Form D1 - Dayton D1 Declaration Of Estimated Tax
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1FORM D1
Declaration of Estimated Tax
City of Dayton
For Office Use Only
50
DAYTON D1
DECLARATION OF ESTIMATED TAX
50
Tax year _______________ ending DECEMBER or _______________________
1st estimated tax payment due April 30 of year income is earned
1. Total Income subject to tax
@2.25%
$
2. Estimated tax Withheld (not to exceed 2.25%)
$
3. Total estimated tax
$
4. Credit from line 10 of a prior year tax return
$
5. Net estimated tax due
$
1/4 Payments are due by April 30, July 31, October 31 and January 31 of following year
Signature
Date
Phone#
Name
Account # or SS#
Spouse name
Spouse SS#
Address/City, State, Zip
1/4 due April 30
paid $
Estimated full year TAX DUE (line 15 of declaration) $____________________
DAYTON DCM
50
1/4 Payments are due by April 30, July 31,
Tax year _______________ ending DECEMBER or _______________________
October 31 and January 31 of following year
2ndt estimated tax payment due July 31 of year income is earned
Signature
Date
Phone#
Name
Account # or SS#
Spouse name
Spouse SS#
Address/City, State, Zip
1/4 due July 31
paid $
Estimated full year TAX DUE (line 15 of declaration) $____________________
DAYTON DCM
50
1/4 Payments are due by April 30, July 31,
Tax year _______________ ending DECEMBER or _______________________
October 31 and January 31 of following year
3rd estimated tax payment due October 31 of year income is earned
Signature
Date
Phone#
Name
Account # or SS#
Spouse name
Spouse SS#
Address/City, State, Zip
1/4 due Oct. 31
paid $
Estimated full year TAX DUE (line 15 of declaration) $____________________
DAYTON DCM
50
1/4 Payments are due by April 30, July 31,
Tax year _______________ ending DECEMBER or _______________________
October 31 and January 31 of following year
4th estimated tax payment due January 31 of year income is earned
Signature
Date
Phone#
Name
Account # or SS#
Spouse name
Spouse SS#
Address/City, State, Zip
1/4 due Jan. 31
paid $
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