Business Declaration Of Estimated Tax Form - City Of Dublin

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BUSINESS DECLARATION OF ESTIMATED TAX
______________________
For Tax Year ___________
Name: ________________________________________________ Federal I.D. Number: _________________
Street: __________________________________ City:____________________ State: ______ Zip: _____________
1. Total income subject to tax $__________ Multiply by tax rate of 2% (.02).................................1
$
2. Subtract any estimated income taxes paid to another city........................................................ 2
$
3. Estimated tax due before credits. Subtract Line 2 from Line 1 ............................................... 3
$
4. Credits Carried Forward............................................................................................................. 4
$
5. Net estimated tax due. Subtract Line 4 from Line 3.................................................................. 5
$
6. Amount Paid (Not Less than 22.5% of Line 5)........................................................................... 6
$
Signature: _________________________________________ Date: _______________
Make check payable to: City of Dublin and remit to City of Dublin, Income Tax Division, PO Box 3550, Dublin, OH 43016-0274
43017-0962
9062
w

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