Form SD 100X Fillable Ohio Amended School District Income Tax Return for Year 2013
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

change your filing status (see Change in Filing Status at Earned income only tax base school district You must start with 1B below Mail to: report IRS changes that affected the number of exemptions SCHEDULE A Traditional Tax Base School District Amounts SCHEDULE B Earned Income Tax Base School District Amounts Traditional tax base school district You must start with 1A below $50 per return) (1) Attach a copy of your amended federal income tax return (2) Attach either a copy of the federal refund check or a copy of (Complete and attach Explanation (IRS form 1040X) and 1 00 1 00 1 A Traditional tax base school district filer Complete Schedule A on 1 Generally you can claim a refund within four years from the date 1 Use Ohio form SD 100X for the following: 10 00 10 Total of lines 7 through 9 11 00 11 Overpayment shown on original return on previously filed amended returns and on previously 12 00 12 Line 10 minus line 11 13 00 13 If line 12 is less than line 6 (as amended) subtract line 12 from line 6 and enter the amount owed 14 00 14 If line 12 is greater than line 6 (as amended) subtract line 6 from line 12 Enter the amount of your 15 Enter on this line your Ohio taxable income reported on line 5 of Ohio form IT 1040EZ 16 Small business investor income deduction add back (see page SD 5 in the 1040 17 Total traditional tax base school district income (add lines 15 and 16) 18 The amount of traditional tax base school district income if any you earned while 19 School district taxable income (line 17 minus line 18; enter 0 if less than zero) Enter 1974 requires us to inform you that providing us with your Social Security number is mandatory 2 00 2 00 2 If your school district amended return shows a refund on account 2 School district tax rate % times line 1 2 You can file Ohio school district form SD 100X only after you 20 Wages and other compensation described on page SD 6 of the IT 1040 instructions 20 21 Net earnings from self employment described on page SD 6 of the instructions 22 Depreciation expense adjustment if any described on page SD 6 of the instructions 22 23 School district taxable income (add lines 20 21 and 22; enter 0 if less than zero) Enter 3 00 3 00 3 Senior citizen credit (you must be 65 or older to claim this credit; limit 3 You must complete all of the information requested on the front 4 00 4 00 4 If your amended school district income tax return shows a refund 4 School district tax less credit (line 2 minus line 3) 5 00 5 00 5 If you file your return after the unextended due date and if you 5 Interest penalty (attach Ohio form IT/SD 2210) 6 00 6 00 6 Total due before withholding and payments (add lines 4 and 5) 7 00 7 00 7 School district income tax withheld 8 00 8 00 8 School district estimated tax SD 40P payments and previous year's 9 00 9 00 9 Amounts previously paid A Enter the school district number from your original Ohio form IT Additional explanation (attach additional sheet(s) if necessary): always have at least 60 days from the date the IRS agreed to the Amend next year's return (if already filed) to show the reduction Amount paid with original filing did not equal amount reported amount shown on line 7 as amended is greater than the withholding amount you reported on your originally fi led return Amounts you claimed as an overpayment credit to the following and belief it is true correct and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge and include form IT NOL Net Operating Loss Carryback and school district number shown on the front of this form and we will return it to you AND/OR As Amended As Filed as paid with the return B Earned income only tax base school district fi ler Complete B To calculate the amounts you will show in the "as amended" Because we require you to provide us with a Social Security number the Federal Privacy Act of but without taking into consideration any extension of time to file Calendar Year carryforward overpayment decreased carryforward overpayment increased Change in amount of earned income (earned income Change in Filing Status Check applicable box Check applicable box for spouse (only if married fi ling jointly) City town or post office state and ZIP code claimed; AND/OR Columbus OH 43218 2389 column use the school district income tax instruction booklet for Complete this schedule only if you filed a traditional tax base school district return (SD 100) Complete this schedule only if you filed an earned income only tax base school district return (SD 100) correct your school district tax return; AND/OR corrected returns (even if you have not yet received the refund) credit carryover to year whose return you are amending Date received Code Interest decrease to file your Ohio and school district amended income district taxable income from the last line of Schedule B Do you authorize your preparer to contact us regarding this return? Yes No due on account of either (a) a change in your federal adjusted E mail address (optional) Telephone number (optional) Estimated and/or Ohio form SD 40P amount or previous year even if you have not yet received the refund Exemptions decreased (traditional tax base filers) Exemptions increased (traditional tax base filers) Explanation of Corrections extra weeks to process your refund Federal adjusted gross income decreased (see #4 in Federal adjusted gross income increased (see #4 in Federal Privacy Act Notice filing jointly to married filing separately you can speed up the Filing status changed filing status for school district income tax purposes must be Filing Status: (Check only one box in each column) following: For Department Use Only Full year Full year nonresident General Information General Instructions gross income or (b) a change in your filing status from married have filed an Ohio school district income tax return (Ohio form here and on line 1 of this return 19 here and on line 1 of this return 23 Home address (number and street) County However you only have until the date the Ohio school district tax If a joint return spouse's first name M I Last name Spouse's SSN (only if MFJ) if the IRS issues you a refund check due to that decrease you If you are unable to attach this information we will require several If you want to reduce the amount of your overpayment credit shown If your refund is less than $1 01 no refund will be issued If you owe less than $1 01 no payment is necessary Be sure to attach the page 2 in the amount of the overpayment credit you want to apply to Include on line 11 only the amount of the overpayment credit Income income from the last line of Schedule A income tax return instructions for the year for which you re filing income; AND/OR instructions to identify required documentation for complete processing of the amended return instructions) 16 Line 11 Enter on this line all of the following: Line 7 You must attach W 2s to the back of this form only if the Line Instructions Make your check or money order payable to School District Income Tax AMOUNT YOU OWE Married fi ling separately Married filing joint return (MFJ) married filing jointly to married fi ling separately In any event your Net operating loss carryback (please be sure to complete not a resident of the school district number you entered on page 1 18 Note: Be sure to complete and attach the "Reason and Explanation of Corrections" on page 2 now want applied to the next year; AND of a decrease in your federal adjusted gross income and of Corrections on page 2 ) of SD # above of SD # above of the form Otherwise we cannot process your amended return of the overpayment of the tax For most taxpayers the four year Ohio Amended School District Ohio Department of TaxationP O Box 182389 Ohio form IT 1040 Schedule A additions to income Ohio form IT 1040 Schedule A deductions from income Ohio form IT/SD 2210 interest penalty amount decreased Ohio form IT/SD 2210 interest penalty amount increased Ohio public school district number(from original SD 100 return) Ohio Revised Code sections 5703 05 5703 057 and 5747 08 authorize us to request this information on the originally filed return for the year you must do both of the only tax base filers) or as Last Amended or as Last Corrected or IT 1040 Shade the negative sign ( ) at right if the amount is less than 0 Original Amended owe interest page 2 of this return and enter on this line the school district taxable paid and/or will pay any tax after the unextended due date you Part year resident Payments Penalty may be due on late filed returns and/or late paid tax period begins on the date the school district income tax return Please attach documentation to support any adjustments to line items Refer to page 3 of these Please Print Please see a discussion of interest and penalty in the individual Preparer's name (please print) Phone number qualifying widow(er) Reason and Explanation of Corrections Reason(s): refund process if you do the following: refund YOUR REFUND Refund/Amount Owed Refunds you claimed on previously filed returns for the year report IRS changes that affected your federal adjusted gross request a refund of tax interest and/or penalty previously paid; Residency status changed resident return fi ling options) return was due without extensions to change your filing status from Rev 10/13 Rev 11/13 Rev 11/13 Income Tax Return for Year 2013 right) Schedule B on page 2 of this return and enter on this line the school School District Residency File a separate Ohio form SD 100X for each taxing school district in which you lived during the taxable year School district withholding decreased School district withholding increased SD 100 is due on April 15 2010 SD 100 or any of the department s paperless or electronic tax SD 100X SD 100X SD 100X Instructions for Year 2013 Senior citizen credit claimed Shade the negative sign ( ) at right if the amount is less than 0 Single or head of household or Special Rule Spouse's signature (see Ohio form SD 100 instructions) Phone number SS#Year SD# SS#Year SD# Tax and Credits tax returns Taxpayer Sign Here that you claimed on your originally filed return and that you the IRS acceptance letter the next year the return year you are amending the same as your filing status for Ohio form IT 1040 the SD 100X instructions) Time Period in Which to File (Statute of Limitations) to married filing jointly anytime within the statute of limitations Under penalties of perjury I declare that I have examined this return including accompanying schedules and statements and to the best of my knowledge was due (without extensions) For example the 2009 Ohio form We need your Social Security number in order to administer this tax Worksheet) year (for the exception see "Special Rule" below) You can change your filing status from married fi ling separately Your amended return may not be processed until after Oct 15 Your first name M I Last name Your Social Security number Your signature Date