Form D - Declaration Of Estimated Mc Comb Income Tax

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Form D
DECLARATION OF ESTIMATED MC COMB INCOME TAX
VILLAGE OF McCOMB, OHIO—INCOME TAX DEPARTMENT
Taxpayer name & address
Federal Tax ID#______________________________
Make check payable to:
1. Total income subject to McComb Tax _____________________
VILLAGE OF MCCOMB
2. McComb Tax (1% of line 1)
_____________________
INCOME TAX
Payable at:
3. Less: tax to be withheld or paid to
__________________
First Federal Bank
another city
McComb, OH 45858
__________________
4. Balance McComb estimated tax
Quarter Ending Due On Or Before
__________________
5. Less: Previous year’s overpayment
__________________
6. Net tax due
__________________
7. Amount paid this filing
(not less than ¼ of line 6)
Qtr.
______
Signature of Taxpayer ________________________________
Date _________________________
------------------------------------------
----------------------------------------------------------
Cut along this line

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