City of Columbus, Income Tax Division
2007
BR-21
Declaration of Estimated City Income Tax
FOR THE YEAR
BEGINNING
ENDING
(also serves as Voucher #1)
A DECLARATION OF ESTIMATED CITY INCOME TAX IS REQUIRED FOR ALL BUSINESS ENTITIES (see instructions)
Check this box if:
IF YOU DID NOT RECEIVE VOUCHERS #2, #3 AND #4 WITH THIS FORM, CALL (614) 645-7370 AND REQUEST FORM BR-18. TDD (614) 645-6000.
AMENDED
______
tax year
CITY OR CITIES OF INCOME:
TRADE NAME:
1-
5-
NATURE OF BUSINESS:
2-
6-
3-
Annualize
Installment
Method
Not
7-
Permitted.
The Columbus City Codes do not
4-
8-
allow for calculating estimated tax payments based
EIN/FID NUMBER:
on an “annualized income installment method”.
The Columbus City Codes [Sec. 361.25] requires
NAME AND ADDRESS:
that each estimated tax payment “be accompanied
by a payment of at least one-fourth (1/4) of the
estimated annual tax” and that a declaration of
estimated tax which is less than 80% of the tax
shown on the final return shall not be considered
filed in good faith. Thus, even if your business is
seasonal, City estimated tax payments must be
based on estimated annual taxable income.
Column B
Column C
Column D
Column F
Column G
Column A
Column E
C
TOTAL NET
LESS TAX WITHHELD
CITY
O
ESTIMATED
ESTIMATED
TAX
ESTIMATED TAX
ESTIMATED NET TAX DUE
ESTIMATED
ON YOUR BEHALF AS
UNINCORPORATED
RATE
DUE
(MUST EQUAL COLUMN 5
D
CORPORATE INCOME
INCOME
PARTNER
E
INCOME
MINUS COLUMN 6)
2.0%
COLUMBUS
01
2.0%
GROVEPORT
09
OBETZ
10
2.0%
2.0%
CANAL WINCHESTER
11
%
MARBLE CLIFF
13
2.0
BRICE
14
1.0%
1.0%
HARRISBURG
16
$
1
1.
TOTAL NET ESTIMATED TAX DUE (MUST EQUAL THE TOTAL OF COLUMN G).......................................................................................
$
2.
LESS: OVERPAYMENT CREDITS FROM PREVIOUS YEAR RETURN...........................................................
2
3.
CREDIT PREVIOUS DECLARATION PAYMENTS (IF AN AMENDED DECLARATION)
.......................................
3
$
3A. TOTAL CREDITS (ADD LINES 2 AND 3)......................................................................................................
$
3A
$
4.
UNPAID BALANCE DUE (SUBTRACT LINE 3A FROM LINE 1).......................................................................
4
DUE ON OR BEFORE APRIL 15TH - (A MINIMUM 25% OF LINE 1 DUE)
5.
LESS: AMOUNT PAID WITH THIS DECLARATION (ATTACH CHECK OR MONEY ORDER)
5
$
$
6. ESTIMATED TAX BALANCE PAYABLE
USE FORM BR-18.....
6
(PAYABLE IN EQUAL INSTALLMENTS FOR EACH QUARTER)
(June, September & December)
I declare that this declaration has been examined by me and to the best of my knowledge and belief is a true,
correct and complete declaration of estimated income subject to city income tax for the period stated above.
This form may be electronically
filed and paid at
Sign
Here
Signature of Officer
Date
Title
Make checks payable to:
CITY TREASURER
Mail to:
Columbus Income Tax Division
PO Box 182158
Columbus, Ohio 43218-2158
This Form is Voucher 1
If you are required to make estimated tax payments, you are required
to file this form. Make a copy of this form for your records.
Form BR-21/Rev. 11/16/2006