Notice Of Quarterly Payment Due On Declaration Of Estimated Tax Form - City Of Forest Park - Income Tax Division

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CITY OF FOREST PARK - INCOME TAX DIVISION
NOTICE OF QUARTERLY PAYMENT DUE ON DECLARATION OF ESTIMATED TAX
(SEE EXPLANATION BELOW)
This Statement MUST Accompany Your Remittance To:
ORIGINAL Statement MUST Accompany Your Remittance To:
AMOUNT
CITY OF FOREST PARK
MAIL
CITY OF FOREST PARK
1201 WEST KEMPER ROAD
ENCLOSED $___________________
TO:
1201 WEST KEMPER ROAD
FOREST PARK, OHIO 45240
FOREST PARK, OHIO 45240
PHONE: 595-5211
MAKE CHECK PAYABLE TO: CITY OF FOREST PARK
DO NOT REMIT CASH BY MAIL
POSTAGE WILL NOT BE ACCEPTED FOR PAYMENT
BOX 1
BOX 2
CREDITS AND / OR PAYMENTS
BOX 3
BOX 4
AMOUNT OF
QUARTERLY
ESTIMATED TAX
UNPAID BALANCE
INSTALLMENT DUE
DECLARED
DATE OF LAST CREDIT
TOTAL AMOUNT CREDITED
IF THIS STATEMENT DOES NOT REFLECT PAYMENT RECENTLY MADE, PLEASE ADVISE - INCOME TAX OFFICE - PROMPTLY
FID # ______________________________________________
SS # ______________________________________________
DUE ON OR BEFORE
Q-1 NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE.
MAKE CORRECTIONS WHERE NECESSARY
_____
_____
RETURN ORIGINAL WITH PAYMENT
TAX PAYMENT CALENDAR
APRIL 30
JULY 31
OCTOBER 31
JANUARY 31
APRIL 30: Next Year
File Declaration
Make 2nd
Make 3rd
Make 4th
File return. Pay
with 1/4 payment
quarterly payment
quarterly payment
quarterly payment
any balance due
EXPLANATION:
This form is sent only to those taxpayers who previously have filed an Estimate of their taxes payable for the current year and have not paid
the full amount estimated. It is not a bill but designed as a reminder and as a means of your checking if we have correctly listed your payment,
including any credits for previous years’ overpayments, and to give you an opportunity to amend your previous estimate.
DECLARATION:
BOX 1 - Lists the amount of tax previously estimated as payable for the year, including any amendments you made from your original
estimate.
AMOUNT RECEIVED
BOX 2 - Lists the amount of credit claimed on your original Declaration and any cash payments credited to your account.
TO DATE:
BOX 3 - The entire balance may be paid immediately or in equal installments. However it is necessary that a minimum of the Estimated Tax
BALANCE:
be paid in accordance with the Tax Payment Calendar Above.
DUE HEREWITH:
BOX 4 - Amount of tax to be paid with this form.
AMENDMENTS:
Enter any estimated increase or decrease in your original estimate.
FISCAL YEAR:
TAXPAYERS pay estimated tax quarterly beginning 4 months after start of their fiscal year.
FOR ASSISTANCE OR FURTHER INFORMATION, CALL TAX OFFICE - 595-5211

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