ࡱ>   bjbj,(,( 4|NBNBW8hv~ :'>x'' ggggggg,jlg'&:'''g(  g((('F g('g((;S0z@V'kT$kgg0hTVm(VmHV(V\Wd'''gg('''hVm'''''''''  :     Name Date: Address Social Security Number(s): XXX-XX-1234 XXX-XX-1235 Batch Number: Form: IT-1040 Notice ID: 5002 WE HAVE RECALCULATED YOUR 2010 INDIVIDUAL INCOME TAX RETURN Ohio requires that your Ohio return reflect the same  HYPERLINK "http://codes.ohio.gov/orc/5747.01" federal adjusted gross income,  HYPERLINK "http://codes.ohio.gov/orc/5747.01" number of exemptions and  HYPERLINK "http://codes.ohio.gov/orc/5747.08" filing status as you reported on your federal return. All credits have been considered in the recalculation. This includes the joint filing credit if your filing status changed from married filing separate to married filing joint. Ohio As Filed XXX-XX-1234Ohio as Filed XXX-XX-1235As CorrectedFederal Adjusted Gross Income$0.00$25,735.00$54,432.00Exemptions$0.00$1,600.00$3,200.00Ohio Income Tax After All Credits$0.00$501.00$1,397.38 Revised Tax Due Amount$896.38Interest from 4/19/2011 to 09/19/2012$44.57TOTAL AMOUNT YOU OWE (due )$940.95 If you disagree with the information provided to Ohio by the  HYPERLINK "http://www.irs.gov/individuals/article/0,,id=213471,00.html?portlet=105" Internal Revenue Service, contact the IRS at 1- 800-829-1040 to obtain a Tax Account Transcript for comparison. If the tax account transcript is different from this notice, send a copy of the tax account transcript and this notice to the address listed above or fax at 1-614-387-1847. Please provide a phone number and/or an email address where you can be contacted, in case there is a question regarding your account. Phone # ______________________ Email: ______________________________________________ You are required to respond by with the required documentation or payment; otherwise, we will issue an assessment notice including tax, interest, and penalty. Please see the reverse side of this notice for additional information and payment options. A SELF HELP LIBRARY is available at  HYPERLINK "http://tax.ohio.gov/" tax.ohio.gov to assist with questions you may have about the notice If you have any questions please call 1-800-405-4091 or e-mail from the  HYPERLINK "http://tax.ohio.gov/channels/global/contact_us.stm" Contact Us link at  HYPERLINK "http://tax.ohio.gov/" tax.ohio.gov and click on  HYPERLINK "https://www-01.tax.state.oh.us/HB/TaxMailWeb/global_emailus.html" E-Mail Us. ITFAGI07 OHIO Department of Taxation Payment Voucher INCOME TAX Mail this voucher along with your check or money order payable to Ohio Treasurer of State. Last Name, First Name Taxpayer ID(s): XXX-XX-1234  Amount Owed: 105.00 Reporting Period: 2009 Payment Date: Amount of Payment: $  PERSONAL INCOME TAX NOTICE FACTS * INSTRUCTIONS FOR CREDIT CARD PAYMENTS USING  HYPERLINK "http://www.officialpayments.com" officialpayments.com or 1-800-272-9829 Select State Taxes Jurisdiction code 6446 State of Ohio Individual Income Tax Billing Notice Payment Notice ID 5002 Tax year of this notice To pay using electronic check or credit card visit  HYPERLINK "http://tax.ohio.gov/" tax.ohio.gov. Whether you visit our website or pay by telephone, Official Payments Corporation will provide the credit card services. Official Payments Corporation charges a convenience fee equal to 2.5 % (or $1.00, whichever is greater) of the amount of the transaction. Official Payments Corporation will bill your credit card account for this convenience fee. The State of Ohio does not receive any portion of this fee. Both services will provide a confirmation number for the remittance of your payment. Please have a pen and paper available when using these services to note your confirmation number. PAYMENTS The Tax Department is not authorized to set up a payment plan; however any partial payments submitted will be accepted and applied to the outstanding balance. Partial payments will not stop the imposition of additional interest, penalty or the referral of the account to the  HYPERLINK "http://www.ohioattorneygeneral.gov/About/Sections/Collections-Enforcement-Revenue-Recovery" Ohio Attorney Generals Office for collection. INTEREST  HYPERLINK "http://codes.ohio.gov/orc/5747.08" Ohio Revised Code 5747.08(G) requires interest to be paid at the rate set annually under  HYPERLINK "http://codes.ohio.gov/orc/5703.47" Revised Code 5703.47, which is the federal short-term interest rate plus three percent. The HYPERLINK "http://tax.ohio.gov/ohio_individual/individual/interest_rates.aspx"interest rates can be located at our website at  HYPERLINK "http://tax.ohio.gov/" tax.ohio.gov. How is interest computed? (Tax Due x Interest Rate) / 365 x the number of days late Note: The denominator would be 366 if the tax was due in a leap year PENALTY Late filed or failure to file penalty - HYPERLINK "http://codes.ohio.gov/orc/5747.15"Ohio Revised Code, section 5747.15(A)(1) greater of: $50 per month/not to exceed $500, or 5% of tax due per month/not to exceed 50% Late payment or failure to pay penalty - HYPERLINK "http://codes.ohio.gov/orc/5747.15"Ohio Revised Code, section 5747.15(A)(2) Double the interest charged per  HYPERLINK "http://codes.ohio.gov/orc/5747.08" Ohio Revised Code, section 5747.08(G), which is explained above. EXCHANGE OF INFORMATION The Ohio Department of Taxation conducts reviews using information received from the  HYPERLINK "http://www.irs.gov/individuals/article/0,,id=213471,00.html?portlet=105" Internal Revenue Service, authorized under the provisions of  HYPERLINK "http://www.law.cornell.edu/uscode/text/26/6103" Section 6103(d) of the  HYPERLINK "http://www.irs.gov/taxpros/article/0%2C%2Cid=98137%2C00.html" Internal Revenue Code. ITFAGI07     Compliance Division P.O. Box 182401 Columbus, OH 43218-2401 Telephone: 1-888-405-4091 Fax: 614-387-1847 TTY/TDD: 1-800-750-0750  HYPERLINK "http://tax.ohio.gov/" tax.ohio.gov 2010 FAGI INCOME TAX BILLING NOTICE FAGI OHIO DEPARTMENT OF TAXATION P.O. 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