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Directions for filling out the City Income Tax Form 
Click File to Print Instructions

Tax Form - (you must click on File to Print this Form)             

ORIGINAL TAX RETURN
Mail To: Department of Taxation
30 N. Main St.
Rittman, Ohio 44270
DUE DATE -  April 15th                        TAX RATE 1.5%

Tax Year__________________DueDate_________________ TAX OFFICE USE ONLY
Processed by___________
__CASH   __M.O.  __CHECK
$_________________________
Fiscal Period from________________through_____________

Name and Address _________________________________
__________________________________________________
Federal ID Number___________________
Social Security Numbers
Yours     _______ - ______-_______
Spouses _______ - ______-_______
Phone: (        )___________________
______________________________________________________________________________________________________________

1. WAGES                   FILING REQUIRED EVEN IF NO TAX DUE OR NO INCOME EARNED
                                                        W-2 COPIES MUST BE ATTACHED

Employers Name Where Employed Tax Paid - Other Cities Rittman Tax Withheld Total Wages

Employers Name

Where Employed

Tax Paid - Other Cities

Rittman Tax Withheld

Total Wages

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a

b

c

d

e

 

 

 

2.Total  W-2 Wages (From Line 1e)......................................................................................................................2. $___________________
3. Other Income (A copy of Fed Return and Schedules must be attached).......................................................... 3. $___________________
4. Total Taxable Income (Add line #2 & #3).........................................................................................................4. $___________________
_____________________________________________________________________________________________________________
5. Rittman City Tax before credits (Multiply line #4 by .015)..................................................................................5. $___________________

6. CREDITS:

A. Rittman City Income Tax Withheld.......................................6A  $_____________
B. Taxes paid to other Cities (cannot exceed 1 1/2%)...............6B  $_____________
C. Payment of declaration of Estimated tax..............................6C  $_____________
D. Amount of Previous years credits..........................................6D  $_____________

7.Total Credits (add lines 6A, 6B, 6C, and 6D...............................6E  $_____________
_____________________________________________________________________________________________________________
8. Balance of Tax Due (Subtract line #7 from line #5)..........................................................................................8.  $_________________
9. Overpayment claimed (IF line #7 exceeds line #5 enter here)..........................................................................9.  $_________________
10. Enter amount of Line #9 to be applied to next year's estimated tax..............................................................10.  $_________________
11. Amount to be Refunded (subtract line #10 from line #9)...............................................................................11.  $_________________
12. Penalty (If filed after deadline) enter $25.00.................................................................................................12.  $_________________
13. Interest (1 1/2% per month or portion thereof if filing Late)..........................................................................  13.  $_________________
14. Amount due - MUST BE PAID IN FULL WITH THIS RETURN........................................................................14. $__________________

NO TAXES OF LESS THAN $1.00 SHALL BE COLLECTED OR REFUNDED
_____________________________________________________________________________________________________________

  MANDATORY DECLARATION OF ESTIMATED TAX FOR NEXT YEAR IF MORE THAN $100.00

NAME______________________________________________________________________________________________
1. Estimated income subject to municipal tax $_____________multiply by tax rate______% Estimated tax ____________
2. LESS TAX TO BE WITHHELD

a. By Employer.....................................................................................$_______________
b. By an Employer in_____________(name of city (See Instructions)  $_______________
c. Overpayment on previous year's return (Line 9)..............................   $_______________
d. Total Credits (a, b, and c)...............................................................   $_______________

3. Balance of Estimated Tax (Line 1 minus Line 2)..............................................................................$_________
4. First quarter estimate paid with this return (not less than 1/4 of Line 3)..........................................   $_________
5. TOTAL ENCLOSED (AMOUNT DUE ON LINE 14 PLUS 1ST QUARTER ESTIMATE ON LINE 4)....$_________

                                                                                                 Make remittance payable to City Of Rittman

___________________________________________                                 ____________________________________
Signature of Preparer                                                                                                  Signature of Taxpayer