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6 2017 Ohio SD 100
Rev. 9/17
7 School District Income Tax Return 17020210
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9 SSN 888 88 8888 SD# 8888
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6a. Amount from line 6 on page 1 ........................................................................................................................... 6a. 888888 00
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13 7. School district income tax withheld School district number on W-2(s), W-2G(s) and/or 1099-R(s) must
agree with the school district number on this return). Include W-2(s), W-2G(s) and 1099-R(s) with the return...........7. 888888 00
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8. Estimated (2017 Ohio SD 100ES) and extension (2017NEW!OhioForSDstatic40P)textpaymentsuse Arialandfontcredit(black ink) and
15 try to match size. For data entry fields (shown in
carryforward from previous year return............................................................................................................. 8. 888888 00
16 red for identification purposes only), use Arial font
9. Amended return only – amount previously paid with original and/or amended return ................................... 9. 888888 00
17 (black ink). All the data entry fields must follow
grid layout. Never hard code a negative sign, and
18 do not include the negative sign with the amounts.
10. Total school district income tax payments (add lines 7, 8 and 9) ................................................................ 10. 888888 00
19 This is now a separate field.
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11. Amended return only – overpayment previously requested on original and/or amended return .................... 11. 888888 00
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12. Line 10 minus line 11 ........................................................................................................................................ 12. 888888 00
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24 If line 12 is MORE THAN line 6a, go to line 16. OTHERWISE, continue to line 13.
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13. Tax liability (line 6a minus line 12) If line 12 is negative, ignore the “-” and add line 12 to line 6a .................... 13.
26 8888888 00
14. Interest and penalty due on late filing or late payment of tax (see instructions) ....................................................... 14. 8888888 00
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28 TOTAL AMOUNT DUE NEW!(line 13Theseplusfieldslinemay14). possiblyIncludebeOhioa negativeSD 40P (ifvalue.original return) or Ohio SD 40XP
(if amended return) and make check payable to “School District Income Tax” .......AMOUNT DUE 15. 88888888 00
29 Include a “-“ sign here if this line has a negative value.
30 16. Overpayment (line 12 minus line 6a) ............................................................................................................. 16. 8888888 00
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32 17. Original return only – amount of line 16 to be credited toward 2018 school district income tax liability ................ 17. 8888888 00
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34 18. REFUND (line 16 minus line 17) ..........................................................................................YOUR REFUND 18. 8888888 00
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Schedule A – Traditional Tax Base School District Amounts (see instructions)
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Complete this schedule only if filing a traditional tax base school district return.
37 19. Ohio income tax base (Ohio IT 1040, line 3 minus Ohio IT 1040, line 4). ..................................................... 19. - 888888888 00
38 20. Business income deduction add-back (see instructions) ............................................................................... 20. 888888 00
39 21. Total traditional tax base school district income (line 19 plus line 20) ............................................................ 21. - 888888888 00
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41 22. The amount from line 21, if any, that you earned while not a resident of the school district whose
number you entered on this return ................................................................................................................. 22. 888888888 00
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43 23. School district taxable income (line 21 minus line 22; if less than zero, enter zero). Enter here and on
line 1 of this return .......................................................................................................................................... 23. 888888888 00
44 Schedule B – Earned Income Tax Base School District Amounts (see instructions)
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Complete this schedule only if filing an earned income tax base school district return.
46 24. Wages and other compensation you earned while you were a resident of the school district whose
47 number you entered on this return (see instructions) ..................................................................................... 24. 888888888 00
48 25. Net earnings from self-employment to the extent included in Ohio adjusted gross income ........................... 25. - - 888888888 00
49 - -
26. Miscellaneous federal adjustments (see instructions) .................................................................................... 26. 888888 00
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51 27. School district taxable income (add lines 24, 25 and 26; if less than zero, enter zero). Enter here and on line 1 of this return ......88888888827. 00
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53 Sign Here (required): I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge If your refund is $1.00 or less, no refund will be issued.
54 and belief, the return and all enclosures are true, correct and complete. If you owe $1.00 or less, no payment is necessary.
55 Your signature Date (MM/DD/YY) NO Payment Included Mail to:–
56 School District Income Tax
Spouse’s signature Phone number P.O. Box 182197
57 Columbus, OH 43218-2197
58 X Check here to authorize your preparer to discuss this return with Taxation. Payment Included Mail to:–
59 Preparer's printed name School District Income Tax
P.O. Box 182389
60 Phone number Preparer's TIN (PTIN) PXXXXXXXX Columbus, OH 43218-2389
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64 2017 Ohio SD 100 – page 2 of 2
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