ࡱ>  {` MbjbjFF *P,,0\\\\lylylyly8{,݌P-,Y!!!!!!$lhԼ^E5C݌E\\,zd\",~r, @E IlyXd02UV22qL[qqqEEqqq_gdg\\\\\\z   For the year Jan. 1-Dec. 31, 2005 or other taxable year ending  FORMTEXT      Social security numbers must be filled in below.Please clip form IT 40P with your check or money order here.Your first name  FORMTEXT      Initial  FORMTEXT   Last name  FORMTEXT      Your social security number  FORMTEXT      Filing StatusIf a joint return, spouse s first name  FORMTEXT      Initial  FORMTEXT   Last name  FORMTEXT      Spouse s social security number (if joint return)  FORMTEXT       FORMDROPDOWN Home address (number and street)  FORMTEXT      Apt. no.  FORMTEXT      Ohio county  FORMTEXT      If married filing separately, enter spouse s SSN:  FORMTEXT      City, town or post office, state and ZIP code  FORMTEXT      Ohio public school district number (see pages 35-39).4 FORMTEXT     Ohio Residency Status:  FORMDROPDOWN Ohio Political Party Fund Note: Checking  yes will not increase your tax or reduce your refund.State of residence:  FORMTEXT      Part-year resident from: (mm/dd/yyyy)  FORMTEXT      To: (mm/dd/yyyy)  FORMTEXT      Do you want $1 to go to this fund?  FORMDROPDOWN If joint return, does your spouse want $1 to go to this fund?  FORMDROPDOWN INCOME1Federal adjusted gross income (from federal form 1040, line 37; or 1040A, line 21; or 1040EZ, line 4) 1 FORMTEXT      002Ohio adjustments (from line 48 on back of this return) 2 FORMTEXT      003Ohio adjusted gross income (line 2 added to or subtracted from line 1) 3 FORMTEXT      004Multiply your personal and dependent exemptions  FORMTEXT    times $1,350 and enter the result here 4 FORMTEXT      005Ohio taxable income (subtract line 4 from line 3) 5 FORMTEXT      00TAX AND CREDITS6Tax on line 5 (see tax tables, pages 28-34) 6 FORMTEXT      007Credits from Schedule B (line 58 on back of this return) 7 FORMTEXT      008Ohio tax less Schedule B credits. (Subtract line 7 from line 6. If line 7 is more than line 6, enter -0-.) 8 FORMTEXT      009Exemption credit: Number of personal and dependent exemptions  FORMTEXT    times $20 9 FORMTEXT      0010Ohio tax less exemption credit. (Subtract line 9 from line 8. If line 9 is more than line 8, enter -0-.) 10 FORMTEXT      0011Joint filing credit (see instructions and attach documentation).  FORMDROPDOWN  times line 10 (limit $650) 11 FORMTEXT    0012Ohio tax less joint filing credit. (Subtract line 11 from line 10. If line 11 is more than line 10, enter -0-.) 12 FORMTEXT      0013Resident/nonresident/part-year credits (Sched. C or D) and nonrefundable business credits (attach Sched. E) 13 FORMTEXT      0014Ohio income tax before manufacturing equipment grant. (Subtract line 13 from line 12. If line 13 is more than line 12, enter -0-.)  14 FORMTEXT      0015Manufacturing equipment grant. You must attach the grant request form. NEW 15 FORMTEXT      0016Ohio income tax. (Subtract line 15 from line 14. If line 15 is more than line 14, enter -0-.) 16 FORMTEXT      0017Interest penalty on underpayment of estimated tax: Check c if form IT 2210 is attached 17 FORMTEXT      0018Unpaid Ohio use tax (please see worksheet on page 27) The amount you show on this line is part of your total income tax liability for this year.18 FORMTEXT      0019Total Ohio tax (add lines 16, 17 and 18) 19 FORMTEXT      00PAYMENTS20 Ohio tax withheld (box 17 on your W-2) (attach W-2s to the back of this form) AMOUNT WITHHELD 420 FORMTEXT      0021Ohio estimated tax, IT 40P payments for 2005, and 2004 overpayment credited to 2005 21 FORMTEXT      0022a) Refundable business jobs credit b) Refundable pass-through entity credit  FORMTEXT $0.00  FORMTEXT $0.00Total of credits 22a and 22b 22 FORMTEXT      0023Add lines 20, 21, and 22 & & & & & TOTAL PAYMENTS 4 23 FORMTEXT      00REFUND OR AMOUNT YOU OWE24 Amount you owe (if line 23 is LESS than line 19, subtract line 23 from line 19). See pages 41 and 42. Check here  FORMCHECKBOX  and enclose form IT 40P if you are making a payment  make payable to Ohio Treasurer of State. Check here  FORMCHECKBOX  if you have paid or will pay with an electronic check or credit card. AMOUNT YOU OWE 424 FORMTEXT      0025If line 23 is GREATER than line 19, subtract line 19 from line 23 AMOUNT OVERPAID 425 FORMTEXT      0026Amount of line 25 to be credited to 2006 estimated income tax liability& & & & CREDIT 426 FORMTEXT      0027Amount of line 25 you wish to donate to the Military Injury Relief Fund& & & & & ....NEW27 FORMTEXT      0028Amount of line 25 you wish to donate for nature preserves, scenic rivers and protection of endangered species:  FORMDROPDOWN  28 FORMTEXT      0029Amount of line 25 you wish to donate for Ohio s wildlife species and conservation of endangered wildlife:  FORMDROPDOWN  29 FORMTEXT      0030Amount of line 25 to be refunded. (Subtract amounts on lines 26, 27, 28 and 29 from line 25) YOUR REFUND4 30 FORMTEXT      00If the BALANCE DUE is less than $1.01, payment need not be made, and if the OVERPAYMENT is less than $1.01, NO REFUND will be issued. I have read this return. Under penalties of perjury, I declare that to the best of my knowledge and belief, the return is true, correct, and complete.SIGN HEREYour signatureDate  FORMTEXT      For Departmental Use OnlySpouse s signature (if filing jointly, BOTH must sign)Phone number (optional)  FORMTEXT      UPreparer s signature No Payment Enclosed  Mail to: Ohio Department of Taxation P.O. Box 2679 Columbus, OH 43270-2679 Payment Enclosed  Mail to: Ohio Department of Taxation P.O. Box 2057 Columbus, OH 43270-2057Preparer s phone number  FORMTEXT       Taxpayer name: FORMTEXT       Social security number: FORMTEXT       INCO Schedule A  Adjustments to Income (Additions and Deductions) MEAdditions  add to the extent not included in federal adjusted gross income (line 1)31Add non-Ohio state or local government interest and dividends 31 FORMTEXT      0032Add pass-throug " $ > R ĿncTBTB; CJ OJQJ"h!i5B*CJ OJQJaJ ph5B*CJ OJQJaJ phB*CJOJQJph)jB*CJOJQJUmHnHphu$jB*CJOJQJUphB*CJOJQJphjB*CJOJQJUph CJOJQJ CJ OJQJOJQJ jCJ OJQJUmHnHuhmCJOJQJaJCJOJQJaJ*jhmCJOJQJUaJmHnHu" $  , T zt$If $$Ifa$qkdz$$Ifl0*0+4 la($If JM      , . 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$($Ifa$X777777kda$$Ifl4 \# * 6 0P+4 lae4f4$& #$/Ifb$ $& #$/Ifb$77777d8n8999"999999999˾xkZM9Z'jYdB*CJOJQJUhphB*CJOJQJhph!jB*CJOJQJUhph5B*CJOJQJphCJOJQJhB*CJOJQJphB*CJOJQJph5B*CJOJQJhph5B*CJOJQJph5B*CJOJQJphB*CJOJQJhphB*CJOJQJhph!jB*CJOJQJUhph,jB*CJOJQJUhmHnHphu777f8h8n8999PkdTc$$Ifl40*z) 6 0P+4 lae4f40$& #$/IfXDb$$qq($& #$/If]q^qa$b$9"999999$$& #$/Ifa$b$$& #$/Ifb$ 0$& #$/IfXDb$$0$& #$/IfXDa$b$9999999:&,.02FHJTVX`bh   "$.02:<B˾p˾\˾'jhB*CJOJQJUhph'jfB*CJOJQJUhph5B*CJOJQJphCJOJQJhUB*CJOJQJphB*CJOJQJph5B*CJOJQJphB*CJOJQJhphB*CJOJQJhph!jB*CJOJQJUhph,jB*CJOJQJUhmHnHphu$99 kdd$$Ifl4 ֞ t"#(*zh 6 0P+4 lae4f4999&,0X^$$& #$/Ifa$b$ 0$& #$/IfXDb$$0$& #$/IfXDa$b$$qq($& #$/If]q^qa$b$h entity add-back 32 FORMTEXT      0033Add income from an electing small business trust (ESBT  see instructions) 33 FORMTEXT      0034Other. Check all that apply:a. FORMCHECKBOX Federal interest and dividends subject to state taxation and miscellaneous federal tax adjustmentsb. FORMCHECKBOX Reimbursement of college tuition expenses and fees deducted in any previous year(s)c. FORMCHECKBOX Losses from sale or disposition of Ohio public obligationsd. FORMCHECKBOX Nonmedical withdrawals from an Ohio medical savings account and miscellaneous federal tax adjustmentse. FORMCHECKBOX Reimbursement of expenses previously deducted for Ohio income tax purposes, but only if the reimbursement is not in FAGIf. FORMCHECKBOX Noneducation expenditures from college savings accountg. FORMCHECKBOX Add back the deprecation adjustment for Internal Revenue Code sections 168(k) and 179Total of a through g 34 FORMTEXT      0035Total additions (add lines 31 through 34) 35 FORMTEXT      00Deductions  see limitations in instructions36Deduct federal interest and dividends exempt from state taxation 36 FORMTEXT      0037Deduct compensation earned in Ohio by full-year residents of neighboring states and certain income earned by military nonresidents. Check box if you are a military nonresident  FORMCHECKBOX  37 FORMTEXT      0038Deduct state or municipal income tax overpayments (see instructions) 38 FORMTEXT      0039Deduct disability and survivorship benefits (does not include pension continuations) 39 FORMTEXT      0040Deduct qualifying social security benefits and some railroad benefits 40 FORMTEXT      0041Deduct contributions to CollegeAdvantage 529 savings plan and/or purchases of tuition credits 41 FORMTEXT      0042Deduct qualified tuition expenses paid to an eligible Ohio educational institution 42 FORMTEXT      0043Deduct unsubsidized health insurance/long-term care insurance and excess medical expenses (see worksheet) 43 FORMTEXT      0044Deduct funds deposited into, and earnings of, a medical savings account for eligible medical expenses (see worksheet) 44 FORMTEXT      0045Deduct losses from an electing small business trust (ESBT  see instructions) 45 FORMTEXT      0046Other. Check all that apply:a. FORMCHECKBOX Wage and salary expense not deducted due to the federal targeted jobs or the work opportunity tax creditsb. FORMCHECKBOX Interest income from Ohio public obligations and Ohio purchase obligations and gains from the sale or disposition of Ohio public obligationsc. FORMCHECKBOX Refund or reimbursements shown on federal form 1040, line 21, for itemized deductions claimed on a prior year federal income tax returnd. FORMCHECKBOX Repayment of income reported in a prior year and miscellaneous federal tax adjustmentse. FORMCHECKBOX Amount contributed to an individual development accountf. FORMCHECKBOX Depreciation expense adjustment for Internal Revenue Code sections 168(k) and 179 Total of a through f 46 FORMTEXT      0047Total deductions (add lines 36 through 46) 47 FORMTEXT      0048Net adjustments  If line 35 is GREATER than line 47, enter the difference here and on line 2 as a positive amount. If line 35 is LESS than line 47, enter the difference here and on line 2 as a negative amount 48 FORMTEXT      00Schedule B Credits49Retirement income credit (see instructions for credit table) (limit  $200 per return) 49 FORMTEXT    0050Senior citizen credit (limit  $50 per return) 50 FORMTEXT   0051Lump sum distribution credit (you must be 65 years of age or older to claim this credit) 51 FORMTEXT      0052Child and dependent care credit (see instructions and worksheet) 52 FORMTEXT      0053Lump sum retirement credit 53 FORMTEXT      0054If line 5 is less than or equal to $10,000, enter $107; otherwise enter -0- or leave blank NEW54 FORMTEXT      0055Job training credit (see instructions and worksheet) (limit  $500 per taxpayer) 55 FORMTEXT     0056Ohio political contributions credit (limit  $50 per taxpayer) 56 FORMTEXT    0057Ohio adoption credit (limit  $500 per child) 57 FORMTEXT      0058Total credits (add lines 49 through 57)  enter here and on line 7 58 FORMTEXT      00Schedule C Ohio Resident59Enter the portion of line 3 subjected to tax by other states or the District of Columbia while an Ohio resident (new limitation  see line instructions) 59 FORMTEXT      0060Enter Ohio adjusted gross income (line 3) 60 FORMTEXT      0061Divide line 59 by line 60.  FORMTEXT     % Multiply by the amount on line 12 61 FORMTEXT      0062Enter the 2005 income tax, less all credits other than withholding and estimated tax payments and overpayment carryforwards from previous years paid to other states or the District of Columbia (new limitation  see line instructions) 62 FORMTEXT      0063Enter the smaller of line 61 or line 62. This is your Ohio resident tax credit. Enter here and on line 13 63 FORMTEXT      00List the state(s) other than Ohio with which you filed 2005 income tax returns. FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Schedule D NonRes-Pt Yr64Enter the portion of Ohio adjusted gross income (line 3) that was not earned or received in Ohio (attach form IT 2023) 64 FORMTEXT      0065Enter the Ohio adjusted gross income (line 3) 65 FORMTEXT      0066Divide line 64 by line 65.  FORMTEXT     % Multiply by the amount on line 12. Enter here and on line 13 66 FORMTEXT      00 IT 1040 OHIO Income Tax Return Attach W-2s and 1099R forms here. 2005 GO paperless. It s FREE! Try I-File.  HYPERLINK "http://www.tax.ohio.gov" tax.ohio.gov File electronically and receive your refund in 5-7 days by direct deposit! 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