Attach copy of Schedule E)
3. SCHEDULE F - FARM INCOME (Attach copy of Schedule F)
4. SCHEDULE K-1 (Residents enter profit/loss from entities that do not pay Canfield tax on entire distributive share)
(Attach copy of K-1) NOTE: All pass through income is taxable to residents, except from Non-Ohio S-Corps.
5. FORM 1120, 1120S, 1065, 1041
(Attach copy of form and any referenced schedules)
6. TOTAL OF LINES 1 THROUGH 5
7. Previous Year Net Losses(Starting in 2023 unused, losses from tax years beginning on or after 1/1/1 8can be
used for 5 years- Attach schedule)
8. SUBTRACT LINE 7 FROM LINE 6
9. MISCELLANEOUS INCOME - 1099 MISC, W-2G, ETC.(Attach copy of supporting document)
NOTE: 1099R income is not taxable to the City of Canfield.
10. TOTAL INCOME (LOSS) (Combine Lines 8 & 9. INDIVIDUAL TAXPAYERS STOP HERE and enter income from 10A 10A 10B
on pg.1, line 2 and enter amount from 10B on pg.1, line 8.) (Businesses enter amount from 10A on line 26 below.)

SCHEDULE X RECONCILIATION WITH FEDERAL INCOME TAX RETURN (NOT FOR INDIVIDUAL NON-BUSINESS USE)
ITEMS NOT DEDUCTIBLE ADD ITEMS NOT TAXABLE DEDUCT
a. Capital Losses (Excluding Ordinary Losses)….............................................. $ j. Capital Gains (Excluding Ordinary Gains)….................................... $
b. Interest and/or other expenses incurred in the production of non-
taxable income ….................................................................................. k. Interest Income…..........................................................................
c. Taxes based on income (Including Franchise Tax)….................................... l. Dividend Income….........................................................................
d. Net operating loss carry forward from Federal Return…............................ m. Income from Patents & Copyrights…………………………………………
e. Amounts paid or accrued on behalf of owners/partners for qualified sef employed
n. Other (explain)…...........................................................................
retirement plans, health insurance and/or life insurance…........................ ….......................................................................................................
f. Officers Compensation not included in W-2 wages…............................. ….......................................................................................................
g. Five percent (5%) of intagible income reported on lines k, l, & m…........... ….......................................................................................................
h. Other (explain)……………………………………………………………………………………….
i. Total Additions (enter on line 27a)….......................................................... $ o. Total Deductions (enter on line 27b)…...................................... $

SCHEDULE Y BUSINESS ALLOCATION FORMULA
a. LOCATED b. LOCATED IN c. PERCENTAGE
EVERYWHERE CANFIELD (b ÷ a)
STEP 1 Avg. Original Cost of Real & Tangible personal property
Gross annual rentals paid multiplied by 8
Total Step 1
STEP 2 Gross receipts from sales made and/or work or services performed %
STEP 3 Wages, salaries, and other compensation paid %
STEP 4 Total percentages %
STEP 5 Average percentage (Divide total percentages by number of percentages used) Carry to line 28 b below %

26. Total from Schedule of Income From Other Than Wages above (Line 10A)…................................................................................................................................................... $
27. a. Items Not Deductibe …..................................................................................................................................................................... ADD $
b. Items Not Taxable…..................................................................................................................................................................... DEDUCT $
c.Subtract Line 26b from Line 26a ............................................................................................................................................................................................................$
28. a. Adjusted Net Income (Line 2 6 plus or minus 2 c)…...............................................................................................................................................................................7 $
b.Percentallocable to Canfield from Schedu le Y, Step 5 above. ............................................................................................................................................................... %
29. Amount subject to Canfield Income Tax. Multiply Line 28a by percentage on Line 28b (Carry to Page 1 , Line 2)….......................................................................................... $

EXEMPTION CERTIFICATE (Signature is required on page 1)
I have no taxable income because of the reason indicated below:
RETIRED - I received only pension, social security and/or interest or dividend income for the entire year.
UNDER 18 for the entire year of _________. My date of birth is ____/____/____ (Attach copy of driver's license).
ACTIVE MEMBER OF THE U.S. ARMED FORCES for the entire year of _______.
NO EARNED INCOME for the entire year of ________. (Public assistance, SSI, Unemployment, etc. is not considered earned income).
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  CITY OF CANFIELD TAX RETURN CHECKLIST

☐ Sign & date City of Canfield return

ATTACH THE FOLLOWING:

☐ ALL W-2(s)

☐ Federal 1040 – First page            ☐ Federal 1040 – Schedule 1

            23                                                           23

IF APPLICAPLE, ALSO ATTACH: 

☐ Federal Schedule C
  Business/Self-Employment Income/Loss 

☐ Federal Schedule E
  Rental Income/Loss (Sch E, Page 1) 
  K1/Pass-through Income/Loss from S-Corp or Partnership (Sch E, Page 2) 

☐ Federal Schedule F
  Farm Income/Loss

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