Form D-1 20____ Declaration Of Estimated Income Tax
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2Form D-1
Form D-1
20____ DECLARATION OF ESTIMATED INCOME TAX
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To be Filed with
HAMILTON – 2%
EATON – 1.5%
J.E.D.D. – 2%
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HAMILTON INCOME TAX DIV.
OXFORD – 1.75%
NEW MIAMI – 1.75%
J.E.D.D. II – 2%
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RETURN THIS COPY
345 High Street, Suite 410
WEST MILTON – 1.5%
PHILLIPSBURG – 1.5%
BUTLER COUNTY ANNEX - 2%
Hamilton, Ohio 45011
FILE BY 4/30 OR
Phone #: 513/785-7400
WITHIN 4 MONTHS AFTER
Toll Free #: 1-800-854-1684
FOR THE CALENDAR YEAR 20
OR
MONTHS ENDING
20
YOUR TAX PERIOD BEGINS
FAX #: 513/785-7401
(A) IF YOU ARE FILING FOR THE FIRST TIME OR YOUR TAX STATUS HAS CHANGED IN THE PAST YEAR, (FOR
(B) Circle Whether
1. Employee
2. Owner
EXAMPLE, A NEW EMPLOYER WITHHOLDING ON YOUR WAGES FOR THE MUNICIPALITY, OR YOU ARE NO
LONGER LIVING AND/OR WORKING IN THE MUNICIPALITY), PLEASE CHECK THIS BLOCK AND EXPLAIN ON
3. Professional
4. Partnership
REVERSE SIDE.
5. Corporation
6. Other
(C) Business, Professions, Etc., State Nature
ACCOUNT NUMBER
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RESIDENT:
HAMILTON
NEW MIAMI
J.E.D.D.
PRINT TAXPAYER’S NAME,
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ADDRESS AND ACCOUNT NUMBER IN
THIS BLOCK
EATON
OXFORD
J.E.D.D. II
PHILLIPSBURG
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BUTLER COUNTY ANNEX
WEST MILTON
DO YOU NOW HAVE OR
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EXPECT TO HAVE EMPLOYEES?
YES
NO
THIS SPACE FOR OFFICE USE ONLY
(D) COMPUTATION OF ESTIMATED TAX
1.
ESTIMATED INCOME SUBJECT TO
TAX _____________
$
2.
OF AMOUNT SHOWN ON LINE 1
__________________
3.
LESS TAX TO BE WITHHELD FOR MUNICIPALITY OF ____________________________
__________________
4.
BALANCE OF TAX DECLARED FOR ENTIRE YEAR ______________________________
__________________
5.
CREDITS:
a.
OVERPAYMENT – PREVIOUS YEAR’S TAX __________________
__________________
b.
PAYMENT OF – PREVIOUS DECLARATION __________________
__________________
6.
NET TAX DUE (LINE 4 LESS LINES 5a & 5b) ____________________________________
__________________
7.
AMOUNT PAID WITH THIS RETURN (NOT LESS THAN 25% OF LINE 4) _____________
$ __________________
(LESS CREDITS FROM 5a & 5b)
THE UNDERSIGNED DECLARES THIS TO BE A TRUE, CORRECT AND COMPLETE DECLARATION OF ESTIMATED
INCOME TAX FOR THE PERIOD STATED, FOR THE MUNICIPALITY OF
DATED
20
TITLE, IF SIGNING FOR A BUSINESS
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MAKE REMITTANCE TO THE “CITY OF HAMILTON”
CHECK THE BOX TO ALLOW THE HAMILTON INCOME TAX OFFICE TO CONTACT YOUR TAX PREPARER.
SEE REVERSE SIDE FOR INSTRUCTIONS
NOTE: DECLARATION OF ESTIMATED TAX IS REQUIRED FOR ALL BUSINESSES IF YOUR TAX LIABILITY WILL BE $200.00 OR MORE AND THE
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FOLLOWING
IF YOUR TAX LIABILITY WILL BE $200.00 OR MORE, THIS DECLARATION OF ESTIMATED TAX FORM MUST BE FILED AND PAID
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FOR HAMILTON,
TIMELY TO AVOID A PENALTY.
J.E.D.D., B.C. ANNEX
IF YOUR TAX LIABILITY WILL BE $150.00 OR MORE, ESTIMATED TAX FORM MUST BE FILED AND PAID TIMELY TO AVOID A
**
FOR WEST MILTON
PENALTY.
AND PHILLIPSBURG
SEE INSTRUCTIONS ON BACK
To pay by credit card you must complete the following:
Check One: Visa ________ or Mastercard _______
(16 digits) # ___________ - ___________ - ___________ - ___________
Card Expiration Date __________ /__________
Total Amount Authorized $______________________________________
Signature ___________________________________________________
Daytime Phone Number ________________________________________
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