Sequence No. 2
2021 Ohio IT 1040
Individual Income Tax Return
SSN
IT 1040 – page 2 of 2
If line 20 is MORE THAN line 13, skip to line 24. OTHERWISE, continue to line 21.
Preparer's printed name Phone number
Primary signature Phone number
Spouse’s signature
Date
Sign Here (required): I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge
and belief, the return and all enclosures are true, correct and complete.
If your refund is $1.00 or less, no refund will be issued.
If you owe $1.00 or less, no payment is necessary.
NO Payment Included – Mail to:
Ohio Department of Taxation
P.O. Box 2679
Columbus, OH 43270-2679
Payment Included – Mail to:
Ohio Department of Taxation
P.O. Box 2057
Columbus, OH 43270-2057
Check here to authorize your preparer to discuss this return with the Department.
7a. Amount from line 7 on page 1 ........................................................................................................ 7a.
8a. Nonbusiness income tax liability on line 7a (see instructions for tax tables)...............................................8a.
8b. Business income tax liability – Ohio Schedule IT BUS, line 14 (include schedule) ..................................8b.
8c. Income tax liability before credits (line 8a plus line 8b) ..............................................................................8c.
9. Ohio nonrefundable credits – Ohio Schedule of Credits, line 38 (include schedule) ..................................9.
10. Tax liability after nonrefundable credits (line 8c minus line 9; if negative, enter zero) ................................10.
11. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210) ........................................11.
12. Unpaid use tax (see instructions) ................................................................................................................12.
13. Total Ohio tax liability before withholding or estimated payments (add lines 10, 11 and 12) ...................13.
14. Ohio income tax withheld – Schedule of Ohio Withholding, part A, line 1 (include schedule and
income statements) ..................................................................................................................................14.
15. Estimated and extension payments (from Ohio IT 1040ES and IT 40P), and credit carryforward
from last year's return .................................................................................................................................15.
16. Refundable credits – Ohio Schedule of Credits, line 44 (include schedule) .............................................16.
17. Amended return only – amount previously paid with original and/or amended return .............................17.
18. Total Ohio tax payments (add lines 14, 15, 16 and 17) ............................................................................ 18.
19. Amended return only – overpayment previously requested on original and/or amended return .............. 19.
20. Line 18 minus line 19. Place a "-" in the box if negative ........................................................................ ....20.
21. Tax due (line 13 minus line 20). If line 20 is negative, ignore the "-" and add line 20 to line 13..................21.
22. Interest due on late payment of tax (see instructions) ..............................................................................................22.
23. TOTAL AMOUNT DUE (line 21 plus line 22). Include Ohio IT 40P (if original return) or IT 40XP
(if amended return) and make check payable to “Ohio Treasurer of State” ............... AMOUNT DUE.23.
24. Overpayment (line 20 minus line 13) ..........................................................................................................24.
25. Original return only – portion of line 24 carried forward to next year’s tax liability .....................................25.
26. Original return only – portion of line 24 you wish to donate:
a. Military Injury Relief b. Ohio History Fund c. Nature Preserves/Scenic Rivers
Total ....26g.
d. Breast/Cervical Cancer e. Wishes for Sick Children f. Wildlife Species
27. REFUND (line 24 minus lines 25 and 26g) .................................................................YOUR REFUND27.
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21000206