Form VSI-R

Income Tax

VILLAGE OF COLUMBUS GROVE
113 East Sycamore St. Columbus Grove, OH 45830
Individual

Income Tax Return

 

For Calendar Period from Jan 1, 2007     through Dec. 31, 2007   or Fiscal Period

from _________________ , _________, through ___________, ____________

 

Paid with this Return

$ _______________________

Processed by _____________
Instructions: 1.  Use Pre-addressed envelope to mail your return. 4.  Check and verify all mathematics.
2.  Fill out the form completely 5.  Be sure to sign your return.  Both husband and wife must sign a joint return.
 3.  Attach all wage and tax statements. (W-2 Forms)  6.  FILE EARLY, DEADLINE IS  04/30/08
Your name, or trade name under which you operate, and address are as they appear on our records.  Make any necessary corrections.
NAME:
ADDRESS:
CITY:             ID # ___________________________

SCHEDULE A

   Enter TOTAL wages, salaries, commissions and other compensation received in the tax period from January 1, 2007          to December 31, 2007    BEFORE PAYROLL DEDUCTIONS, Also enter amount of Village Income Tax withheld.

(1)

 (2) (3) (4) (5)
 Name of Employer  Where Employed (City and State)  Village Income Tax Withheld  City Tax Paid In Other Cities  Gross Earnings Before Deductions
Taxpayer's Earnings:        $
         
         
         
Spouse's Earnings        
         
         
         
1.  Gross Compensation (Total of Col 5, Schedule A) $ $ $
2.  Net Profit from Rentals - (Schedule G, Page 2)  
3.  Net Profit from Business or Profession - (Schedule C, Page 2)  
4.  Income from Partnerships, Etc., including farms - (Schedule H, Page 2)  
5.  Total Income subject to Village Income Tax (Total lines 1,2,3,4) $
6.  Tax 1.25% $
7.  How much have you paid on your  Columbus Grove Village Income Tax

     A. Payments on  07                    Declaration of Estimated Village Income Tax                                             $
     B. Village Income Tax withheld from my wages (Total Col. 3, Schedule A)
     C. Income tax paid another City (Total Col 4, Schedule A - Tax Credit cannot exceed

         gross earnings in other city.  Tax credit cannot exceed 1%.                                            $
     D. Other credits allowed - Explain                                                                                                                   $


Total Credits claimed

8.  Balance of Tax Due
$
9.  If your payments (Item 7) are larger than your tax (Item 6) enter Overpayment Here $
10. Use X to Indicate whether overpayment is to be refunded to you (    ); or applied against your: 2008             Declaration of Estimated Tax (    ).
      No refund will be made until: 2008                  Declaration is filed.

CERTIFICATION

I declare that the information contained in this tax return has been examined by me and to the best of my knowledge and belief, is a true and complete return.
__________________________

(Signature of Taxpayer)

 ________

Date

 ______________________________

(Signature of Firm or person, other than taxpayer)

 ________

Date
__________________________

(Signature of Spouse)

 ________

Date


DECLARATION OF ESTIMATED TAX FOR YEAR 2008
10.  Income Subject to Tax .........................$ _______________________ Times Tax Rate of 1.25% For Gross Tax of $ _______________
11.  Less Expected Tax Credits:
       A. Tax withheld by employer................................................................................................... $ ______________
       B.  Payments on taxable income to another municipality ......................................................... $ ______________
       C.  TOTAL CREDITS  ................................................................................................................................................. $ _______________
12.  NET TAX DUE (Line 10 Less Line 11C)  ................................................................................................................... $ _______________
       A. OVERPAYMENT FROM PRIOR YEAR(S)  ............................................................................. $ ______________
13.  AMOUNT PAID WITH THIS DECLARATION (1/4 LINE 12, LESS LINE 12A)  ................................................. $ ________________
      
 TOTAL

 AMOUNT DUE                 $ _________________3_         (LINE 8)    +     $ ____________________      (LINE 13)  =

 

I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT & COMPLETE IF PREPARED BY PERSON OTHER THAN TAXPAYER, THE DECLARATION IS BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.

__________________________________                   ___________________                                   __________________________________

Signature of Preparer                                                                   Date                                                              Signature of Taxpayer                 Date