Form D1-I - Dayton Individual/joint Filing Declaration Of Estimated Tax - 2006 Page 2
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2nd
DAYTON DCM 2
ESTIMATED INDIVIDUAL TAX PAYMENT
2006
Tax year
ending DECEMBER or _____________
nd
2
estimated tax payment due July 31 , of the year the income is earned.
Estimated full year TAX DUE (from declaration) $_________
__________________ Check here if amended
Name ________________________ Account # or SS# ___________________
Spouses name__________________ Account # or SS# _______________________
Address _______________________ City, State, Zip_________________________
22.5% due July 31, Paid
$___________
Make Checks Payable to the City Of Dayton, and Mail to City of Dayton, PO Box 634747, Cincinnati, Oh 45263-4747.
In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check
___________________________________ cut here _____________________________________
rd
DAYTON DCM 3
ESTIMATED INDIVIDUAL TAX PAYMENT
2006
Tax year
ending DECEMBER or _____________
rd
3
estimated tax payment due October 31 , of the year the income is earned...
Estimated full year TAX DUE (from declaration) $________
__________________ Check here if amended
Name ________________________ Account # or SS# ______________________
Spouses name__________________ Account # or SS# __________________________
_________________
_____________________
Address
City, State, Zip
22.5% due October 31, Paid
$______________
Make Checks Payable to the City Of Dayton, and Mail to City of Dayton, PO Box 634747, Cincinnati, Oh 45263-4747.
In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check
_______________________________________________
__________________________________________________
cut here
th
DAYTON DCM 4
ESTIMATED INDIVIDUAL TAX PAYMENT
2006
Tax year
ending DECEMBER or _____________
4th estimated tax payment due January 31 , of the following the year the income is earned .
Estimated full year TAX DUE (from declaration) $________
__________________ Check here if amended
Name ________________________ Account # or SS# ____________________
Spouses name__________________ Account # or SS# ________________________
Address _______________________ City, State, Zip___________________________
22.5% due January 31, Paid
$_____________
Make Checks Payable to the City Of Dayton, and Mail to City of Dayton, PO Box 634747, Cincinnati, Oh 45263-4747
In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check
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