Quarterly Installment Vouchers For Estimated Tax Due (For Use By Both Individual And Corporate Taxpayers) Form - 2016

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Village of Mantua Income Tax Office
Quarterly Installment Due by April 15
P.O. Box 775
on Estimated Income Tax Declared
Mantua, Ohio 44255-0775
(22.5% of current year tax liability should now be paid)
330-274-8776
VOUCHER ONE
Amount Enclosed: _______________________
Date:____________________________
Individual(s):
Last Four Digits of Social Security Number(s) __________________or
Corporation: Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________
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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT HERE
Village of Mantua Income Tax Office
Quarterly Installment Due by June 15
P.O. Box 775
on Estimated Income Tax Declared
Mantua, Ohio 44255-0775
(45% of current year tax liability should now be paid)
330-274-8776
VOUCHER TWO
Amount Enclosed: _______________________
Date:_____________________________
Individual(s): Last Four Digits of Social Security Number(s) __________________or
Corporation: Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT HERE
Village of Mantua Income Tax Office
Quarterly Installment Due by September 15
P.O. Box 775
on Estimated Income Tax Declared
Mantua, Ohio 44255-0775
(67.5% of current year tax liability should now be paid)
330-274-8776
VOUCHER THREE
Amount Enclosed: _______________________
Date:____________________________
Individual(s): Last Four Digits of Social Security Number(s) __________________or
Corporation: Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT HERE
Village of Mantua Income Tax Office
Quarterly Installment Due by December 15
P.O. Box 775
on Estimated Income Tax Declared
Mantua, Ohio 44255-0775
(90% of current year tax liability should now be paid)
330-274-8776
VOUCHER FOUR
Amount Enclosed: _______________________
Date:____________________________
Individual(s):
Last Four Digits of Social Security Number(s) __________________or
Corporation:
Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________

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