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Ohio Ohio Amended Individual Income Tax Return
Form IT 1040X is obsolete, and is no longer supported by the Ohio Department of Revenue.
Extracted from PDF file 2021-ohio-form-it-1040x.pdf, last modified December 2020Ohio Amended Individual Income Tax Return
Clear Form 2021 Ohio IT 1040 Do not staple or paper clip. hio Department of Taxation Individual Income Tax Return AMENDED RETURN - Check here and include Ohio IT RE. Primary taxpayer's SSN (required) 21000106 Use only black ink/UPPERCASE letters. If deceased Sequence No. 1 NOL CARRYBACK - Check here and include Schedule IT NOL. If deceased Spouse’s SSN (if filing jointly) First name M.I. Spouse's first name (if 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.) 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 Nonresident Indicate state Ohio county (first four letters) Filing Status – Check one (as reported on federal income tax return) Single, head of household or qualifying widow(er) Married filing jointly Nonresident Indicate state Ohio Nonresident Statement – See instructions for required criteria Do not staple or paper clip. ZIP code City Spouse’s SSN Married filing separately Primary meets the five criteria for irrebuttable presumption as nonresident. Federal extension filers - check here. Spouse meets the five criteria for irrebuttable presumption as nonresident. If someone can claim you (or your spouse if filing jointly) as a dependent, check here. 1. Federal adjusted gross income (federal 1040 or 1040-SR, line 11). Place a "-" in the box if negative................................................................................................................................. ..1. .0 0 2a. Additions – Ohio Schedule of Adjustments, line 10 (include schedule)........................................ 2a. .0 0 2b. Deductions – Ohio Schedule of Adjustments, line 39 (include schedule)..................................... 2b. .0 0 .0 0 .0 0 5. Ohio income tax base (line 3 minus line 4; if negative, enter zero).................................................. 5. .0 0 6. Taxable business income – Ohio Schedule IT BUS, line 13 (include schedule)............................. 6. .0 0 7. Taxable nonbusiness income (line 5 minus line 6; if negative, enter zero)....................................... 7. .0 0 3. Ohio adjusted gross income (line 1 plus line 2a minus line 2b). Place a "-" in the box if negative................................................................................................................................ ..3. 4. Exemption amount (include Schedule of Dependents if applicable)............................................. 4. Number of exemptions including you and your spouse/dependents, if applicable: Do not write in this area; for department use only. MM-DD-YY Code IT 1040 – page 1 of 2 2021 Ohio IT 1040 Individual Income Tax Return SSN 21000206 Sequence No. 2 7a. Amount from line 7 on page 1......................................................................................................... 7a. .0 0 8a. Nonbusiness income tax liability on line 7a (see instructions for tax tables)...............................................8a. .0 0 8b. Business income tax liability – Ohio Schedule IT BUS, line 14 (include schedule)...................................8b. .0 0 8c. Income tax liability before credits (line 8a plus line 8b)...............................................................................8c. .0 0 9. Ohio nonrefundable credits – Ohio Schedule of Credits, line 38 (include schedule)...................................9. .0 0 10. Tax liability after nonrefundable credits (line 8c minus line 9; if negative, enter zero).................................10. .0 0 11. Interest penalty on underpayment of estimated tax (include Ohio IT/SD 2210).........................................11. .0 0 12. Unpaid use tax (see instructions).................................................................................................................12. .0 0 13. Total Ohio tax liability before withholding or estimated payments (add lines 10, 11 and 12)....................13. .0 0 14. Ohio income tax withheld – Schedule of Ohio Withholding, part A, line 1 (include schedule and income statements)...................................................................................................................................14. .0 0 15. Estimated and extension payments (from Ohio IT 1040ES and IT 40P), and credit carryforward from last year's return..................................................................................................................................15. .0 0 16. Refundable credits – Ohio Schedule of Credits, line 44 (include schedule)..............................................16. .0 0 17. Amended return only – amount previously paid with original and/or amended return..............................17. .0 0 18. Total Ohio tax payments (add lines 14, 15, 16 and 17).............................................................................18. .0 0 19. Amended return only – overpayment previously requested on original and/or amended return...............19. .0 0 ....20. .0 0 21. Tax due (line 13 minus line 20). If line 20 is negative, ignore the "-" and add line 20 to line 13..................21. .0 0 .0 0 .0 0 .0 0 .0 0 Total..... 26g. .0 0 27. REFUND (line 24 minus lines 25 and 26g)..................................................................YOUR REFUND27. .0 0 20. Line 18 minus line 19. Place a "-" in the box if negative......................................................................... If line 20 is MORE THAN line 13, skip to line 24. OTHERWISE, continue to line 21. 2. Interest due on late payment of tax (see instructions)...............................................................................................22. 2 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 .0 0 .0 0 d. Breast/Cervical Cancer .0 0 .0 0 e. Wishes for Sick Children .0 0 .0 0 f. Wildlife Species 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. Primary signature Phone number Spouse’s signature Date Check here to authorize your preparer to discuss this return with the Department. Preparer's printed name Phone number Preparer's TIN (PTIN) P 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 IT 1040 – page 2 of 2 2021 Ohio Schedule of Adjustments 21000306 Use only black ink/UPPERCASE letters. Primary taxpayer’s SSN Sequence No. 3 Additions . (Only add the following amounts if they are not included on Ohio IT 1040, line 1) 1. Non-Ohio state or local government interest and dividends........................................................................ 1. .0 0 2. Ohio pass-through entity taxes excluded from federal adjusted gross income........................................... 2. .0 0 3. Ohio 529 plan funds used for non-qualified expenses................................................................................ 3. .0 0 4. Losses from sale or disposition of Ohio public obligations.......................................................................... 4. .0 0 5. Nonmedical withdrawals from a medical savings account.......................................................................... 5. .0 0 6. Reimbursement of expenses previously deducted on an Ohio income tax return...................................... 6. .0 0 7. Internal Revenue Code 168(k) and 179 depreciation expense addback.................................................... 7. .0 0 8. Exempt federal interest and dividends subject to state taxation................................................................. 8. .0 0 9. Federal conformity additions....................................................................................................................... 9. .0 0 .0 0 11. Business income deduction – Ohio Schedule IT BUS, line 11.................................................................. 11. .0 0 12. Employee compensation earned in Ohio by residents of neighboring states.............................................. 12. .0 0 13. Taxable refunds, credits, or offsets of state and local income taxes (federal 1040, Schedule 1, line 1)... 13. .0 0 14. Taxable Social Security benefits (federal 1040 and 1040-SR, line 6b)..................................................... 14. .0 0 15. Certain railroad benefits............................................................................................................................ 15. .0 0 .0 0 17. Amounts contributed to an Ohio county's individual development account program................................ 17. .0 0 18. Amounts contributed to a STABLE account: Ohio's ABLE plan................................................................ 18. .0 0 .0 0 20. Federal interest and dividends exempt from state taxation....................................................................... 20. .0 0 21. Deduction of prior year 168(k) and 179 depreciation addbacks................................................................ 21. .0 0 .0 0 Federal 10. Total additions (add lines 1 through 9 ONLY). Enter here and on Ohio IT 1040, line 2a...............10. Deductions (Only deduct the following amounts if they are included on Ohio IT 1040, line 1) 16. Interest income from Ohio public obligations and purchase obligations; gains from the disposition of Ohio public obligations; or income from a transfer agreement............................................ 16. 19. Income earned in Ohio by a qualifying out-of-state business or employee for disaster work conducted during a disaster response period................................................................................... 19. Federal 22. Refund or reimbursements from the federal 1040, Schedule 1, line 8z for federal itemized deductions claimed on a prior year return................................................................................... 22. Schedule of Adjustments – page 1 of 2 2021 Ohio Schedule of Adjustments 21000406 Primary taxpayer’s SSN Sequence No. 4 23. Repayment of income reported in a prior year.......................................................................................... 23. .0 0 24. Wage expense not deducted based on the federal work opportunity tax credit........................................ 24. .0 0 25. Federal conformity deductions.................................................................................................................... 25. .0 0 26. Military pay received by Ohio residents while stationed outside Ohio........................................................ 26. .0 0 27. Compensation earned by nonresident military servicemembers and their civilian spouses....................... 27. .0 0 28. Uniformed services retirement income...................................................................................................... 28. .0 0 29. Military injury relief fund grants and veteran’s disability severance payments................................................... 29. .0 0 30. Certain Ohio National Guard reimbursements and benefits...................................................................... 30. .0 0 31. Amounts contributed to Ohio CollegeAdvantage: Ohio’s 529 Plan........................................................... 31. .0 0 32. Pell/Ohio College Opportunity taxable grant amounts used to pay room and board................................ 32. .0 0 33. Ohio educator expenses in excess of federal deduction........................................................................... 33. .0 0 34. Disability benefits...................................................................................................................................... 34. .0 0 35. Survivor benefits........................................................................................................................................ 35. .0 0 36. Unreimbursed medical and health care expenses (see instructions for worksheet; include a copy)...... 36. .0 0 37. Medical savings account contributions/earnings (see instructions for worksheet; include a copy)......... 37. .0 0 38. Qualified organ donor expenses............................................................................................................... 38. .0 0 39. Total deductions (add lines 11 through 38 ONLY). Enter here and on Ohio IT 1040, line 2b................39. .0 0 Uniformed Services Education Medical Schedule of Adjustments – page 2 of 2 2021 Ohio Schedule IT BUS Business Income Use only black ink/UPPERCASE letters. Primary taxpayer’s SSN 21260106 Sequence No. 5 Enter all business income that you (and your spouse, if filing jointly) received during the tax year on this schedule. Enter only those amounts that are included in your federal adjusted gross income. Only one IT BUS should be used for each return filed. See R.C. 5747.01(B). Part 1 – Business Income From IRS Schedules Note: Do not include amounts listed on the IRS schedules below that are nonbusiness income. See R.C. 5747.01(C). If the amount on a line is negative, place a “-“ in the box provided. 1. Schedule B – Interest and Ordinary Dividends............................................................................................1. .0 0 2. Schedule C – Profit or Loss From Business (Sole Proprietorship).................................................. .....2. .0 0 3. Schedule D – Capital Gains and Losses.......................................................................................... .....3. .0 0 4. Schedule E – Supplemental Income and Loss................................................................................ .....4. .0 0 or indirect owner..........................................................................................................................................5. .0 0 5. Guaranteed payments or compensation from a pass-through entity to a 20% or greater direct 6. Schedule F – Profit or Loss From Farming...................................................................................... .....6. .0 0 7. Other business income or loss not reported above (e.g. form 4797 amounts)................................ .....7. .0 0 8. Total business income (add lines 1 through 7)................................................................................. .....8. .0 0 9. Enter the lesser of line 8 above or Ohio IT 1040, line 1. If negative, enter zero; stop here and do not complete Part 3.........................................................................................................9. .0 0 .0 0 .0 0 .0 0 .0 0 .0 0 Part 2 – Business Income Deduction 10. Enter $250,000 if filing status is single or married filing jointly; OR Enter $125,000 if filing status is married filing separately..........................................................................10. 11. Enter the lesser of line 9 or line 10. Enter here and on Ohio Schedule of Adjustments, line 11....................... 11. Part 3 – Taxable Business Income Note: If Ohio IT 1040, line 5 is zero, do not complete Part 3. 12. Line 9 minus line 11....................................................................................................................................12. 13. Taxable business income (enter the lesser of line 12 above or Ohio IT 1040, line 5). .Enter here and on Ohio IT 1040, line 6...............................................................................................................................13. 14. Business income tax liability – multiply line 13 by 3% (.03). Enter here and on Ohio IT 1040, line 8b..........14. Do not write in this area; for department use only. Schedule IT BUS – page 1 of 2 2021 Ohio Schedule IT BUS Business Income Primary taxpayer’s SSN 21260206 Sequence No. 6 Part 4 – Business Sources List all sources of business income, with Ohio sources listed first. Also separately list your ownership percentage and/or your spouse’s ownership percentage (if filing jointly). If necessary, complete additional copies of this page and include with your return. 1. FEIN / SSN Primary ownership Spouse’s ownership % % Business name 2. FEIN / SSN Primary ownership Spouse’s ownership % % Business name 3. FEIN / SSN Primary ownership Spouse’s ownership % % Business name 4. FEIN / SSN Primary ownership Spouse’s ownership % % Business name 5. FEIN / SSN Primary ownership Spouse’s ownership % % Business name 6. FEIN / SSN Primary ownership Spouse’s ownership % % Business name 7. FEIN / SSN Primary ownership Spouse’s ownership % % Business name 8. FEIN / SSN Primary ownership Spouse’s ownership % % Business name Schedule IT BUS – page 2 of 2 hio Department of Taxation 2021 Ohio Schedule of Credits Use only black ink/UPPERCASE letters. Primary taxpayer’s SSN 21280106 Nonrefundable Credits Sequence No. 7 1. Tax liability before credits (from Ohio IT 1040, line 8c)............................................................................... 1. .0 0 2. Retirement income credit (see instructions for table; include 1099-R forms)............................................ 2. .0 0 3. Lump sum retirement credit (see instructions for worksheet; include a copy)........................................ 3. .0 0 4. Senior citizen credit (must be 65 or older to claim this credit).................................................................. 4. .0 0 5. Lump sum distribution credit (see instructions for worksheet; include a copy)....................................... 5. .0 0 6. Child care & dependent care credit (see instructions for worksheet; include a copy)............................. 6. .0 0 7. Displaced worker training credit (see instructions for all required documentation; include copies)........ 7. .0 0 8. Campaign contribution credit for Ohio statewide office or General Assembly.......................................... 8. .0 0 9. Income-based exemption credit ($20 times the number of exemptions).................................................. 9. .0 0 10. Total (add lines 2 through 9)................................................................................................................... 10. .0 0 11. Tax less credits (line 1 minus line 10; if negative, enter zero)................................................................. 11. .0 0 12. Joint filing credit (see instructions for table). % times line 11, up to $650................................................12. .0 0 13. Earned income credit.............................................................................................................................. 13. .0 0 14. Home school expenses credit................................................................................................................. 14. .0 0 15. Scholarship donation credit..................................................................................................................... 15. .0 0 16. Nonchartered, nonpublic school tuition credit......................................................................................... 16. .0 0 17. Ohio adoption credit................................................................................................................................ 17. .0 0 18. Nonrefundable job retention credit (include a copy of the credit certificate)...................................... 18. .0 0 19. Credit for eligible new employees in an enterprise zone (include a copy of the credit certificate).... 19. .0 0 20. Grape production credit........................................................................................................................... 20. .0 0 21. InvestOhio credit (include a copy of the credit certificate)................................................................. 21. .0 0 22. Lead abatement credit (include a copy of the credit certificate)........................................................ 22. .0 0 23. Opportunity zone investment credit (include a copy of the credit certificate).................................... 23. .0 0 24. Technology investment credit carryforward (include a copy of the credit certificate)......................... 24. .0 0 25. Enterprise zone day care & training credits (include a copy of the credit certificate)........................ 25. .0 0 26. Research & development credit (include a copy of the credit certificate).......................................... 26. .0 0 Do not write in this area; for department use only. Schedule of Credits – page 1 of 2 2021 Ohio Schedule of Credits Primary taxpayer’s SSN 21280206 Sequence No. 8 27. Nonrefundable Ohio historic preservation credit (include a copy of the credit certificate)................. 27. .0 0 28. Total (add lines 12 through 27)............................................................................................................... 28. .0 0 29. Tax less additional credits (line 11 minus line 28; if negative, enter zero).............................................. 29. .0 0 .0 0 .0 0 .0 0 39. Refundable Ohio historic preservation credit (include a copy of the credit certificate)...................... 39. .0 0 40. Refundable job creation credit & job retention credit (include a copy of the credit certificate)...................40. .0 0 41. Pass-through entity credit (include a copy of the Ohio IT K-1s).......................................................... 41. .0 0 42. Motion picture & Broadway theatrical production credit (include a copy of the credit certificate)...... 42. .0 0 43. Venture capital credit (include a copy of the credit certificate).......................................................... 43. .0 0 44. Total refundable credits (add lines 39 through 43; enter here and on Ohio IT 1040, line 16).............. 44. .0 0 Nonresident Credit Dates of Ohio residency to Other state of residency 30. Nonresident Portion of Ohio adjusted gross income Ohio IT NRC Section I, line 18 (include a copy)............. 30. .0 0 31. Ohio adjusted gross income (Ohio IT 1040, line 3)......... 31. .0 0 32a. Divide line 30 by line 31 (four decimals; do not round; if greater than 1, enter 1.0000)....................................................................... 32a. 32. Nonresident credit (line 29 times line 32a)............................................................................................. 32. Resident Credit 33. Portion of Ohio adjusted gross income taxed by another state or the District of Columbia while an Ohio resident Ohio IT RC, line 1a (include a copy) ............................... 33. 34. Ohio adjusted gross income (Ohio IT 1040, line 3).........34. 35a. Divide line 33 by line 34 (four decimals; do not round; if greater than 1, enter 1.0000)......................................................................35a. 35. Line 29 times line 35a.....................................................35. 36. 2021 income tax liability after credits paid to another state or the District of Columbia Ohio IT RC, line 1b (include a copy)...............................36. .0 0 .0 0 .0 0 .0 0 37. Resident credit (enter the lesser of line 35 or line 36) Enter the two-letter state abbreviation in the boxes below for each state in which income was subject to tax................................................... 37. 38. Total nonrefundable credits (add lines 10, 28, 32 and 37; enter here and on Ohio IT 1040, line 9)... 38. Refundable Credits Schedule of Credits – page 2 of 2 2021 Ohio Schedule of Dependents 21230106 Use only black ink/UPPERCASE letters. Primary taxpayer's SSN Sequence No. 9 Do not list the primary filer and/or spouse (if filing jointly) as dependents on this schedule. Use this schedule to claim dependents. If you have more than 15 dependents, complete additional copies of this schedule and include them with your income tax return. Abbreviate the “Dependent’s relationship to you” if necessary. 1. Dependent’s SSN Dependent’s first name 2. Dependent’s SSN Dependent’s first name 3. Dependent’s SSN Dependent’s first name 4. Dependent’s SSN Dependent’s first name 5. Dependent’s SSN Dependent’s first name 6. Dependent’s SSN Dependent’s first name 7. Dependent’s SSN Dependent’s first name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Do not write in this area; for department use only. Rev. 08/10/21. Schedule of Dependents – page 1 of 2 2021 Ohio Schedule of Dependents 21230206 Primary taxpayer's SSN Sequence No. 10 8. Dependent’s SSN Dependent’s first name 9. Dependent’s SSN Dependent’s first name 10. Dependent’s SSN Dependent’s first name 11. Dependent’s SSN Dependent’s first name 12. Dependent’s SSN Dependent’s first name 13. Dependent’s SSN Dependent’s first name 14. Dependent’s SSN Dependent’s first name 15. Dependent’s SSN Dependent’s first name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Dependent's date of birth (MM-DD-YYYY) Dependent’s relationship to you M.I. Dependent's last name Rev. 08/10/21. Schedule of Dependents – page 2 of 2 2021 Schedule of Ohio Withholding 21350106 Use only black ink/UPPERCASE letters. Primary taxpayer’s SSN Sequence No. 11 List your and your spouse’s (if filing jointly) W-2, 1099, and W-2G forms only if they have Ohio withholding. Enter “P” in the “P/S” box if the form is the primary taxpayer’s and enter “S” if it is the spouse’s. If the Ohio ID number on a statement has 9 digits, enter only the first 8 digits. Complete additional copies if necessary. Place state copies of your income statements after the last page of your return. Part A - Total Withholding 1. Total of all Ohio state tax withheld on pages 1 and 2 as well as any additional pages. Enter here and on line 14 of your Ohio IT 1040....................................................................................................................1. Part B - W-2s 1. P/S Box b - EIN Box 1 - Wages, tips, other compensation .0 Box 15 - Employer’s Ohio ID number Box 16 - Ohio wages, tips, etc. Box b - EIN 3. P/S Box b - EIN Box 15 - Employer’s Ohio ID number Box b - EIN .0 0 .0 0 Box 1 - Wages, tips, other compensation Box 16 - Ohio wages, tips, etc. Box b - EIN Box b - EIN Box b - EIN 0 Box 16 - Ohio wages, tips, etc. Box 2 - Federal income tax withheld .0 .0 0 .0 0 .0 0 .0 0 .0 0 0 Box 2 - Federal income tax withheld .0 0 Box 2 - Federal income tax withheld .0 0 Box 17 - Ohio income tax 0 Box 1 - Wages, tips, other compensation 0 Box 16 - Ohio wages, tips, etc. Box 2 - Federal income tax withheld .0 0 Box 17 - Ohio income tax 0 Box 1 - Wages, tips, other compensation .0 Box 15 - Employer’s Ohio ID number 0 0 0 Box 1 - Wages, tips, other compensation .0 7. P/S .0 Box 17 - Ohio income tax .0 Box 15 - Employer’s Ohio ID number 0 Box 16 - Ohio wages, tips, etc. .0 6. P/S .0 Box 2 - Federal income tax withheld 0 Box 1 - Wages, tips, other compensation .0 Box 15 - Employer’s Ohio ID number 0 0 Box 17 - Ohio income tax .0 5. P/S .0 Box 17 - Ohio income tax .0 Box 15 - Employer’s Ohio ID number 0 Box 16 - Ohio wages, tips, etc. .0 4. P/S .0 Box 2 - Federal income tax withheld 0 Box 1 - Wages, tips, other compensation .0 Box 15 - Employer’s Ohio ID number 0 Box 17 - Ohio income tax .0 2. P/S 0 .0 0 Box 16 - Ohio wages, tips, etc. Box 2 - Federal income tax withheld .0 0 Box 17 - Ohio income tax .0 0 Schedule of Withholding – page 1 of 2 2021 Schedule of Ohio Withholding Primary taxpayer’s SSN Part C - 1099-Rs 1. P/S Payer’s TIN 21350206 Sequence No. 12 Box 1 - Gross distribution . Box 15 - Payer’s Ohio number 0 0 Box 4 - Federal income tax withheld .0 2. P/S Payer’s TIN 3. P/S Payer’s TIN Box 15 - Payer’s Ohio number 4. P/S Payer’s TIN Box 15 - Payer’s Ohio number 0 0 0 Total distribution Box 4 - Federal income tax withheld .0 0 .0 0 .0 0 .0 0 Box 7 Distribution code Box 14 - Ohio tax withheld .0 0 .0 0 Box 1 - Gross distribution Total distribution Box 4 - Federal income tax withheld Box 7 Distribution code Box 14 - Ohio tax withheld .0 0 .0 0 Box 1 - Gross distribution Box 4 - Federal income tax withheld .0 Box 7 Distribution code Box 14 - Ohio tax withheld Box 1 - Gross distribution . Box 15 - Payer’s Ohio number Total distribution Total distribution Box 7 Distribution code Box 14 - Ohio tax withheld 0 Part D - W-2Gs 1. P/S Payer’s federal ID number Box 1 - Reportable winnings Box 4 - Federal income tax withheld .0 Box 13 - Ohio state ID number Box 14 - Ohio state winnings Payer’s federal ID number Payer’s federal ID number Part E - 1099-NECs 1. P/S Payer’s TIN Payer’s TIN 0 .0 0 Box 4 - Federal income tax withheld 0 Box 14 - Ohio state winnings .0 0 Box 15 - Ohio income tax withheld .0 0 Box 1 - Nonemployee compensation .0 0 .0 0 .0 0 Box 4 - Federal income tax withheld 0 Box 7 - State income .0 0 Box 5 - Ohio tax withheld 0 Box 1 - Nonemployee compensation .0 Box 6 - Payer’s Ohio number .0 0 Box 1 - Reportable winnings .0 2. P/S 0 Box 15 - Ohio income tax withheld .0 Box 6 - Payer’s Ohio number 0 Box 14 - Ohio state winnings .0 Box 13 - Ohio state ID number .0 Box 4 - Federal income tax withheld .0 3. P/S 0 0 Box 1 - Reportable winnings .0 Box 13 - Ohio state ID number .0 Box 15 - Ohio income tax withheld .0 2. P/S 0 Box 4 - Federal income tax withheld 0 Box 7 - State income .0 0 Box 5 - Ohio tax withheld .0 0 Schedule of Withholding – page 2 of 2 2021 Ohio IT 40P Include the voucher below with your payment for your ORIGINAL 2021 Ohio income tax return. Important • Make payment payable to: Ohio Treasurer of State • Include the tax year and the last four digits of your SSN on the “Memo” line of your payment. • Do not send cash. • Do not use this voucher to make a payment for an amended return. Use Ohio IT 40XP. • Do not use this voucher to make a payment for a school district income tax return. Use Ohio SD 40P for an original school district income tax return. Use Ohio SD 40XP for an amended school district income tax return. Electronic Payment Options You can make your payment electronically even if you file by paper. To pay by electronic check, credit card, or debit card, visit tax.ohio.gov/pay OR scan with your phone. Federal Privacy Act Notice Because we require you to provide us with a Social Security number, the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Security number is mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this information. We need your Social Security number in order to administer this tax. ORIGINAL PAYMENT Cut on the dotted lines. Use only black ink. OHIO IT 40P Clear Form Original Income Tax Payment Voucher First name M.I. Last name Tax Year 2021 • Do NOT send cash • Do NOT fold, staple, or paper clip Spouse’s first name (only if joint filing) M.I. Last name Taxpayer’s last name Use UPPERCASE letters to print the first three letters of Spouse’s last name (only if joint filing) Address City, State, ZIP code Make payment payable to: Ohio Treasurer of State Sending with return - Mail to: Ohio Department of Taxation, P.O. Box 2057, Columbus, OH 43270-2057 Sending without return - Mail to: Ohio Department of Taxation, P.O. Box 182131, Columbus, OH 43218-2131 Taxpayer’s SSN Spouse’s SSN (only if joint filing) Amount of Payment $ 0521 5 000000000 0 402 0 0
Form IT 1040X
More about the Ohio Form IT 1040X Individual Income Tax Amended Return
For taxable year 2015 and forward, the IT-1040 form will be used for amended tax returns - just check the "Amended Return" box.
We last updated the Ohio Amended Individual Income Tax Return in January 2022, and the latest form we have available is for tax year 2021. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Ohio Department of Taxation. You can print other Ohio tax forms here.
Other Ohio Individual Income Tax Forms:
TaxFormFinder has an additional 82 Ohio income tax forms that you may need, plus all federal income tax forms.
| Form Code | Form Name |
|---|---|
| Form IT 1040ES | Income Tax Estimated Payment Vouchers and Instructions |
| Individual Tax Instructions | Individual Income Tax Instruction Booklet |
| Income Tax Instructions | Income Tax Instruction Booklet |
| Form IT 1040 | Ohio Individual Income Tax Return Bundle |
| Form IT SD 100 | School District Income Tax Return |
View all 83 Ohio Income Tax Forms
Form Sources:
Ohio usually releases forms for the current tax year between January and April. We last updated Ohio Form IT 1040X from the Department of Taxation in January 2022.
Form IT 1040X is an Ohio Individual Income Tax form. An amended tax return is used to correct errors or omissions in a previously-filed tax return. While taxpayers will not generally be punished simply for correcting an error in a previous return, errors that resulted in an underpayment of owed tax can sometimes result in penalties or interest owed.
About the Individual Income Tax
The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.
Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!
Historical Past-Year Versions of Ohio Form IT 1040X
We have a total of eleven past-year versions of Form IT 1040X in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
2016 Form IT 1040X
PIT_IT1040_Fairfax_02_Final_2016_FS_121916.indd
2015 Form IT 1040X
PIT_IT1040_Fairfax_02_Draft_2015_FS_120115.indd
2014 Form IT 1040X
PIT_1040X_Return_Final_FS_112814.indd
2013 Form IT 1040X
PIT_1040X_Final_FI_061713.indd
2012 Form IT 1040X
PIT_1040X_Final_FI_080811.indd
2011 Form IT 1040X
Copy of PIT_1040X_2011_FI_021412.indd
TaxFormFinder Disclaimer:
While we do our best to keep our list of Ohio Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.