Convoy Return Of Estimated Tax

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__________________CONVOY RETURN OF ESTIMATED TAX
Voucher #1
(
)
Enter Year
th
Tax Administrator, Village Hall
Due on or before April 15
st
st
P.O. Box 310, Convoy, OH 45832-0310
Period January 1
thru March 31
Form Q-1 revised 9-06
PLEASE TYPE OR PRINT CLEARLY
1. Amount of this installment…………….…..……..$___________
2. Amount of unused credit…………..….. ………...$___________
3. Pay this amount (line 1 less line 2)….……….…..$___________
4. Total with penalty and interest………………..…$___________
Authorized Signature__________________________________________
PENALTY: At (5%) per month, or fraction thereof for each required estimated payment
filed timely(Maximum 15% or minimum $25.00 charged).
Social Security Number_______________________________________________
INTEREST:
At 1% per month or fraction thereof for each required estimated payment
not filed timely. (No maximum charges).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
__________________CONVOY RETURN OF ESTIMATED TAX
Voucher #2
(
)
Enter Year
st
Tax Administrator, Village Hall
Due on or before July 31
st
P.O. Box 310, Convoy, OH 45832-0310
Period April 1
thru June 30th
Form Q-1 revised 9-06
PLEASE TYPE OR PRINT CLEARLY
1. Amount of this installment………………..……..$___________
2. Amount of unused credit…………..…..………...$___________
3. Pay this amount (line 1 less line 2)…….…….…..$___________
4. Total with penalty and interest………………..…$___________
Authorized Signature__________________________________________
PENALTY: At (5%) per month, or fraction thereof for each required estimated payment
filed timely(Maximum 15% or minimum $25.00 charged).
Social Security Number_______________________________________________
INTEREST:
At 1% per month or fraction thereof for each required estimated payment
not filed timely. (No maximum charges).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
__________________CONVOY RETURN OF ESTIMATED TAX
Voucher #3
(
)
Enter Year
Tax Administrator, Village Hall
Due on or before October 31sr
st
P.O. Box 310, Convoy, OH 45832-0310
Period July 1
thru September 30th
Form Q-1 revised 9-06
PLEASE TYPE OR PRINT CLEARLY
1. Amount of this installment………………..……..$___________
2. Amount of unused credit…………..…..………...$___________
3. Pay this amount (line 1 less line 2)….……….…..$___________
4. Total with penalty and interest………………..…$___________
Authorized Signature__________________________________________
PENALTY: At (5%) per month, or fraction thereof for each required estimated payment
filed timely(Maximum 15% or minimum $25.00 charged).
Social Security Number_______________________________________________
INTEREST:
At 1% per month or fraction thereof for each required estimated payment
not filed timely. (No maximum charges).
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
__________________CONVOY RETURN OF ESTIMATED TAX
Voucher #4
(
)
Enter Year
Tax Administrator, Village Hall
Due on or before January 31sr
P.O. Box 310, Convoy, OH 45832-0310
Period October 1sr thru December 31st
Form Q-1 revised 9-06
PLEASE TYPE OR PRINT CLEARLY
1. Amount of this installment………………..……..$___________
2. Amount of unused credit…………..…..………...$___________
3. Pay this amount (line 1 less line 2)…….…….…..$___________
4. Total with penalty and interest………………..…$___________
Authorized Signature__________________________________________
PENALTY: At (5%) per month, or fraction thereof for each required estimated payment
filed timely(Maximum 15% or minimum $25.00 charged).
Social Security Number_______________________________________________
INTEREST:
At 1% per month or fraction thereof for each required estimated payment
not filed timely. (No maximum charges).

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