Quarterly Estimate Payment Vouchers Template - City Of Ashland - Department Of Finance

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CITY OF ASHLAND
Department of Finance
Occupational License/ Net Profit Division
P.O. Box 1839, Ashland, KY 41105-1839
Phone No. 606/327-2013, 2014, or 2023 Fax No. 606/329-1610
CITY OF ASHLAND
QUARTERLY ESTIMATE PAYMENT VOUCHERS
Please complete one voucher per quarter and enclose with payment.
QUARTERLY ESTIMATE FORM VOUCHER 4 (OCTOBER – DECEMBER)
Remit To:
Year: _____________
City of Ashland
Business Name: ______________________
Account Number: __________________
Occupational License/Net Profit Division
P.O. Box 1839
Contact Number:______________________
Payment Amount: __________________
Ashland, KY 41105-1839
IF PAYING BY MASTERCARD OR VISA, COMPLETE BELOW
SIGNATURE
CARD NUMBER
( ) MASTERCARD
( ) VISA
AMOUNT
EXP DATE
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
QUARTERLY ESTIMATE FORM VOUCHER 3 (JULY – SEPTEMBER)
Remit To:
Year: _____________
City of Ashland
Business Name: ______________________
Account Number: __________________
Occupational License/Net Profit Division
P.O. Box 1839
Contact Number:______________________
Payment Amount: __________________
Ashland, KY 41105-1839
IF PAYING BY MASTERCARD OR VISA, COMPLETE BELOW
SIGNATURE
CARD NUMBER
( ) MASTERCARD
( ) VISA
AMOUNT
EXP DATE
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
QUARTERLY ESTIMATE FORM VOUCHER 2 (APRIL – JUNE)
Remit To:
Year: _____________
City of Ashland
Business Name: ______________________
Account Number: __________________
Occupational License/Net Profit Division
P.O. Box 1839
Contact Number:______________________
Payment Amount: __________________
Ashland, KY 41105-1839
IF PAYING BY MASTERCARD OR VISA, COMPLETE BELOW
SIGNATURE
CARD NUMBER
( ) MASTERCARD
( ) VISA
AMOUNT
EXP DATE
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
QUARTERLY ESTIMATE FORM VOUCHER 1 (JANUARY – MARCH)
Remit To:
Year: _____________
City of Ashland
Business Name: ______________________
Account Number: __________________
Occupational License/Net Profit Division
P.O. Box 1839
Contact Number:______________________
Payment Amount: __________________
Ashland, KY 41105-1839
IF PAYING BY MASTERCARD OR VISA, COMPLETE BELOW
SIGNATURE
CARD NUMBER
( ) MASTERCARD
( ) VISA
AMOUNT
EXP DATE

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