Ohio Zero Liability / No Refund Individual Income Tax Return

Zero Liability / No Refund Individual Income Tax Return
Form IT 10
2023 Ohio IT 10

Do not staple or paper clip.

Zero Liability / No Refund
Individual Income Tax Return

Use only black ink and UPPERCASE letters.

23120102

Important: You can only file an IT 1040 or an IT 10. If you are liable for school district income tax, you must file the Ohio IT 1040.
Primary taxpayer's SSN (required)

If deceased

If deceased

Spouse’s SSN (if filing jointly)

First name

M.I.

Spouse's first name (only if married filing jointly)

M.I. Last name

School district #

Last name

Address line 1 (number and street) or P.O. Box

Address line 2 (apartment number, suite number, etc.)

ZIP code

City

State

Foreign country (if the mailing address is outside the U.S.)

Foreign postal code

Residency Status – Check only one for primary
Resident

Part-year
resident*

Check only one for spouse (if filing jointly)
Part-year
Resident
resident*

Ohio county (first four letters)

Filing Status –	Check one (as reported on federal income tax return)

*Indicate state

Nonresident*

Single, head of household or qualifying surviving spouse
*Indicate state

Married filing jointly
Spouse’s SSN

Nonresident*
Married filing separately

Ohio Nonresident Statement – See instructions for required criteria
Federal extension filers - check here.

Primary meets the five criteria for irrebuttable presumption as nonresident.
Spouse meets the five criteria for irrebuttable presumption as nonresident.

Reason(s) For Filing (Required): By filing this return, the primary taxpayer and spouse (if filing jointly) declare that their correctly calculated tax liability
(Ohio IT 1040, line 8c) is $0.00 for one or more of the following reasons (check all that apply):
	
	

There is no tax liability on my Ohio taxable nonbusiness income 	
(Ohio IT 1040, line 7) and taxable business income (Ohio IT 1040, line 6).

	
	

I was a nonresident military servicemember for the entire tax year 	
and my only source of income earned in Ohio is from the military.

	
	

I was a nonresident of Ohio for the entire tax year and did not have
Ohio-sourced income (e.g. the above address is for mailing purposes only).

	
	

I was a civilian spouse of a nonresident servicemember stationed in 	
Ohio.

I understand that I cannot request a refund of any amount on this return.

Sign Here (required):
correct and complete.

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,

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Primary signature		
Phone number
		
Spouse’s signature 			
Date

Preparer's printed name	

Phone number

Authorize your preparer to
discuss this return

Non-paid preparer

PTIN:

P

Do not write in this area; for department use only.

Mail to:
Ohio Department of Taxation
P.O. Box 2476
Columbus, OH 43216-2476

MM-DD-YY
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