Estimated Tax Statements Form - City Of Huber Heights - 2016
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STATEMENT 2
2016 ESTIMATED TAX STATEMENT
ACCOUNT NO.__________
nd
2
Qtr. 2016 - Due 6/15/2016
CITY OF HUBER HEIGHTS
th
th
FY - 15
day of the 6
month
Division of Taxation
PO Box 24309, Huber Heights, Ohio 45424
937-237-2976
DECLARATION OF ESTIMATED TAX
YOU MUST ENTER YOUR NAME AND ADDRESS BELOW
TAXABLE INCOME
$_______________
0.00
SS#_________________________
TAX DUE 2.25%
$______________
CREDITS
$______________
NAME __________________________________________________________
0.00
NET TAX DUE
$______________
ADDRESS ______________________________________________________
CHECK NO.
CITY ___________________________ STATE _______ ZIP ______________
AMOUNT $
0.00
POSTMARK DATE
OFFICE USE ONLY
REMINDER: TO AVOID PENALTY, 90% OF TAX LIABILITY MUST BE WITHHELD OR PAID ON OR BEFORE December 15, 2016
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
STATEMENT 3
2016 ESTIMATED TAX STATEMENT
ACCOUNT NO.__________
3nd
Qtr. 2016 - Due 9/15/2016
CITY OF HUBER HEIGHTS
th
th
FY - 15
day of the 9
month
Division of Taxation
PO Box 24309, Huber Heights, Ohio 45424
937-237-2976
DECLARATION OF ESTIMATED TAX
YOU MUST ENTER YOUR NAME AND ADDRESS BELOW
TAXABLE INCOME
$_______________
0.00
TAX DUE 2.25%
$______________
SS#_________________________
CREDITS
$______________
NAME __________________________________________________________
0.00
NET TAX DUE
$______________
CHECK NO.
ADDRESS ______________________________________________________
AMOUNT $
0.00
CITY ___________________________ STATE _______ ZIP ______________
POSTMARK DATE
OFFICE USE ONLY
REMINDER: TO AVOID PENALTY, 90% OF TAX LIABILITY MUST BE WITHHELD OR PAID ON OR BEFORE December 15, 2016
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
STATEMENT 4
2016 ESTIMATED TAX STATEMENT
ACCOUNT NO.__________
4th Qtr. 2016 - Due 12/15/2016
CITY OF HUBER HEIGHTS
th
th
FY - 15
day of the 12
month
Division of Taxation
PO Box 24309, Huber Heights, Ohio 45424
937-237-2976
DECLARATION OF ESTIMATED TAX
YOU MUST ENTER YOUR NAME AND ADDRESS BELOW
TAXABLE INCOME
$_______________
0.00
SS#_________________________
TAX DUE 2.25%
$______________
NAME __________________________________________________________
CREDITS
$______________
0.00
NET TAX DUE
$______________
ADDRESS ______________________________________________________
CHECK NO.
CITY ___________________________ STATE _______ ZIP ______________
AMOUNT $
0.00
POSTMARK DATE
OFFICE USE ONLY
REMINDER: TO AVOID PENALTY, 90% OF TAX LIABILITY MUST BE WITHHELD OR PAID ON OR BEFORE December 15, 2016
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