IT 4 Rev. 5/07

Notice to Employee

1. For state purposes, an individual may claim only natural de- For further information, consult the Ohio Department of Taxa- pendency exemptions. This includes the taxpayer, spouse tion, Personal and School District Income Tax Division, or and each dependent. Dependents are the same as defined your employer. in the Internal Revenue Code and as claimed in the taxpayer’s federal income tax return for the taxable year for which the 3. If you expect to owe more Ohio income tax than will be taxpayer would have been permitted to claim had the tax- withheld, you may claim a smaller number of exemptions; payer filed such a return. or under an agreement with your employer, you may have an additional amount withheld each pay period. 2. You may file a new certificate at any time if the number of your exemptions increases. 4. A married couple with both spouses working and filing a joint return will, in many cases, be required to file an indi- You must file a new certificate within 10 days if the number of vidual estimated income tax form IT 1040ES even though exemptions previously claimed by you decreases because: Ohio income tax is being withheld from their wages. This (a) Your spouse for whom you have been claiming exemp- result may occur because the tax on their combined in- tion is divorced or legally separated, or claims her (or his) come will be greater than the sum of the taxes withheld own exemption on a separate certificate. from the husband’s wages and the wife’s wages. This (b) The support of a dependent for whom you claimed ex- requirement to file an individual estimated income tax form emption is taken over by someone else. IT 1040ES may also apply to an individual who has two (c) You find that a dependent for whom you claimed exemp- jobs, both of which are subject to withholding. In lieu of tion must be dropped for federal purposes. filing the individual estimated income tax form IT 1040ES, the individual may provide for additional withholding with The death of a spouse or a dependent does not affect your his employer by using line 5. withholding until the next year but requires the filing of a new certificate. If possible, file a new certificate by Dec. 1st of the year in which the death occurs.

✁ please detach here

IT 4 Department of Rev. 5/07 hio Taxation Employee’s Withholding Exemption Certificate

Print full name Social Security number

Home address and ZIP code

Public school district of residence School district no. (See The Finder at tax.ohio.gov.)

1. Personal exemption for yourself, enter “1” if claimed ......

2. If married, personal exemption for your spouse if not separately claimed (enter “1” if claimed) ......

3. Exemptions for dependents ......

4. Add the exemptions that you have claimed above and enter total ......

5. Additional withholding per pay period under agreement with employer ...... $

Under the penalties of perjury, I certify that the number of exemptions claimed on this certificate does not exceed the number to which I am entitled.

Signature Date Personal Income Tax If you lived in (resided) or were in (resided) or were If you lived eld CSD ...... 1206 eld CSD fi eld LSD ...... 3602 eld LSD fi a school district income tax return, Ohio district income tax a school CHAMPAIGN COUNTY CHAMPAIGN LSD...... 1101 Graham * Mechanicsburg EVSD ...... 1102 Miami East LSD...... * 5504 ...... 1203 LSD Northeastern * Northwestern ...... LSD 1204 ...... * Triad LSD 1103 ...... 1104 CSD Urbana ...... 1105 Liberty-Salem LSD West * CLARK COUNTY ...... 2902Cedar Cliff LSD * ...... 1207 LSD Clark- * Fairborn CSD ...... 2903 LSD...... 1201 Greenon ...... 1203 LSD Northeastern * Northwestern ...... LSD 1204 * Southeastern LSD ...... 1205 Spring ...... 1202 LSD Tecumseh ...... 2907 Springs EVSD Yellow * CLERMONT COUNTY LSD...... 1301 Batavia ...... 1302 LSD Bethel-Tate LSD...... 1401 Blanchester * Clermont-Northeastern ...... LSD 1303 ...... 1304 LSD Felicity-Franklin Forest Hills LSD...... 3104 * Goshen ...... LSD 1305 ...... Little Miami LSD 8306 ...... 3108 CSD Loveland ...... 1306 EVSD Milford ...... New Richmond EVSD 1307 ...... 1308 Clermont LSD West ...... 0805 Brown LSD Western ...... 1309 LSD Williamsburg COUNTY CLINTON LSD...... 1401 Blanchester ...... 1402 LSD Clinton-Massie ...... 1403 East Clinton LSD Fair LSD...... 0802 Fayetteville-Perry * Greeneview ...... LSD 2904 ...... 3605 LSD Lynchburg-Clay ...... 2401 LSD Trace Miami * Wilmington CSD ...... 1404 COUNTY COLUMBIANA ...... Alliance CSD 7601 ...... 1501 LSD Beaver * Columbiana ...... EVSD 1502 * Crestview LSD ...... 1503 ...... 1504 East Liverpool CSD ...... 1505 East Palestine CSD ...... 1506 EVSD Leetonia ...... 1507 EVSD Lisbon ...... 7610 LSD Minerva le fi An asterisk (*) and bold print indicate a school district with indicate a school (*) and bold print An asterisk tax in effect for 2012. an income part of the year, districts for all or in one of these school domiciled to you are required form SD 100. you live, see school district in which know the public If you do not 42. The Finder on page - 43 - Full-year eld-Goshen LSD ...... 0606 LSD eld-Goshen fi eld CSD ...... eld CSD 0902 fi * Spencerville ...... LSD 0209 ...... 0604 St. Marys CSD ...... 3306 LSD Upper Scioto Valley * ...... * Wapakoneta CSD 0605 * Waynes BELMONT COUNTY ...... 0701 EVSD Barnesville ...... 0702 CSD Bellaire ...... 0703 EVSD Bridgeport ...... 4101 LSD Buckeye Harrison Hills CSD...... 3402 ...... 0704 Martins Ferry CSD ...... 0705 LSD Shadyside ...... 0706 St. Clairsville-Richland CSD ...... Switzerland of Ohio LSD 5601 ...... 0707 Union LSD BROWN COUNTY ...... 1302 LSD Bethel-Tate LSD...... 1401 Blanchester * Clermont-Northeastern ...... LSD 1303 ...... 0801 LSD Eastern Fayetteville-Perry LSD...... 0802 ...... 0803 EVSD Georgetown ...... 3605 LSD Lynchburg-Clay Ripley Union Lewis Huntington LSD...... 0804 ...... 0805 Brown LSD Western ...... 1309 LSD Williamsburg BUTLER COUNTY ...... College Corner LSD 6801 ...... 0901 CSD Edgewood Fair ...... 0903 CSD Hamilton ...... 0904 LSD Lakota ...... 0905* Madison LSD ...... 8307 CSD Mason ...... 0906 CSD Middletown ...... 0910 LSD Monroe ...... 0907 New Miami LSD * ...... 3113 LSD Northwest ...... 6804 Preble Shawnee LSD * ...... 3116 CSD Princeton * Ross LSD...... 0908 * Southwest ...... LSD 3118 ...... CSD * Talawanda 0909 COUNTY CARROLL ...... 1001 LSD Brown ...... 1002 EVSD Carrollton ...... 3401 Union LSD Conotton Valley LSD...... 4102 Edison Harrison Hills CSD...... 7610 3402 LSD Minerva ...... 7613 LSD Osnaburg ...... 7616 LSD Sandy Valley ...... 1509 LSD Southern Ohio Public School District Numbers District School Public Ohio cation numbers of all public school dis- cation numbers of fi eld-Goshen LSD ...... 0606 LSD eld-Goshen fi *School district income tax in effect for 2012. ASHLAND COUNTY ...... 0301 Ashland CSD ...... Black River LSD 5201 ...... 7002 LSD Crestview ...... 0302 Hillsdale LSD * Loudonville-Perrysville ...... EVSD 0303 ...... 7004 LSD Lucas ...... 0304 Mapleton LSD ...... 3903 New London LSD * * Northwestern ...... LSD 8505 ...... 3802 Holmes LSD West COUNTY ASHTABULA Area CSD...... Ashtabula 0401 ...... 0402 Buckeye LSD ...... 0403 Area CSD Conneaut ...... 0404 Area CSD Geneva ...... 0405 LSD Grand Valley ...... Area LSD Jefferson 0406 * Ledgemont ...... LSD 2805 ...... 0407 LSD Pymatuning Valley COUNTY ATHENS ...... Alexander LSD 0501 * Athens CSD ...... 0502 ...... Federal Hocking LSD 0503 ...... CSD 0504 Nelsonville-York ...... 0505 LSD Trimble ...... 8405 LSD Warren AUGLAIZE COUNTY * Botkins ...... LSD 7502 ...... 4603 Indian Lake LSD Jackson Center LSD...... * 7506 LSD...... 5403 Marion * Minster LSD...... 0601 New Bremen LSD...... * 0602 * New Knoxville LSD...... 0603 ...... 5405* Parkway LSD LSD...... 0208 Shawnee ADAMS COUNTY ...... 0101 LSD Adams County/Ohio Valley ...... 3601 LSD Bright ...... 0801 LSD Eastern ...... 0102 LSD Manchester ALLEN COUNTY ...... Allen East LSD 0201 ...... 0202 LSD Bath * Bluffton ...... EVSD 0203 ...... Columbus Grove LSD 6901 * ...... 0204 CSD Delphos LSD...... 0205 Elida ...... 0206 CSD Lima * Pandora-Gilboa LSD...... 6909 ...... 0207 LSD Perry LSD...... 0208 Shawnee * Spencerville ...... LSD 0209 * Waynes Below is a list of the identi Below is a tricts in Ohio. Enter on the front of Ohio form IT 1040EZ or IT 1040 1040 IT 1040EZ or of Ohio form IT Enter on the front tricts in Ohio. or where where you lived (resided) of the school district the number district is listed of 2012. Each domiciled for the majority you were district is located. in which the school county or counties under the vocational school districts. nonpublic or joint Do not use should use 9999. non-Ohio domiciliaries Salem CSD ...... 1508 * Newton LSD ...... 5506 Hamilton LSD ...... 2505 Southern LSD ...... 1509 Northmont CSD ...... 5709 Hilliard CSD ...... 2510 * United LSD ...... 1510 * Russia LSD...... 7507 * Jonathan Alder LSD ...... 4902 Wellsville LSD ...... 1511 St. Henry Consolidated LSD...... 5407 Licking Heights LSD ...... 4505 West Branch LSD ...... 5012 Tri-County North LSD ...... 6806 Madison-Plains LSD ...... 4904 * Tri-Village LSD ...... 1906 New Albany-Plain LSD ...... 2508 COSHOCTON COUNTY * Versailles EVSD ...... 1907 Olentangy LSD ...... 2104 Coshocton CSD ...... 1601 * Pickerington LSD...... 2307 East Knox LSD ...... 4203 DEFIANCE COUNTY * Reynoldsburg CSD ...... 2509 Garaway LSD ...... 7903 * Ayersville LSD ...... 2001 South-Western CSD ...... 2511 Newcomerstown EVSD ...... 7905 * Central LSD ...... 2002 * Teays Valley LSD ...... 6503 Ridgewood LSD...... 1602 * Defi ance CSD ...... 2003 Upper Arlington CSD ...... 2512

Personal Income Tax River View LSD ...... 1603 * Edgerton LSD...... 8602 Westerville CSD ...... 2514 Tri-Valley LSD ...... 6004 * Hicksville EVSD ...... 2004 Whitehall CSD ...... 2515 West Holmes LSD ...... 3802 Northeastern LSD ...... 2005 Worthington CSD ...... 2516

CRAWFORD COUNTY DELAWARE COUNTY FULTON COUNTY * Buckeye Central LSD ...... 1701 * Big Walnut LSD ...... 2101 LSD ...... 4801 Bucyrus CSD ...... 1702 * Buckeye Valley LSD ...... 2102 Archbold-Area LSD...... 2601 * Colonel Crawford LSD ...... 1703 * Centerburg LSD ...... 4201 * Evergreen LSD ...... 2602 * Crestline EVSD ...... 1704 Delaware CSD ...... 2103 * Gorham Fayette LSD ...... 2603 Galion CSD...... 1705 Dublin CSD ...... 2513 * Liberty Center LSD ...... 3502 * Mohawk LSD ...... 8802 * Elgin LSD...... 5101 * Pettisville LSD...... 2604 * Plymouth-Shiloh LSD ...... 7007 * Highland LSD ...... 5902 Pike-Delta-York LSD ...... 2605 Ridgedale LSD ...... 5104 * Johnstown-Monroe LSD ...... 4503 * Swanton LSD ...... 2606 * Upper Sandusky EVSD ...... 8803 * North Union LSD...... 8003 Wauseon EVSD ...... 2607 * Willard CSD ...... 3907 Northridge LSD ...... 4509 Wynford LSD ...... 1706 Olentangy LSD ...... 2104 GALLIA COUNTY Westerville CSD ...... 2514 Fairland LSD...... 4403 CUYAHOGA COUNTY Gallia County LSD ...... 2701 Bay Village CSD ...... 1801 ERIE COUNTY Gallipolis CSD ...... 2702 Beachwood CSD ...... 1802 * Bellevue CSD ...... 3901 Symmes Valley LSD ...... 4407 Bedford CSD ...... 1803 Berlin-Milan LSD...... 2201 Vinton County LSD ...... 8201 Berea CSD ...... 1804 Firelands LSD ...... 4707 Brecksville-Broadview Heights CSD...... 1806 Huron CSD ...... 2202 GEAUGA COUNTY Brooklyn CSD ...... 1807 Kelleys Island LSD ...... 2203 * Berkshire LSD ...... 2801 Chagrin Falls EVSD...... 1808 Margaretta LSD ...... 2204 Cardinal LSD ...... 2802 Cleveland Municipal CSD ...... 1809 * Monroeville LSD ...... 3902 Chagrin Falls EVSD...... 1808 Cleveland Hts.-University Hts. CSD ...... 1810 Perkins LSD...... 2205 Chardon LSD ...... 2803 Cuyahoga Heights LSD ...... 1811 Sandusky CSD ...... 2206 Kenston LSD ...... 2804 East Cleveland CSD ...... 1812 Vermilion LSD ...... 2207 Kirtland LSD ...... 4302 Euclid CSD ...... 1813 * Western Reserve LSD ...... 3906 * Ledgemont LSD ...... 2805 Fairview Park CSD ...... 1814 Madison LSD ...... 4303 Garfi eld Heights CSD ...... 1815 FAIRFIELD COUNTY Mentor EVSD...... 4304 Independence LSD ...... 1816 * Amanda-Clearcreek LSD...... 2301 Newbury LSD ...... 2806 Lakewood CSD...... 1817 * Berne Union LSD ...... 2302 Riverside LSD...... 4306 Maple Heights CSD ...... 1818 * Bloom-Carroll LSD ...... 2303 West Geauga LSD ...... 2807 Mayfi eld CSD...... 1819 * Canal Winchester LSD ...... 2502 North Olmsted CSD ...... 1820 * Fairfi eld Union LSD ...... 2304 GREENE COUNTY North Royalton CSD ...... 1821 * Lancaster CSD ...... 2305 Beavercreek LSD ...... 2901 Olmsted Falls CSD ...... 1822 * Liberty Union-Thurston LSD ...... 2306 * Cedar Cliff LSD ...... 2902 Orange CSD ...... 1823 Northern LSD...... 6403 Clinton-Massie LSD ...... 1402 Parma CSD ...... 1824 * Pickerington LSD...... 2307 * Fairborn CSD ...... 2903 Richmond Heights LSD ...... 1825 * Reynoldsburg CSD ...... 2509 * Greeneview LSD ...... 2904 Rocky River CSD...... 1826 * Southwest Licking LSD...... 4510 Kettering CSD...... 5705 Shaker Heights CSD ...... 1827 * Teays Valley LSD ...... 6503 * Southeastern LSD ...... 1205 Solon CSD ...... 1828 * Walnut Township LSD ...... 2308 Sugarcreek LSD ...... 2905 South Euclid-Lyndhurst CSD ...... 1829 Wayne LSD ...... 8308 Strongsville CSD ...... 1830 FAYETTE COUNTY * Wilmington CSD ...... 1404 Warrensville Heights CSD ...... 1831 East Clinton LSD ...... 1403 * Xenia Community CSD...... 2906 Westlake CSD ...... 1832 * Greeneview LSD ...... 2904 * Yellow Springs EVSD ...... 2907 * Greenfi eld EVSD...... 3603 DARKE COUNTY Madison-Plains LSD ...... 4904 GUERNSEY COUNTY * Ansonia LSD ...... 1901 Miami Trace LSD ...... 2401 Cambridge CSD ...... 3001 * Arcanum-Butler LSD ...... 1902 Washington Court House CSD ...... 2402 East Guernsey LSD ...... 3002 * Bradford EVSD...... 5502 East Muskingum LSD ...... 6001 * Fort Loramie LSD ...... 7504 FRANKLIN COUNTY Newcomerstown EVSD ...... 7905 * LSD ...... 5406 * Bexley CSD ...... 2501 Noble LSD ...... 6102 * Franklin Monroe LSD ...... 1903 * Canal Winchester LSD ...... 2502 Ridgewood LSD...... 1602 * Greenville CSD...... 1904 Columbus CSD ...... 2503 Rolling Hills LSD ...... 3003 Marion LSD...... 5403 Dublin CSD ...... 2513 * Minster LSD...... 0601 Gahanna-Jefferson CSD ...... 2506 HAMILTON COUNTY * Mississinawa Valley LSD ...... 1905 Grandview Heights CSD...... 2504 Cincinnati CSD ...... 3101 * National Trail LSD ...... 6802 Groveport Madison LSD ...... 2507 Deer Park Community CSD...... 3102

*School district income tax in effect for 2012. - 44 - Personal Income Tax eld Lake CSD ...... 4713 eld Lake CSD fi ...... 4308 eld-Goshen LSD ...... 0606 LSD eld-Goshen fi eld-Shef fi Riverside LSD...... 4306 Riverside CSD Wickliffe ...... 4309 CSD Willoughby-Eastlake COUNTY LAWRENCE ...... 4401 Union EVSD Chesapeake ...... 4402 LSD Dawson-Bryant LSD...... 4403 Fairland ...... 4404 CSD Ironton LSD...... Oak Hill Union 4002 ...... Rock Hill LSD 4405 ...... 4406 LSD South Point ...... 4407 LSD Symmes Valley LICKING COUNTY * Centerburg ...... LSD 4201 ...... 4203 East Knox LSD EVSD...... 4501 Granville ...... 4502 CSD Heath * Johnstown-Monroe ...... LSD 4503 ...... 4504 LSD Lakewood ...... 4505 LSD Licking Heights LSD...... Licking Valley 4506 * ...... 2508 LSD Albany-Plain New * Newark ...... CSD 4507 ...... 4508 North Fork LSD * LSD...... 6403 Northern ...... 4509 LSD Northridge ...... 2509* Reynoldsburg CSD ...... LSD River View 1603 Southwest Licking LSD...... * 4510 ...... 6005 Muskingum LSD West LOGAN COUNTY ...... 4601 CSD Bellefontaine LSD...... 4602 ...... 4603 Indian Lake LSD Jackson Center LSD...... * 7506 * Ridgemont LSD...... 3304 * Riverside ...... LSD 4604 ...... 7508 CSD Sidney ...... * Triad LSD 1103 ...... 3306 LSD Upper Scioto Valley * * Waynes ...... 1105 Liberty-Salem LSD West * LORAIN COUNTY ...... 4701 EVSD Amherst ...... 4703 LSD Avon ...... 4702 Lake CSD Avon ...... Black River LSD 5201 ...... 4704 LSD Clearview ...... 4705 LSD Columbia ...... 4706 CSD Elyria ...... 4707 LSD Firelands LSD...... 4708 Keystone ...... 4709 CSD Lorain ...... 0304 LSD Mapleton LSD...... 4710 Midview ...... 3903 New London LSD * North Ridgeville CSD...... 4711 * Oberlin CSD ...... 4712 ...... 1822 Olmsted Falls CSD Shef ...... 1830 CSD Strongsville ...... 2207 LSD Vermilion * Wellington EVSD ...... 4715 LUCAS COUNTY ...... LSD Anthony Wayne 4801 ...... 2602* Evergreen LSD ...... 4802 CSD Maumee ...... 4803 CSD Oregon - 45 - eld EVSD...... eld 3603 fi eld Union LSD ...... 2304 eld Union LSD fi * Green ...... 3604 CSD * Hillsboro ...... LSD Lynchburg-Clay 3605 ...... 2401 LSD Trace Miami COUNTY HOCKING ...... 2302 LSD Berne Union * * Fair * Logan Elm LSD ...... 6502 Elm LSD Logan * ...... 3701 LSD Logan-Hocking ...... 0504 CSD Nelsonville-York ...... 6404 LSD Southern ...... 8201 County LSD Vinton HOLMES COUNTY * Danville LSD...... 4202 ...... 3801 LSD East Holmes ...... 7903 LSD Garaway * Loudonville-Perrysville ...... EVSD 0303 ...... 8508 LSD Southeast ...... 8509 LSD Triway ...... 3802 Holmes LSD West HURON COUNTY * Bellevue ...... CSD 3901 LSD...... 2201 Berlin-Milan ...... 1701Buckeye Central LSD * * Monroeville LSD ...... 3902 ...... 3903 New London LSD * * Norwalk ...... CSD 3904 ...... 7007* Plymouth-Shiloh LSD ...... 7406Seneca East LSD * ...... 3905 South Central LSD * * Wellington EVSD ...... 4715 ...... 3906 Reserve LSD Western * * Willard ...... CSD 3907 JACKSON COUNTY ...... 6601 LSD Eastern ...... 2701 Gallia County LSD ...... 4001 CSD Jackson Oak Hill Union LSD...... 4002 ...... 8201 County LSD Vinton ...... 4003 CSD Wellston JEFFERSON COUNTY ...... 4101 LSD Buckeye LSD...... 4102 Edison Harrison Hills CSD...... 3402 ...... 4103 Indian Creek LSD ...... 1509 LSD Southern ...... 4104 CSD Steubenville ...... 4105 CSD Toronto KNOX COUNTY * Centerburg ...... LSD 4201 ...... 7001 LSD Clear Fork Valley * Danville LSD...... 4202 ...... 4203 East Knox LSD ...... 4204 LSD Fredericktown * Loudonville-Perrysville ...... EVSD 0303 CSD...... Mount Vernon 4205 ...... 4508 North Fork LSD * ...... 4509 LSD Northridge LAKE COUNTY ...... 2803 LSD Chardon ...... Fairport Harbor EVSD 4301 ...... 4302 LSD Kirtland ...... 4303 LSD Madison EVSD...... 4304 Mentor ...... 4305 Painesville City LSD ...... 4307 LSD Perry ...... 3105 eld LSD ...... 3602 eld LSD fi *School district income tax in effect for 2012. Finneytown LSD ...... 3103 LSD Finneytown Hills LSD...... Forest 3104 ...... 3106 Hill EVSD Indian CSD...... Lockland 3107 ...... CSD Loveland 3108 ...... 3109 CSD Madeira ...... 3110 CSD Mariemont ...... 1306 EVSD Milford ...... 3111 CSD Mount Healthy ...... 3112 Hill CSD North College ...... Northwest LSD 3113 Norwood CSD...... 3114 ...... Oak Hills LSD 3115 ...... 3116 Princeton CSD ...... Reading Community CSD 3117 * Southwest ...... LSD 3118 ...... 3119 Place CSD St. Bernard-Elmwood Sycamore Community CSD...... 3120 ...... 3121 LSD Three Rivers CSD Winton Woods * Wyoming CSD ...... 3122 * Wyoming CSD HANCOCK COUNTY * Ada ...... EVSD 3301 ...... 3201* Arcadia LSD * Arlington LSD ...... 3202 * Bluffton ...... EVSD 0203 * Cory-Rawson ...... LSD 3203 * Elmwood LSD ...... 8703 ...... Findlay CSD 3204 ...... 7402 CSD Fostoria ...... 3302 Hardin Northern LSD * ...... 3205* Liberty-Benton LSD * McComb ...... LSD 3206 ...... 8705North Baltimore LSD * * Riverdale ...... LSD 3305 ...... 3207 Buren LSD Van ...... 3208 * Vanlue LSD HARDIN COUNTY * Ada ...... EVSD 3301 Benjamin Logan LSD...... 4602 * Elgin LSD...... 5101 ...... 3302 Hardin Northern LSD * * Kenton CSD...... 3303 * Ridgemont LSD...... 3304 * Riverdale ...... LSD 3305 ...... 3306 LSD Upper Scioto Valley * HARRISON COUNTY ...... 4101 LSD Buckeye ...... 3401 Union LSD Conotton Valley LSD...... 4102 Edison Harrison Hills CSD...... 3402 ...... 0707 LSD Union COUNTY HENRY ...... 2601 LSD Area Archbold Bowling Green CSD...... * 8701 * Holgate ...... LSD 3501 ...... 3502 Liberty Center LSD * ...... 3503 CSD Area Napoleon * Otsego ...... LSD 8707 ...... 3504Patrick Henry LSD * * Pettisville LSD...... 2604 HIGHLAND COUNTY ...... 0101 LSD Adams County/Ohio Valley ...... 3601 LSD Bright ...... 1403 East Clinton LSD ...... 0801 LSD Eastern Fair LSD...... 0802 Fayetteville-Perry * Otsego LSD ...... 8707 * New Bremen LSD...... 0602 NOBLE COUNTY Ottawa Hills LSD ...... 4804 * Parkway LSD ...... 5405 Caldwell EVSD ...... 6101 Springfi eld LSD...... 4805 St. Henry Consolidated LSD...... 5407 Fort Frye LSD ...... 8402 * Swanton LSD ...... 2606 Noble LSD ...... 6102 Sylvania CSD ...... 4806 MIAMI COUNTY Rolling Hills LSD ...... 3003 Toledo CSD ...... 4807 * Bethel LSD ...... 5501 Switzerland of Ohio LSD ...... 5601 Washington LSD ...... 4808 * Bradford EVSD...... 5502 * Covington EVSD ...... 5503 OTTAWA COUNTY MADISON COUNTY * Franklin Monroe LSD ...... 1903 Benton-Carroll-Salem LSD ...... 6201 * Fairbanks LSD ...... 8001 * Miami East LSD...... 5504 Danbury LSD ...... 6202 * Jefferson LSD ...... 4901 * Milton-Union EVSD ...... 5505 Genoa Area LSD ...... 6203 * Jonathan Alder LSD ...... 4902 * Newton LSD ...... 5506 Lake LSD ...... 8704

Personal Income Tax * London CSD ...... 4903 Northmont CSD ...... 5709 Middle Bass LSD ...... 6204 Madison-Plains LSD ...... 4904 * Piqua CSD ...... 5507 North Bass LSD ...... 6205 * Mechanicsburg EVSD ...... 1102 Tecumseh LSD ...... 1202 Port Clinton CSD ...... 6206 Miami Trace LSD ...... 2401 Tipp City EVSD ...... 5508 Put-In-Bay LSD...... 6207 Westfall LSD ...... 6504 * Troy CSD ...... 5509 Woodmore LSD ...... 7205

MAHONING COUNTY MONROE COUNTY PAULDING COUNTY Alliance CSD ...... 7601 Noble LSD ...... 6102 * Antwerp LSD ...... 6301 Austintown LSD ...... 5001 Switzerland of Ohio LSD ...... 5601 * Defi ance CSD ...... 2003 Boardman LSD ...... 5002 * Ottoville LSD ...... 6908 Campbell CSD ...... 5003 MONTGOMERY COUNTY * Paulding EVSD...... 6302 Canfi eld LSD ...... 5004 Beavercreek LSD ...... 2901 * Wayne Trace LSD ...... 6303 * Columbiana EVSD ...... 1502 Brookville LSD ...... 5701 Hubbard EVSD ...... 7809 * Carlisle LSD ...... 8301 PERRY COUNTY Jackson-Milton LSD...... 5005 Centerville CSD ...... 5702 Crooksville EVSD ...... 6401 Leetonia EVSD ...... 1506 Dayton CSD...... 5703 * Fairfi eld Union LSD ...... 2304 Lowellville LSD ...... 5006 * Fairborn CSD ...... 2903 Franklin LSD ...... 6002 Poland LSD ...... 5007 Huber Heights CSD ...... 5715 Logan-Hocking LSD ...... 3701 * Sebring LSD ...... 5008 Jefferson Township LSD ...... 5704 New Lexington CSD ...... 6402 South Range LSD...... 5009 Kettering CSD...... 5705 Northern LSD...... 6403 * Springfi eld LSD...... 5010 Mad River LSD ...... 5706 Southern LSD ...... 6404 Struthers CSD ...... 5011 Miamisburg CSD ...... 5707 Weathersfi eld LSD ...... 7821 * New Lebanon LSD ...... 5708 PICKAWAY COUNTY West Branch LSD ...... 5012 Northmont CSD ...... 5709 Adena LSD ...... 7101 Western Reserve LSD ...... 5013 Northridge LSD ...... 5710 * Circleville CSD ...... 6501 Youngstown CSD ...... 5014 Oakwood CSD ...... 5711 * Logan Elm LSD ...... 6502 * Preble Shawnee LSD ...... 6804 Miami Trace LSD ...... 2401 MARION COUNTY Tri-County North LSD ...... 6806 South-Western CSD ...... 2511 * Buckeye Valley LSD ...... 2102 Trotwood-Madison CSD ...... 5712 * Teays Valley LSD ...... 6503 Cardington-Lincoln LSD ...... 5901 * Valley View LSD ...... 5713 Westfall LSD ...... 6504 * Elgin LSD...... 5101 Vandalia-Butler CSD ...... 5714 Marion CSD ...... 5102 West Carrollton CSD ...... 5716 PIKE COUNTY * Northmor LSD ...... 5904 Eastern LSD ...... 6601 Pleasant LSD...... 5103 MORGAN COUNTY Scioto Valley LSD ...... 6602 Ridgedale LSD ...... 5104 Federal Hocking LSD ...... 0503 Waverly CSD ...... 6603 River Valley LSD ...... 5105 Fort Frye LSD ...... 8402 Western LSD ...... 6604 * Upper Sandusky EVSD ...... 8803 Morgan LSD ...... 5801 Trimble LSD ...... 0505 PORTAGE COUNTY MEDINA COUNTY Aurora CSD ...... 6701 Black River LSD ...... 5201 MORROW COUNTY Crestwood LSD ...... 6702 Brunswick CSD...... 5202 * Buckeye Valley LSD ...... 2102 Field LSD ...... 6703 Buckeye LSD ...... 5203 Cardington-Lincoln LSD ...... 5901 James A. Garfi eld LSD ...... 6704 * Cloverleaf LSD ...... 5204 Fredericktown LSD ...... 4204 Kent CSD...... 6705 Highland LSD ...... 5205 Galion CSD...... 1705 Lake LSD ...... 7606 Medina CSD ...... 5206 * Highland LSD ...... 5902 Mogadore LSD ...... 7709 North Central LSD ...... 8504 Lexington LSD ...... 7003 Ravenna CSD...... 6706 Rittman EVSD ...... 8507 * Mount Gilead EVSD ...... 5903 Rootstown LSD...... 6707 Wadsworth CSD ...... 5207 * Northmor LSD ...... 5904 Southeast LSD ...... 6708 River Valley LSD ...... 5105 Springfi eld LSD...... 7713 MEIGS COUNTY Stow-Munroe Falls CSD ...... 7714 Alexander LSD ...... 0501 MUSKINGUM COUNTY Streetsboro CSD ...... 6709 Eastern LSD ...... 5301 East Muskingum LSD ...... 6001 Tallmadge CSD...... 7715 Meigs LSD ...... 5302 Franklin LSD ...... 6002 Waterloo LSD ...... 6710 Southern LSD ...... 5303 * Licking Valley LSD...... 4506 West Branch LSD ...... 5012 Maysville LSD ...... 6003 Windham EVSD...... 6711 MERCER COUNTY Morgan LSD ...... 5801 * Celina CSD ...... 5401 River View LSD ...... 1603 PREBLE COUNTY * Coldwater EVSD ...... 5402 Rolling Hills LSD ...... 3003 Brookville LSD ...... 5701 * Fort Recovery LSD ...... 5406 Tri-Valley LSD ...... 6004 College Corner LSD ...... 6801 Marion LSD...... 5403 West Muskingum LSD ...... 6005 * Eaton CSD ...... 6803 * Minster LSD...... 0601 Zanesville CSD ...... 6006 Edgewood CSD ...... 0901

*School district income tax in effect for 2012. - 46 - Personal Income Tax ...... 7821 ...... 8104 eld LSD fi eld LSD...... 7713 eld-Mespo LSD ...... 7801 eld-Mespo LSD fi eld LSD...... 7803 fi fi Brook Ridgewood LSD...... 1602

Hills CSD...... Nordonia 7710 ...... 7612 * Northwest LSD ...... 7711 CSD Norton ...... 7712 LSD Revere Spring ...... 7714 Falls CSD Stow-Munroe CSD...... 7715 Tallmadge CSD...... 7716 Twinsburg ...... 7717 LSD Woodridge COUNTY TRUMBULL Bloom LSD...... 7802 Bristol ...... 2802 LSD Cardinal ...... 7804 LSD Champion ...... 7807 CSD Girard LSD...... 7808 Howland ...... 7809 EVSD Hubbard LSD...... 5005 Jackson-Milton ...... LSD Joseph Badger 7810 ...... 7811 LSD LaBrae LSD...... 7812 Lakeview ...... 7813 LSD Liberty ...... 7814 LSD Lordstown ...... 7815 LSD Maplewood ...... 7806 LSD Mathews ...... 7816 LSD McDonald ...... 7817 Newton Falls EVSD ...... 7818 CSD Niles ...... 7819 LSD Southington ...... 7820 CSD Warren Weathers TUSCARAWAS COUNTY TUSCARAWAS ...... 7901 CSD Claymont ...... 7902 CSD Dover ...... 7604 LSD Fairless ...... 7903 LSD Garaway Harrison Hills CSD...... 3402 ...... 7904 LSD Indian Valley ...... 7906 New Philadelphia CSD ...... 7905 EVSD Newcomerstown ...... 7616 LSD Sandy Valley ...... 7907 LSD Strasburg-Franklin ...... 7908 LSD Valley Tuscarawas UNION COUNTY Benjamin Logan LSD...... 4602 ...... LSD Buckeye Valley 2102 * ...... 2513 CSD Dublin * Fairbanks LSD ...... 8001 ...... 2510 CSD Hilliard * Jonathan Alder LSD ...... 4902 ...... 8002 EVSD Marysville North Union LSD...... 8003* ...... * Triad LSD 1103 WERT COUNTY VAN ...... 8101 * Crestview LSD ...... 0204 CSD Delphos ...... 8102 LSD Lincolnview ...... 5405* Parkway LSD * Spencerville ...... LSD 0209 CSD Wert Van * ...... LSD Trace Wayne 6303 * COUNTY VINTON ...... 0501 LSD Alexander ...... 3701 LSD Logan-Hocking ...... 8201 County LSD Vinton - 47 - n CSD ...... n CSD 7407 fi Washington-Nile LSD ...... LSD Washington-Nile 7309 ...... 7310 LSD Wheelersburg COUNTY SENECA * Arcadia ...... LSD 3201 * Bellevue ...... CSD 3901 * Bettsville LSD ...... 7401 ...... 1701 Central LSD Buckeye * ...... 8801* Carey EVSD ...... 7201 Springs EVSD Clyde-Green * ...... 7402 CSD Fostoria * Hopewell-Loudon ...... LSD 7403 ...... 7204* Lakota LSD * Mohawk ...... LSD 8802 ...... 7404New Riegel LSD * ...... 7405 * Old Fort LSD ...... 7406 * Seneca East LSD Tif ...... 3208 * Vanlue LSD COUNTY SHELBY * Anna LSD ...... 7501 * Bradford EVSD...... 5502 * Botkins ...... LSD 7502 ...... 7503* Fairlawn LSD ...... Fort Loramie LSD 7504 * LSD...... 1101 Graham * Hardin-Houston ...... LSD 7505 Jackson Center LSD...... * 7506 * Minster LSD...... 0601 New Bremen LSD...... * 0602 ...... 0603 New Knoxville LSD * * Riverside ...... LSD 4604 * Russia LSD...... 7507 ...... 7508 CSD Sidney * Versailles ...... EVSD 1907 COUNTY STARK ...... Alliance CSD 7601 ...... 1001 LSD Brown ...... 7602 CSD Canton ...... 7603 Canton LSD ...... 7604 Fairless LSD ...... 7605 LSD Jackson ...... 7606 Lake LSD ...... 7607 Louisville CSD ...... 7608 Marlington LSD ...... 7609 CSD Massillon ...... 7610 LSD Minerva North Canton CSD...... 7611 ...... 7612* Northwest LSD ...... 7613 Osnaburg LSD ...... 7614 Perry LSD LSD...... 7615 Plain ...... 7616 LSD Sandy Valley ...... 8508 LSD Southeast ...... 7908 LSD Valley Tuscarawas ...... LSD Tuslaw 7617 SUMMIT COUNTY CSD...... 7701 Akron ...... 6701 CSD Aurora ...... 7702 CSD Barberton ...... 7703 CSD Copley-Fairlawn ...... 7704 LSD Coventry ...... 7705 Cuyahoga Falls CSD LSD...... 7707 Green ...... 5205 LSD Highland CSD...... 7708 Hudson ...... 7605 LSD Jackson ...... 7706 LSD Manchester ...... 7709 LSD Mogadore ...... 5713 ...... 6908 eld EVSD...... eld 3603 fi eld CSD...... 7006 fi Ontario LSD ...... 7009 Ontario LSD *School district income tax in effect for 2012. Huntington LSD ...... 7103 Huntington LSD ...... 2401 LSD Trace Miami ...... 7104 LSD Paint Valley ...... 7105 LSD Southeastern * Union-Scioto ...... LSD 7106 ...... 6603 CSD Waverly ...... 7107 LSD Trace Zane COUNTY SANDUSKY * Bellevue ...... CSD 3901 ...... 7201 Clyde-Green Springs EVSD * * Fremont CSD...... 7202 ...... 7203 Gibsonburg EVSD ...... * Lakota LSD 7204 ...... 2204 LSD Margaretta ...... Old Fort LSD 7405 * ...... 7205 LSD Woodmore COUNTY SCIOTO ...... 7301 LSD Bloom-Vernon ...... Clay LSD 7302 ...... 6601 LSD Eastern Green LSD...... 7303 Minford LSD...... 7304 ...... 7305 New Boston LSD ...... Northwest LSD 7306 Portsmouth CSD...... 7307 ...... 6602 LSD Scioto Valley ...... 7308 LSD Valley * National Trail LSD ...... 6802 LSD Trail National * ...... 6804 LSD Shawnee Preble * ...... 0909 * Talawanda CSD ...... 6806 LSD North Tri-County ...... 6805 LSD Community Valley *Twin LSD View *Valley PUTNAM COUNTY ...... Grove LSD Columbus 6901 * * Continental LSD...... 6902 ...... 6903* Jennings LSD ...... 6904* Kalida LSD * Leipsic ...... LSD 6905 * McComb ...... LSD 3206 Miller City-New Cleveland LSD...... * 6906 * Ottawa-Glandorf ...... LSD 6907 * Ottoville LSD * Pandora-Gilboa LSD...... 6909 ...... 3504Patrick Henry LSD * * Paulding EVSD...... 6302 ...... LSD Trace Wayne 6303 * RICHLAND COUNTY ...... 0301 Ashland CSD ...... 1701Buckeye Central LSD * ...... 7001 LSD Clear Fork Valley ...... 1704 * Crestline EVSD ...... 7002 Crestview LSD CSD...... 1705 Galion ...... 7003 Lexington LSD * Loudonville-Perrysville ...... EVSD 0303 ...... 7004 Lucas LSD ...... 7005 Madison LSD Mans * Northmor ...... LSD 5904 ...... 7007* Plymouth-Shiloh LSD * Shelby ...... CSD 7008 ...... 3905 South Central LSD * ROSS COUNTY ...... 7101 Adena LSD ...... 7102 CSD Chillicothe * Green WARREN COUNTY WAYNE COUNTY WOOD COUNTY Blanchester LSD...... 1401 * Chippewa LSD ...... 8501 Anthony Wayne LSD ...... 4801 * Carlisle LSD ...... 8301 * Dalton LSD ...... 8502 * Bowling Green CSD...... 8701 Clinton-Massie LSD ...... 1402 East Holmes LSD ...... 3801 * Eastwood LSD ...... 8702 Franklin CSD ...... 8304 Green LSD...... 8503 * Elmwood LSD ...... 8703 * Goshen LSD ...... 1305 Hillsdale LSD ...... 0302 Fostoria CSD ...... 7402 Kings LSD...... 8303 North Central LSD ...... 8504 Gibsonburg ESVD ...... 7203 Lebanon CSD ...... 8305 * Northwest LSD ...... 7612 Lake LSD ...... 8704 Little Miami LSD ...... 8306 * Northwestern LSD ...... 8505 * Lakota LSD ...... 7204 Loveland CSD ...... 3108 Orrville CSD...... 8506 * McComb LSD ...... 3206 Mason CSD ...... 8307 Rittman EVSD ...... 8507 * North Baltimore LSD ...... 8705 Miamisburg CSD ...... 5707 Southeast LSD ...... 8508 Northwood LSD ...... 8706

Personal Income Tax Middletown CSD ...... 0906 Triway LSD ...... 8509 * Otsego LSD ...... 8707 Monroe LSD ...... 0910 Tuslaw LSD ...... 7617 * Patrick Henry LSD ...... 3504 Princeton CSD ...... 3116 West Holmes LSD ...... 3802 * Perrysburg EVSD...... 8708 Springboro Community CSD ...... 8302 Wooster CSD ...... 8510 Rossford EVSD ...... 8709 Sugarcreek LSD ...... 2905 Wayne LSD ...... 8308 WILLIAMS COUNTY WYANDOT COUNTY * Xenia Community CSD...... 2906 * Bryan CSD ...... 8601 * Carey EVSD ...... 8801 * Central LSD ...... 2002 * Kenton CSD...... 3303 WASHINGTON COUNTY * Edgerton LSD...... 8602 * Mohawk LSD ...... 8802 Belpre CSD...... 8401 Edon-Northwest LSD ...... 8603 Ridgedale LSD ...... 5104 Caldwell EVSD ...... 6101 * Millcreek-West Unity LSD ...... 8604 * Riverdale LSD ...... 3305 Fort Frye LSD ...... 8402 * Montpelier EVSD...... 8605 * Upper Sandusky EVSD ...... 8803 Frontier LSD ...... 8403 North Central LSD ...... 8606 * Vanlue LSD ...... 3208 Marietta CSD ...... 8404 * Stryker LSD ...... 8607 Wynford LSD ...... 1706 Morgan LSD ...... 5801 Warren LSD ...... 8405 Wolf Creek LSD ...... 8406

*School district income tax in effect for 2012. - 48 -