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CORPORATION — PARTNERSHIP – FIDUCIARY

DECLARATION OF ESTIMATED SHREVE, OHIO, INCOME TAX

General Instructions

This form for use by (1) businesses filing 20____ declarations,

Detach completed TAX OFFICE COPY and file with

and (2) businesses wishing to amend their 20____ estimates.

Village Income Tax Dept., 150 W. McConkey Street,

P.O. Box 604, Shreve, OH 44676, accompanied by

1. PURPOSE OF DECLARATION-A declaration for Shreve Income

proper remittance.

Tax purposes must be made by every business receiving income

subject to Shreve, Ohio, Village Income Tax.

The purpose of the declaration is to provide a basis for paying,

currently, any Shreve Income Taxes due.

2. FORM TO BE USED-This declaration should be used by busi-

nesses on a calendar year basis to estimate their tax covering the

period from January 1, 20____ to December 31, 20____.

3. WHEN TO FILE DECLARATIONS-The Declaration must be filed on

or before April 30, 20____, if taxpayer is on a CALENDAR year basis,

Complete information regarding Shreve Income Tax may be viewed

or within 3

⁄

months after the beginning of taxpayer’s fiscal year.

on this website under Income Tax Ordinance.

CORPORATION — PARTNERSHIP — FIDUCIARY

Form VSB

Income Tax

Shreve, Ohio

DECLARATION OF ESTIMATED SHREVE, OHIO, INCOME TAX

_____

For the Period from January 1, 20____ through December 31, 20____

or Fiscal Period from ____________________, 20____, through ____________________, 20____.

(a) NOTE —

This Declaration should be used by businesses on a calendar year basis to estimate their Shreve, Ohio, Income Tax covering the period from January 1, 20____ to

December 31, 20____.

The RATE OF TAX is ONE CENT on all income earned after January 1, 20____.

Businesses operating on a fiscal year period beginning after January 1, 20____, and extending into 20____, should use this form when declaring the estimated tax for

such fiscal period.

(b) ESTIMATED TAX COMPUTATION

1. ESTIMATED NET INCOME SUBJECT TO SHREVE INCOME TAX ________________________________________________________ $ ________________________________

2. ESTIMATED SHREVE INCOME TAX at one per cent of line 1 ____________________________________________________________ $ ________________________________

3. LESS: CREDIT for overpayment shown on Shreve final return (allowable only if

credit was elected in return) ______________________________________________________ $ ______________________________

PAYMENTS made on prior declaration for the period IF this is an amended

declaration _____________________________________________________________________ $ ______________________________

5. UNPAID BALANCE of estimated 20____ Shreve Income Tax ____________________________________________________________ $ ________________________________

______________________

6. AMOUNT PAID WITH THIS DECLARATION and enclosed herewith (make check to: Village of Shreve — Income Tax)

__________

NOTIFY INCOME TAX OFFICE OF CHANGE

IN NAME OR ADDRESS

I hereby declare that this declaration is a true declaration of estimated net income subject to Shreve,

Ohio, Income Tax.

__________________, 20_____

__________________________________________________

(Signature of Official)

__________________________________________________

(Title or Status)