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City of Massillon Income
City of Massillon, Ohio Income Tax Return2018
P.O. Box 910 • Massillon, OH 44648-0910 Tax can be filed and payment
(330) 830-1709 • Fax (330) 830-2687 • www.massillonohio.gov can be madeMasterCardat www.massillonohio.gov
For calendar year ending December 31, 2022

DUE DATE - APRIL 18, 2023
FILING REQUIRED IF NO TAX DUE 2022 Please make checks payable to:
City of Massillon

TAXPAYER SOCIAL SECURITY # SPOUSE’S SOCIAL SECURITY #
PRINT NAME and ADDRESS IF MISSING (Indicate Changes) File #______________________________________
Are you or the business entity a Massillon resident ( ) Yes ( ) No
Moved INTO MASSILLON on
PREV. ADDRESS
Moved OUT OF MASSILLON on
PRESENT ADDRESS
DATE OF BIRTH ________________________________________________
Phone: E-mail:
IF EXEMPT FROM FILING TAX RETURN ENTER CODE # (See reverse side) # Taxpayer
# Spouse
Attach EMPLOYER’S NAME CITY OF EMPLOYMENT TOTAL WAGES / TAXABLE INCOME

W-2
&
Required
Documentation
Here TOTAL $

1. WAGES AND SALARIES (Use Box 5 Medicare wages, lottery & Gaming Winnings / W-2G / 1099 MISC) 1. $
2. Total adjustments from back of form (if applicable) - Losses cannot reduce W-2 earnings 2. $
3. Part year non-resident or prior to 18th birthday wages.
3. Deduct $
4. Taxable Income (Add Lines 1 and 2 subtract Line 3) 4.
5. Massillon City Tax 2% of line 4 5.
4.
6.5. CREDITS
6. (a) Massillon income tax withheld by employer(s) 6a. $
(b) Municipal Tax paid to other cities (not to exceed 2%). 6b. $ Must Complete Credit
(c) Payment of Declaration of Estimated Tax 6c. $ Calculation on page 2
(d) OTHER CREDITS 6d. $_________________
(e) TOTAL CREDITS (add a, b, c, less d) 6e. $
7. BALANCE DUE (If Line 5 exceeds Line 6d enter the difference here) 7.
8.7. 8a 8b Credit to 2023 Estimate
8 (a). (Line 6d exceeds line 5)Overpayment of tax claimed
9. TO BE REFUNDED 9. $
10. Late Filing Fee ($25.00 per month up to $150.00) if past due date of tax return (P1) 10. $

11. Penalty & Interest for late payments of tax dollars due: One time (15%) of the unpaid balance. Interest to be calculated on 11. $
Federal Short-Term rate (rounded to the nearest whole number percent) plus five percent (5%) per annum calendar year 2022
5% in accordance with Ohio Revised Code 718.27 (P2)

12. Penalty for failure to pay estimated tax payments one time (15%) (Ohio Revised Code 718.27) (P3) 12. $_______________
13. Total amount due - M U S T B E PA ID IN FU LL W ITH TH IS R E TU R N 13. $
NO TAXES OF LESS THAN $10.00 SHALL BE COLLECTED OR REFUNDED
MANDATORY DECLARATION OF ESTIMATED TAX FOR 2023
Every taxpayer shall make a declaration of estimated taxes for the current taxable year, if the amount payable as estimated taxes is at least
Must be filed two hundred dollars ($200.00). Quarterly estimated payments are required in accordance with Massillon City Ordinance 181.07 and Ohio Revised Code 718.08.

if a local tax1. Total income subject to Massillon tax $ Massillon tax @ 2% 1. $
2. LESS MASSILLON CITY TAX TO BE WITHHELD 2. $
of at least 2% 3. Balance estimated Massillon tax 3. $
4. Less Credits: a. Overpayment on previous year’s return
is not withheld (Line 8b above)
b. Municipal tax paid to other cities (100% of taxes paid up to 2% limit) 4b. $_________________ $
by your c. Other (Specify) 4c. $________________ Total Credits $_______________
employer. 5. Net Tax due (line 3 less total of line 4) 5. $_______________
6. Amount paid with this return (not less than 1/4 X line 5) Make remittance payable to: City of Massillon 6. $_______________
I CERTIFY I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) May the City discuss this tax Yes
AND TO THE BEST OF MY KNOWLEDGE, I BELIEVE IT IS TRUE, CORRECT, AND COMPLETE. return with preparer? No

Signature of Person Preparing, If Other Than Taxpayer Date Signature of Taxpayer Required Date

Address or Name and Address of Firm Preparer's Phone Spouse’s Signature Date
File this return with MASSILLON TAX DEPARTMENT on or before April 18, 2023 or within 4 months after close of fiscal year or period.

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PROFIT OR LOSS FROM SCHEDULE C & E OR K-1
(A COPY OF THE FEDERAL FORM 1040 AND APPLICABLE SCHEDULES MUST BE ATTACHED)
1. SCHEDULE C NET PROFIT OR LOSS .............................................................................................................................................................. $
2. SCHEDULE E NET PROFIT OR LOSS (ATTACH TENANT LIST WITH DATES) .............................................................................................. $
3. NET PROFIT OR LOSS (Add Lines 1 and 2) ...................................................................................................................................................... $
4. ADD ITEMS NOT DEDUCTIBLE.......................................................................................................................................................................... $
5. DEDUCT ITEMS NOT TAXABLE .......................................................................................................................................................................... $( )
6. LESS ALLOCABLE NET LOSS CARRY FORWARD (Five year limit) ............................................................................................................... $( )

7. NET PROFIT OR LOSS TAXABLE BY THE CITY OF MASSILLON (Line 3 + Line 4 - Line 5 - Line 6) ............................................................ $

CODES AND REASONS FOR EXEMPTION OF INCOME - SIGNATURE ON FRONT IS REQUIRED

CODE # REASON
001 Retired, Receiving only pension, Social Security, interest or dividends.
002 Under 18 years of age all of 2016.2022. (Attach documentation of date of birth).
003 Active Duty Military for all of 2016.2022. This does not include civilians employed by the military or the National Guard.
004 Taxpayer is deceased. Give date of death:
005 Moved from Massillon prior to January 1, 2016.2022.Give date of move and new address (Attach required documentation).

006 On Governmental assistance, received no other income.
007 Received only alimony and/or child support and no other income.
008 Unemployed during all of 2016,2022,received only unemployment compensation and no other income.
009 Disabled during all of 2016,2022,received only Worker’s Compensation.

The total of line 6(b) must be calculated individually per W-2 to determine the credit limit for taxes paid to another city: IF THE TAX RATE
OF THE CITY TAX WITHHELD IS LESS/EQUAL TO 2%, THEN ENTER 100% of LOCAL TAX WITHHELD AMOUNT IN SECTION 2 BELOW.
IF TAX RATE IS HIGHER THAN 2%, THEN COMPLETE SECTION 1.

SECTION 1 CITY_______________________Local Tax Amount Withheld_________________________
______________W -2 Box 5 x 2%____________x 100% = credit____________

CITY_______________________Local Tax Amount Withheld______________ ____________

______________ W-2 Box 5 x 2%_____________X 100% = credit_____________

City_______________________ Local Tax Amount Withheld_________________________
_____________ W-2 Box 5 x 2%_____________x 100% = credit_____________
SECTION 2 City_______________________
__________________ Local Tax Amount Withheld x 100% = Credit____________

City______________________
__________________ Local Tax Amount Withheld x 100% = Credit____________
A� ach worksheet if addi onal� lines are needed TOTAL CREDIT LINE 6(b): ____________

IMPORTANT INFORMATION
YOU MUST FILE THE mandatory declaration of estimated tax for 2023 (on the face of this form), together with the first quarter estimated
tax due (1/4 of the annual estimated tax), on or before APRIL 18, 2023. Additional payments of at least 1/4 of the annual estimated tax
must be paid on or before June 15, 2023, September 15, 2023, and January 15, 2024. Please send in the Supplied Quarterly Estimate
Payment forms to identify your payments. (No Quarterly payment notice will be sent to remind you to make your quarterly payments,
so please mark your calendars.)
If the amount payable as estimated taxes is at least two hundred ($200.00), quarterly estimated payments are required in accordance with
Massillon City Ordinance 181.07 and Ohio revised Code 718.08. page 2

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