The return shall be filed with the Administrator on a form furnished by, or obtainable upon request from, the Administrator, or a generic form setting forth:
(a) The aggregate amounts of salaries, wages, commissions and other compensation earned and the gross income from a business, profession or other activity, including gross lottery winnings in excess of six hundred dollars ($600.00) per year received from a lottery commissioned, conducted, or administered by, but not limited to, the State of Ohio, any other state, United States territory, government- benefit multi-state lottery association, or other similar agency received on and after January 1, 2004, and gambling winnings in excess of ten thousand dollars ($10,000) per year on or after January 1, 2012, less the allowable expenses incurred in the acquisition of such gross income earned during the preceding year and subject to the tax;
(b) The amount of the tax imposed by this chapter on such earnings and profits; and
(c) Such other pertinent statements, information returns or other information as the Administrator may require.
(Ord. 2012-4. Passed 8-8-12.)