Form MQ-1 Miamisburg Income Tax Return - City of Miamisburg, Ohio

Form MQ-1 is a City of Miamisburg Finance Department - issued form also known as the "Miamisburg Income Tax Return".

A PDF of the latest Form MQ-1 can be downloaded below or found on the City of Miamisburg Finance Department Forms and Publications website.

ADVERTISEMENT
MIAMISBURG INCOME TAX RETURN
FOR
ASSISTANCE
10 N. First St., Miamisburg, OH 45342
DUE ON OR BEFORE FEDERAL APRIL DUE DATE
CALL
TAX YEAR
(937) 847-6462
WEB ADDRESS: www.ci.miamisburg.oh.us
Marital Status (check one)
IF NAME OR ADDRESS IS INCORRECT MAKE NECESSARY ChANGES
SOC. SEC. NO. (T-1)
(LIST BOTH NAME & SOCIAL SECURITY NUMBERS IF FILING A JOINT RETURN)
single__________
married ________
SOC. SEC. NO. (T-2)
separated_______
Complete if moved since last return or part year resident
New Address ________________________________________________________
Old Address________________________________________ Date Moved _______
Employed entire year all employers?
YES
NO
DID YOU FILE A CITY INCOME TAX RETURN THE PREVIOUS YEAR?
YES
NO
PHONE NUMBER:_____________________________________________________
1040 pg. 1 REQUESTED
I AM NOT REQUIRED TO COMPLETE SECTION B OF THIS TAX RETURN BECAUSE:
___ ACTIVE DUTY MILITARY
___ ONLY INCOME IS FROM NON-TAXABLE SOURCE, LIST SOURCE __________________________________
A
___ NO EMPLOYMENT THIS YEAR
___ MOVED FROM MIAMISBURG PRIOR TO___________________ LIST DATE __________________________
___ UNDER 18 YEARS OF AGE
___ TAXPAYER DECEASED, LIST DATE OF DEATH _________________________________________________
(ATTACh vERIFICATION)
___ RETIRED PRIOR TO CURRENT TAX YEAR, LIST DATE ___________________________________________
AMOUNT OF MIAMISBURG
CITY TAX WITHHELD IN OTHER
B
QUALIFYING WAGES
EMPLOYER’S NAME
PHYSICAL WORK LOCATION (CITY)
INCOME TAX WITHHELD
CITIES CANNOT EXCEED 2.25%
1.
TOTALS (ATTACH ALL W-2’S)
1.
1A
1B
1C
2.
INCOME OTHER THAN WAGES FROM WORKSHEETS ON REVERSE
2.
(ATTACH FEDERAL SCHEDULES AND 1099’s)
3.
TAXABLE INCOME (ADD BOX 1C AND 2)
3.
4.
TAX - BOX 3 MULTIPLIED BY 2.25%
4.
5.
A. MIAMISBURG TAX WITHHELD BOX 1A
5A.
B. CREDIT FOR OTHER CITY TAX WITHHELD
(not to exceed 2.25% – BOX 1B)
B.
C. SUBTOTAL OF CREDITS - ADD 5A AND 5B
5C.
D. ESTIMATE PAYMENTS INCLUDES $________________PD BY PARTNERSHIP ______________ 5D.
FEIN
E. PRIOR YEAR CREDIT CARRIED FORWARD
E.
F. TOTAL OF CREDITS - ADD 5C, 5D AND 5E
5F.
6.
IF BOX 4 IS GREATER THAN BOX 5F ENTER BALANCE DUE (NOT LESS THAN $1.00)
6.
7.
IF BOX 5F IS GREATER THAN BOX 4 ENTER OVERPAYMENT BELOW (NOT LESS THAN $1.00)
7.
AMOUNT TO BE REFUNDED___________________________ OR CREDITED TO NEXT YEAR ________________________
8.
PENALTY___________________________ INTEREST__________________________LATE FEE______________________ 8.
9.
TAX BALANCE DUE (ADD BOX 6 AND 8) PAYABLE TO: “CITY OF MIAMISBURG”
9.
*** MANDATORY DECLARATION OF ESTIMATED TAX ***
10. TOTAL INCOME SUBJECT TO TAX $__________________X TAX RATE OF 2.25%
10.
(if estimated liability is $200 or more)
11. SUBTRACT CREDIT FOR TAX WITHHELD (NOT TO EXCEED 2.25%)
11.
12 NET TAX DUE (LINE 10 – LINE 11)
12.
13. QUARTERLY AMOUNT DUE (
OF BOX 12).
13.
1
4
14. CREDIT FROM LINE 7
14.
15. LINE 13 – LINE 14 (ESTIMATED TAX DUE WITH THIS RETURN – 1st Qtr.) Remaining Qtrly Coupons Enclosed
15.
16. TOTAL DUE (ADD BOXES 9 AND 15) CURRENT YEAR $_______________ ESTIMATE $________________
16.
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return
FOR OFFICE USE ONLY
C
for the taxable period stated and understands that this information may be released to the Tax Administrator of
W-2
K
the City of Residence. If this return was prepared by a Tax Practitioner, may we contact your practitioner directly
1099
with questions regarding the preparation of this return?
K Yes
K No
K
2106
K
±
FOR TAX OFFICE USE ONLY
SCH C
K
Your signature
Date
FILED: _______________________
SCH E
K
±
SCH F
K
CHECK #: _____________________
Spouse’s signature (if filing jointing) (BOTH must sign even if only one had income.)
K-1
K
AMOUNT _____________________
±
Pg. 1 1040
K
Signature & phone # of preparer (If other than taxpayer)
Date
MIAMISBURG INCOME TAX RETURN
FOR
ASSISTANCE
10 N. First St., Miamisburg, OH 45342
DUE ON OR BEFORE FEDERAL APRIL DUE DATE
CALL
TAX YEAR
(937) 847-6462
WEB ADDRESS: www.ci.miamisburg.oh.us
Marital Status (check one)
IF NAME OR ADDRESS IS INCORRECT MAKE NECESSARY ChANGES
SOC. SEC. NO. (T-1)
(LIST BOTH NAME & SOCIAL SECURITY NUMBERS IF FILING A JOINT RETURN)
single__________
married ________
SOC. SEC. NO. (T-2)
separated_______
Complete if moved since last return or part year resident
New Address ________________________________________________________
Old Address________________________________________ Date Moved _______
Employed entire year all employers?
YES
NO
DID YOU FILE A CITY INCOME TAX RETURN THE PREVIOUS YEAR?
YES
NO
PHONE NUMBER:_____________________________________________________
1040 pg. 1 REQUESTED
I AM NOT REQUIRED TO COMPLETE SECTION B OF THIS TAX RETURN BECAUSE:
___ ACTIVE DUTY MILITARY
___ ONLY INCOME IS FROM NON-TAXABLE SOURCE, LIST SOURCE __________________________________
A
___ NO EMPLOYMENT THIS YEAR
___ MOVED FROM MIAMISBURG PRIOR TO___________________ LIST DATE __________________________
___ UNDER 18 YEARS OF AGE
___ TAXPAYER DECEASED, LIST DATE OF DEATH _________________________________________________
(ATTACh vERIFICATION)
___ RETIRED PRIOR TO CURRENT TAX YEAR, LIST DATE ___________________________________________
AMOUNT OF MIAMISBURG
CITY TAX WITHHELD IN OTHER
B
QUALIFYING WAGES
EMPLOYER’S NAME
PHYSICAL WORK LOCATION (CITY)
INCOME TAX WITHHELD
CITIES CANNOT EXCEED 2.25%
1.
TOTALS (ATTACH ALL W-2’S)
1.
1A
1B
1C
2.
INCOME OTHER THAN WAGES FROM WORKSHEETS ON REVERSE
2.
(ATTACH FEDERAL SCHEDULES AND 1099’s)
3.
TAXABLE INCOME (ADD BOX 1C AND 2)
3.
4.
TAX - BOX 3 MULTIPLIED BY 2.25%
4.
5.
A. MIAMISBURG TAX WITHHELD BOX 1A
5A.
B. CREDIT FOR OTHER CITY TAX WITHHELD
(not to exceed 2.25% – BOX 1B)
B.
C. SUBTOTAL OF CREDITS - ADD 5A AND 5B
5C.
D. ESTIMATE PAYMENTS INCLUDES $________________PD BY PARTNERSHIP ______________ 5D.
FEIN
E. PRIOR YEAR CREDIT CARRIED FORWARD
E.
F. TOTAL OF CREDITS - ADD 5C, 5D AND 5E
5F.
6.
IF BOX 4 IS GREATER THAN BOX 5F ENTER BALANCE DUE (NOT LESS THAN $1.00)
6.
7.
IF BOX 5F IS GREATER THAN BOX 4 ENTER OVERPAYMENT BELOW (NOT LESS THAN $1.00)
7.
AMOUNT TO BE REFUNDED___________________________ OR CREDITED TO NEXT YEAR ________________________
8.
PENALTY___________________________ INTEREST__________________________LATE FEE______________________ 8.
9.
TAX BALANCE DUE (ADD BOX 6 AND 8) PAYABLE TO: “CITY OF MIAMISBURG”
9.
*** MANDATORY DECLARATION OF ESTIMATED TAX ***
10. TOTAL INCOME SUBJECT TO TAX $__________________X TAX RATE OF 2.25%
10.
(if estimated liability is $200 or more)
11. SUBTRACT CREDIT FOR TAX WITHHELD (NOT TO EXCEED 2.25%)
11.
12 NET TAX DUE (LINE 10 – LINE 11)
12.
13. QUARTERLY AMOUNT DUE (
OF BOX 12).
13.
1
4
14. CREDIT FROM LINE 7
14.
15. LINE 13 – LINE 14 (ESTIMATED TAX DUE WITH THIS RETURN – 1st Qtr.) Remaining Qtrly Coupons Enclosed
15.
16. TOTAL DUE (ADD BOXES 9 AND 15) CURRENT YEAR $_______________ ESTIMATE $________________
16.
The undersigned declares that this return (and accompanying schedules) is a true, correct and complete return
FOR OFFICE USE ONLY
C
for the taxable period stated and understands that this information may be released to the Tax Administrator of
W-2
K
the City of Residence. If this return was prepared by a Tax Practitioner, may we contact your practitioner directly
1099
with questions regarding the preparation of this return?
K Yes
K No
K
2106
K
±
FOR TAX OFFICE USE ONLY
SCH C
K
Your signature
Date
FILED: _______________________
SCH E
K
±
SCH F
K
CHECK #: _____________________
Spouse’s signature (if filing jointing) (BOTH must sign even if only one had income.)
K-1
K
AMOUNT _____________________
±
Pg. 1 1040
K
Signature & phone # of preparer (If other than taxpayer)
Date
CITY OF MIAMISBURG
QUARTERLY ESTIMATE PAYMENT
INCOME TAX DEPARTMENT
2nd Quarter
10 N. First St.
FORM MQ-1
Miamisburg, OH 45342
AMOUNT PAID
$
Taxpayer Soc. Sec. #
Spouse Soc. Sec. #
Due on or Before
7-31
1.
Estimated ______ tax liability
$__________
(Less credit for tax withheld)
Taxpayer’s Account #, Name & Address
2.
Amount paid 1st Quarter
$__________
3.
Balance of Estimated tax liability
$__________
(Line 1 minus line 2)
4.
One-third of line 3
$__________
Remit as 2nd Quarter
CITY OF MIAMISBURG
QUARTERLY ESTIMATE PAYMENT
INCOME TAX DEPARTMENT
3rd Quarter
10 N. First St.
FORM MQ-1
Miamisburg, OH 45342
AMOUNT PAID
$
Taxpayer Soc. Sec. #
Spouse Soc. Sec. #
Due on or Before
10-31
1.
Estimated ______ tax liability
$__________
(Less credit for tax withheld)
Taxpayer’s Account #, Name & Address
2.
Amount paid 1st and 2nd Quarters
$__________
3.
Balance of Estimated tax liability
$__________
(Line 1 minus line 2)
4.
One-half of line 3
$__________
Remit as 3rd Quarter
QUARTERLY ESTIMATE PAYMENT
CITY OF MIAMISBURG
4th Quarter
INCOME TAX DEPARTMENT
10 N. First St.
FORM MQ-1
Miamisburg, OH 45342
AMOUNT PAID
$
Taxpayer Soc. Sec. #
Spouse Soc. Sec. #
Due on or Before
1-31
1.
Estimated ______ tax liability
$__________
(Less credit for tax withheld)
Taxpayer’s Account #, Name & Address
2.
Amount paid 1st, 2nd &
$__________
3rd Quarters
3.
Balance of Estimated tax liability
$__________
(Line 1 minus line 2)
4.
Remit as 4th Quarter
$__________
WORKShEET B - EMPLOYEE BUSINESS EXPENSE
WORKShEET A - INCOME OTHER THAN WAGES
(FEDERAL SCHEDULE 2106 MUST BE ATTACHED)
(ATTACH FEDERAL SCHEDULES AND 1099’s)
$ __________________________________
Net Taxable
Net Taxable
TOTAL to Worksheet C
TYPE
LOCATION
Gain From
Loss From
Fed. Schedule
Fed. Schedule
• Please note, 2106 must be apportioned to city(ies) worked. Must fully support
*Proprietorship Income
(Schedule C)
with documentation and calculations. Proration of income results in proration
of credit. Part-year residents must attach pay stub or employer statement
Rental Income
showing year-to-date gross wages as of date of move.
(Schedule E)
Partnership Income
(Schedule E/K-1)
Farm Income
(Schedule F)
Other Income
(1099’s, etc.)
WORKShEET C - NET INCOME/ADJUSTMENT
Not less than - 0 -
INCOME OTHER THAN WAGES
(NOT LESS THAN -0-)
TOTAL
To Worksheet C
FROM WORKSHEET A
$____________________
• An individual who operates two or more sole proprietorships,
rentals, farms, or reportable partnerships may offset them against
each other to arrive at a total reportable net profit (may be limited
EMPLOYEE BUSINESS EXPENSE
by locality).
FROM WORKSHEET B
$____________________
1
• Proprietorships *Note -
SE deduction is not allowed.
2
• Partnerships are reportable on the return only when the partnership
is located outside Miamisburg, and is not reportable to another
municipality that has a tax rate equal to or greater than Miamisburg
• A net Loss cannot be used to offset W-2 income or other
TOTAL to Part B, Line 2 on other side
$____________________
compensation
QUESTIONNAIRE
Please complete the following:
1. Do you own rental properties?
K Yes
K No
If “Yes,” please complete the following:
ADDRESS OF PROPERTY
DATE PLACED INTO SERVICE
1. Do you have Sole Proprietorship Income?
K Yes
K No
If “Yes,” please complete the following:
Type of business ______________________________________________________________
Date business began:_______________________Location: ____________________________
Number of employees:_________
Average quarterly payroll $______________
1. Did you sign your tax return?
2. Did you use the Medicare Wage on W-2 (except exempt pre 4-01-86 employee)?
3. Did you enclose all supporting documentation (W-2s, 1099s and Federal schedules/forms)?
4. If you moved during the year, did you indicate your new address/date of move?
5. If your balance due on line 9 was over $200, did you fill out the declaration estimate?
6. Did you attach proof of age if applicable?
7. Did you enclose your check or money order if an amount is due?
Please do not send cash, coins, or MasterCard/vISA account numbers

Download Form MQ-1 Miamisburg Income Tax Return - City of Miamisburg, Ohio

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