Form SD-100ES School District Estimated Income Tax Payment Voucher for Individuals

(Sandusky Seneca) 0100 1704 Crestline EVSD (Crawford Richland) 0025 8702 Eastwood LSD (Wood) 0100 5101 Elgin LSD (Delaware Hardin Marion) 0075 3603 Green eld EVSD (Fayette Highland Auglaize Logan) 0100 1% Champaign) 0100 Clermont) 0100 1% Franklin) 0075 p% Greene) 0100 1% Hardin Logan) 0050 2% Hardin) 0175 1p% Licking) 0050 2% Licking) 0075 p% Licking) 0100 1% Logan Shelby) 0100 4901 Jefferson LSD (Madison) 0050 4902 Jonathan Alder LSD (Franklin Madison Logan) 0150 12% Lorain) 0100 1% M I Last name M I Last name M I Last name M I Last name Madison) 0150 12% Mahoning) 0100 1% Marion Wyandot) 0125 14% Montgomery Preble) 0175 1p% Montgomery) 0050 2% Morrow Union) 0100 1% Perry) 0200 2% Pickaway) 0075 p% Please cut on the dotted lines DO NOT USE PENCIL to complete this form Please cut on the dotted lines DO NOT USE PENCIL to complete this form Richland Seneca) 0150 12% Richland) 0100 1% Ross) 0125 7403 Hopewell Loudon LSD (Seneca) 0050 7506 Jackson Center LSD (Auglaize Seneca) 0050 Shelby) 0100 1% Union) 0075 2305 Lancaster CSD (Fair eld) 0150 2805 Ledgemont LSD (Ashtabula Geauga) 0125 6502 Logan Elm LSD (Hocking Pickaway) 0100 5504 Miami East LSD (Champaign Miami) 0175 5505 Milton Union EVSD (Miami) 0125 3902 Monroeville LSD (Erie Huron) 0150 8705 North Baltimore LSD (Hancock Union) 0150 12% Van Wert) 0100 1% Van Wert) 0125 14% Warren) 0050 2% Wayne) 0100 1204 Northwestern LSD (Clark Wood) 0125 4508 North Fork LSD (Knox Licking) 0100 7612 Northwest LSD (Stark Summit Wood) 0150 12% Wood) 0175 1p% Wyandot) 0100 1% Wyandot) 0100 1% (continued on next page) (Fair eld) 0175 1p% (only if joint ling) (only if joint ling) (Voucher 1) Due April 17 2012 2012 ES to print the rst three letters of 0209 Spencerville LSD (Allen Auglaize 0303 Loudonville Perrysville EVSD (Ashland 0502 Athens CSD (Athens) 0100 0601 Minster LSD (Auglaize Darke Mercer 0602 New Bremen LSD (Auglaize Mercer 0603 New Knoxville LSD (Auglaize Shelby) 0125 14% 0605 Wapakoneta CSD (Auglaize) 0075 p% 0606 Waynes eld Goshen LSD (Allen 0905 Madison LSD (Butler) 0050 2% 0907 New Miami LSD (Butler) 0100 1% 0908 Ross LSD (Butler) 0075 0909 Talawanda CSD (Butler Preble) 0100 1% 1% 1% p% 14% p% 1% p% 2% 1% 2% 1% 4% 1% p% 1% p% 1% p% 12% p% 1102 Mechanicsburg EVSD (Champaign 1103 Triad LSD (Champaign Logan 1105 West Liberty Salem LSD (Champaign 1205 Southeastern LSD (Clark Greene) 0100 1% 14% 1% 14% 2% 1404 Wilmington CSD (Clinton Greene) 0100 1% 1510 United LSD (Columbiana) 0050 2% 1901 Ansonia LSD (Darke) 0175 1902 Arcanum Butler LSD (Darke) 0150 1904 7505 3302 1905 Mississinawa Valley LSD (Darke) 0175 1p% 1906 Tri Village LSD (Darke) 0150 12% 1907 Versailles EVSD (Darke Shelby) 0075 p% 1p% 14% 12% 2% 1% 1% p% p% 2001 Ayersville LSD (De ance) 0100 2002 1303 2004 5902 2012 ES 2012 ES 2012 Ohio SD 100ES Voucher 1 Due April 17 2012 2012 Ohio SD 100ES Voucher 2 Due June 15 2012 2012 Ohio SD 100ES Voucher 3 Due Sept 17 2012 2012 Ohio SD 100ES Voucher 4 Due Jan 15 2013 2101 Big Walnut LSD (Delaware) 0075 2301 Amanda Clearcreek LSD (Fair eld) 0150 2302 Berne Union LSD (Fair eld Hocking) 0100 2303 8701 0203 5502 8601 1701 2306 Liberty Union Thurston LSD 2307 Pickerington LSD (Fair eld Franklin) 0100 1% 2308 Walnut Township LSD (Fair eld) 0125 14% 2501 Bexley CSD (Franklin) 0075 2509 Reynoldsburg CSD (Fair eld Franklin 2604 Pettisville LSD (Fulton Henry) 0100 1% 2606 Swanton LSD (Fulton Lucas) 0075 p% 2801 Berkshire LSD (Geauga) 0100 2906 Xenia Community CSD (Greene 2907 Yellow Springs EVSD (Clark Greene) 0100 1% 3118 Southwest LSD (Hamilton Butler) 0075 3122 Wyoming CSD (Hamilton) 0125 14% 3201 Arcadia LSD (Hancock Seneca) 0100 3202 Arlington LSD (Hancock) 0125 3205 Liberty Benton LSD (Hancock) 0075 p% 3206 McComb LSD (Hancock Putnam 3208 Vanlue LSD (Hancock Seneca 3301 Ada EVSD (Hancock Hardin) 0075 3303 Kenton CSD (Hardin Wyandot) 0150 12% 3304 Ridgemont LSD (Hardin Logan) 0175 1p% 3305 Riverdale LSD (Hancock Hardin 3306 Upper Scioto Valley LSD (Auglaize 3501 Holgate LSD (Henry) 0150 12% 3502 Liberty Center LSD (Fulton Henry) 0175 1p% 3504 Patrick Henry LSD (Henry Putnam 3604 Hillsboro CSD (Highland) 0100 1% 3901 Bellevue CSD (Erie Huron Sandusky 3903 New London LSD (Ashland Huron 3904 Norwalk CSD (Huron) 0050 2% 3905 South Central LSD (Huron Richland) 0125 14% 3906 Western Reserve LSD (Erie Huron) 0125 14% 3907 Willard CSD (Crawford Huron) 0075 4503 Johnstown Monroe LSD (Delaware 4506 Licking Valley LSD (Licking Muskingum) 0100 1% 4507 Newark CSD (Licking) 0100 1% 4510 Southwest Licking LSD (Fair eld 4604 Riverside LSD (Logan Shelby) 0200 2% 4712 Oberlin CSD (Lorain) 0200 2% 4715 Wellington EVSD (Huron Lorain) 0100 1% 4903 London CSD (Madison) 0100 1% 5008 Sebring LSD (Mahoning) 0100 5010 Spring eld LSD (Mahoning) 0100 1% 5204 Cloverleaf LSD (Medina) 0050 5401 Celina CSD (Mercer) 0075 5402 1703 1502 5405 Parkway LSD (Auglaize Mercer 5501 Bethel LSD (Miami) 0075 5506 Newton LSD (Darke Miami) 0175 1p% 5507 Piqua CSD (Miami) 0125 14% 5509 Troy CSD (Miami) 0150 5708 New Lebanon LSD (Montgomery) 0125 14% 5713 Valley View LSD (Montgomery Preble) 0125 14% 5903 Mount Gilead EVSD (Morrow) 0075 p% 5904 Northmor LSD (Marion Morrow 6301 Antwerp LSD (Paulding) 0150 6302 Paulding EVSD (Paulding Putnam) 0100 1% 6303 Wayne Trace LSD (Paulding Putnam 6501 Circleville CSD (Pickaway) 0075 6503 Teays Valley LSD (Fair eld Franklin 6802 National Trail LSD (Darke Preble) 0175 1p% 6804 Preble Shawnee LSD (Butler 6805 Twin Valley Community LSD (Preble) 0075 p% 6901 6902 3203 5503 1503 8101 8502 4202 2003 6803 8602 8703 2602 8001 2903 6903 Jennings LSD (Putnam) 0075 p% 6904 Kalida LSD (Putnam) 0100 1% 6905 Leipsic LSD (Putnam) 0075 p% 6906 Miller City New Cleveland LSD (Putnam) 0125 14% 6907 Ottawa Glandorf LSD (Putnam) 0050 2% 6908 Ottoville LSD (Paulding Putnam) 0075 p% 6909 Pandora Gilboa LSD (Allen Putnam) 0175 1p% 7007 Plymouth Shiloh LSD (Crawford Huron 7008 Shelby CSD (Richland) 0100 1% 7106 Union Scioto LSD (Ross) 0050 2% 7201 Clyde Green Springs EVSD 7204 Lakota LSD (Sandusky Seneca Wood) 0150 12% 7401 Bettsville LSD (Seneca) 0100 7404 New Riegel LSD (Seneca) 0150 12% 7405 Old Fort LSD (Sandusky Seneca) 0100 1% 7406 Seneca East LSD (Huron Seneca) 0100 1% 7501 Anna LSD (Shelby) 0125 7502 Botkins LSD (Auglaize Shelby) 0125 7503 7504 5406 1903 7202 2603 1305 2904 7507 Russia LSD (Darke Shelby) 0075 p% 8003 North Union LSD (Delaware Union) 0100 1% 8104 Van Wert CSD (Van Wert) 0100 1% 8501 Chippewa LSD (Wayne) 0100 8505 Northwestern LSD (Ashland Wayne) 0125 14% 8604 Millcreek West Unity LSD (Williams) 0100 1% 8605 Montpelier EVSD (Williams) 0075 p% 8607 Stryker LSD (Williams) 0150 12% 8707 Otsego LSD (Henry Lucas Wood) 0100 1% 8708 Perrysburg EVSD (Wood) 0050 2% 8801 8301 2902 4201 8802 Mohawk LSD (Crawford Seneca 8803 Upper Sandusky EVSD (Crawford a General Tax Amnesty and a Use 5703 05 5703 057 and 5747 08 au Tax Amnesty program For detailed thorize us to request this information information go to tax ohio gov or call We need your Social Security number 1 800 304 3211 in order to administer this tax Address Address Because we require you to provide us with a Social Se curity number the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Secu rity 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 Because we require you to provide us with a Social Se curity number the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Secu rity 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 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 man datory Ohio Revised Code sections 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 Bloom Carroll LSD (Fair eld) 0125 14% Bluffton EVSD (Allen Hancock) 0050 2% Boldface indicates a newly enacted rate a rate change for 2012 or a change in the tax type Bowling Green CSD (Henry Wood) 0050 2% Box 182389 Columbus Ohio 43218 2389 Box 182389 Columbus Ohio 43218 2389 Bradford EVSD (Darke Miami Shelby) 0175 1p% Bryan CSD (Williams) 0100 1% Buckeye Central LSD (Crawford Huron Buckeye Valley LSD (Delaware Marion Canal Winchester LSD (Fair eld Carey EVSD (Seneca Wyandot) 0100 1% Carlisle LSD (Montgomery Warren) 0100 1% Cedar Cliff LSD (Clark Greene) 0125 14% Centerburg LSD (Delaware Knox Central LSD (De ance Williams) 0075 p% City state ZIP code City state ZIP code Clermont Northeastern LSD (Brown Coldwater EVSD (Mercer) 0050 2% Colonel Crawford LSD (Crawford) 0125 14% Columbiana EVSD (Columbiana Columbus Grove LSD (Allen Putnam) 0100 1% Continental LSD (Putnam) 0100 1% Cory Rawson LSD (Hancock) 0175 1p% Covington EVSD (Miami) 0175 1p% Credit Card Payments Crestview LSD (Columbiana) 0100 1% Crestview LSD (Van Wert) 0100 1% Dalton LSD (Wayne) 0075 p% Danville LSD (Holmes Knox) 0175 1p% De ance CSD (De ance Paulding) 0050 2% Decimal School District Name (and Counties) Rate Percent Decimal SD# School District Name (and Counties) Rate Percent Decimal SD# School District Name (and Counties) Rate Percent Decimal SD# School District Name (and Counties) Rate Percent District Income Tax and mail to School District Income Tax P O District Income Tax and mail to School District Income Tax P O Do NOT fold check or voucher Do NOT fold check or voucher School District Estimated Income Tax Do NOT fold check or voucher School District Estimated Income Tax DO NOT STAPLE OR OTHERWISE ATTACH YOUR CHECK OR CHECK STUB TO THIS COUPON DO NOT SEND CASH Return this coupon with check or money order made payable to School Amount of DO NOT STAPLE OR OTHERWISE ATTACH YOUR CHECK OR CHECK STUB TO THIS COUPON DO NOT SEND CASH Return this coupon with check or money order made payable to School Amount of Earned Income Only Tax Base School Districts Eaton CSD (Preble) 0150 12% Edgerton LSD (De ance Williams) 0100 1% Elmwood LSD (Hancock Wood) 0125 14% Enter on line 1 your earned income you will earn while a resident of an earned income only school district listed on page 3 Earned income means wages (see line 7 of IRS form 1040 or line 1 of IRS form 1040EZ or line 7 of IRS form 1040A) tips other employee compensation shown on your W 2 and self employment income that you will report on IRS Schedule SE (part of IRS form 1040) 1 Enter your year 2012 estimated Ohio adjusted gross income To see how to compute Estimated school district adjusted gross income Subtract line 2 from line 1 and enter Estimated school district taxable income Subtract line 4 from line 3 This is the estimated taxable income you will use to gure your estimated school district income tax Evergreen LSD (Fulton Lucas) 0150 12% Exemptions Personal exemptions and dependent exemptions Fair eld Union LSD (Fair eld Hocking Fairbanks LSD (Madison Union) 0100 1% Fairborn CSD (Clark Greene Fairlawn LSD (Shelby) 0075 p% Federal Privacy Act Notice Federal Privacy Act Notice Federal Privacy Act Notice First name First name form SD 100 if you led a 2011 Ohio form SD 100 for this district 9 Fort Loramie LSD (Darke Shelby) 0150 12% Fort Recovery LSD (Darke Mercer) 0150 12% Franklin Monroe LSD (Darke Miami) 0075 p% Fremont CSD (Sandusky) 0125 14% Gorham Fayette LSD (Fulton) 0100 1% Goshen LSD (Clermont Warren) 0100 1% Greeneview LSD (Clinton Fayette Greenville CSD (Darke) 0050 2% Hardin Houston LSD (Shelby) 0075 p% Hardin Northern LSD (Hancock Hicksville EVSD (De ance) 0150 12% Highland LSD (Delaware Morrow) 0050 2% Holmes Knox Richland) 0125 14% If you led a school district income tax return for year 2011 and if you will be making estimates based on the last year s tax method skip lines 1 through 5 and enter on line 6 below 100% of the tax shown on line 6 of the 2011 Ohio form SD 100 If you led a school district income tax return for year 2011 and if you will be making estimates based on the last year s tax method skip lines 1 through 8 and enter on line 9 below 100% of the tax shown on line 6 of the 2011 Ohio form SD 100 ing and (ii) your 2012 school district income tax withholding jointly) will be 65 by the end of the taxable year You may claim a maximum of $50 per liability 5 ly created a General Tax Amnesty and a Use Ta x Amnesty program For detailed information go to tax ohio gov Multiply line 5 by 90% or enter 100% of the tax shown on line 6 of the 2011 Ohio form SD 100 if you led a 2011 Ohio form SD 100 for this district 6 Multiply line 8 by 90% or enter 100% of the tax shown on line 6 of the 2011 Ohio Multiply the amount on line 11 by 25 and enter the result on this line This is the amount of each of your school district estimated quarterly payments 12 Multiply the amount on line 8 by 25 and enter the result on this line This is the amount of each of your school district estimated income tax quarterly payments 9 Note 1: If you move during the year and you will be resid ing in more than one school district that imposes the school district income tax then you will need to complete a separate worksheet for each school district Note 1: If you move during the year and you will be residing in more than one school district that assesses the school district income tax then you will need to complete a separate worksheet for each school district Note 2: You can avoid paying school district estimated in come tax if the sum of (i) your 2012 Ohio income tax withhold and (iii) $500 is equal to or greater than the sum of your 2012 Ohio income tax and your 2012 school district income tax Note 2: You can avoid paying school district estimated in come tax if the sum of (i) your 2012 Ohio income tax withhold ing and (ii) your 2012 school district income tax withholding and (iii) $500 is equal to or greater than the sum of your 2012 Ohio income tax and your 2012 school district income tax Notice Oct 1 2011 May 1 2013 Oct 1 2011 May 1 2013 Ohio s Tax Amnesties Ohio s Tax Amnesties Federal Privacy Act or call 1 800 304 3211 p% 12% 14% 1% p% 14% 1p% 12% 1% 12% 14% 1% pages 3 4 6 Part year/nonresident deduction Enter the amount of income included on line 1 that Payment Payment Please use UPPERCASE letters Please use UPPERCASE letters(Voucher 2) Due June 15 2012 to print the rst three letters of Please use UPPERCASE letters(Voucher 3) Due Sept 17 2012 to print the rst three letters of Please use UPPERCASE letters(Voucher 4) Due Jan 15 2013 to print the rst three letters of recently created a General Tax Amnesty and a Use Tax Amnesty program For detailed information go to tax ohio gov return 7 Rev 11/11 Rev 6/11 Rev 6/11 School district School district School District Estimated Income Tax School district estimated income tax due Subtract line 10 from line 9 and enter here (but not less than 0 ) This is your estimated school district income tax liability 11 School district estimated income tax due Subtract line 7 from line 6 and enter here (but not less than 0 ) This is your estimated school district income tax liability 8 School district income tax to be withheld and year 2011 school district income tax over payment credited to year 2011 Exclude from your year 2011 overpayment any tax paid after April 17 2012 and treat such tax payment as a year 2012 estimated tax payment 7 School district income tax to be withheld and year 2011 school district income tax over payment credited to year 2012 Exclude from your year 2011 overpayment any tax paid after April 17 2012 and treat such tax payment as a year 2012 estimated tax payment 10 School district tax (line 1 X line 2) 3 School district tax after credits Subtract line 4 from line 3 and enter here (but not less than 0 ) 5 School district tax after credits Subtract line 7 from line 6 and enter here 8 School district tax Multiply the school district estimated taxable income on line 5 by School district tax rate (see page 3) 2 School District Year 2012 Estimated Income Tax Payments Worksheet #1: Traditional Tax Base School District Year 2012 Estimated Income Tax Payments Worksheet #2: Earned Income Only Tax Base School Districts With an Income Tax for 2012 SD 100ES SD 100ES SD 100ES Rev 11/11 SD 100ES Rev 12/11 SD 100ES Rev 6/11 Security number Security number Senior citizen credit Enter the senior citizen credit of $50 if you (or your spouse if ling Senior citizen credit Enter the senior citizen credit of $50 if you (or your spouse if ling jointly) will be 65 by the end of the taxable year You may claim a maximum of $50 per return 4 Spouse s rst name (only if joint ling) Spouse s rst name (only if joint ling) Spouse s Social Spouse s Social Taxpayer s Spouse s last name number last name (only if joint ling) Taxpayer s Spouse s last name number last name (only if joint ling) the decimal rate that applies to your school district of residence The rates are listed on The Ohio Legislature The Ohio Legislature recent The Ohio Legislature recently created the result here 3 this amount refer to your 2011 Ohio form IT 1040 line 3 1 Traditional Tax Base School Districts Traditional Tax Base School Districts (cont d ) Traditional Tax Base School Districts (cont d ) Use this worksheet to determine your liability for school district income tax due to a traditional tax base school district as shown in the list on pages 3 4 Use this worksheet to determine your liability for school district income tax due to an earned income only tax base school district as shown in the list on page 3 will be earned while a resident of another school district 2 X $1 650 4 You can use your Discover/Novus VISA Master Card or American Express card to pay your estimated Ohio income taxes Make your credit card payments either by calling 1 800 2PAY TAX or by visiting tax ohio gov and clicking on the Make a Payment link and selecting the Ohio ePayment option There is a convenience fee equal to 2 5% (or $1 whichever is greater) for this service This fee is paid directly to Of cial Payments Corporation and is based on the amount of your tax payment Do not le Ohio voucher SD 100ES if you use the credit card method of payment Your Social Securitynumber Your Social Securitynumber