City Income Tax Return For Individuals Page 3

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2012
IR-18
City of Columbus, Income Tax Division
Quarterly Statement of Estimated Income Tax Due
-I
SOCIAL SECURITY NUMBER
VOUCHER 2 - (CALENDAR YEAR - DUE JULY 31)
#
PAYMENT DUE ON
2
JULY 31, 2012
1. Amount of this installment.............
    
$
NAME AND ADDRESS:
2. Amount of unused overpayment
credit, if any, applied to this
$
    
installment........................................
3. Amount of this installment
$
    
payment (Line 1 less Line 2).........
Make checks payable to: CITY TREASURER
Note: DO NOT SEND CASH THROUGH U.S. MAIL
Mail to:
Columbus Income Tax Division
This form may be electronically filed
PO Box 182158
and paid at
Rev. 10/12/11
Columbus, Ohio 43218-2158
2012
IR-18
City of Columbus, Income Tax Division
Quarterly Statement of Estimated Income Tax Due
-I
SOCIAL SECURITY NUMBER
VOUCHER 3 - (CALENDAR YEAR - DUE OCTOBER 31)
Part B
PAYMENT DUE ON
#
3
OCTOBER 31, 2012
1. Amount of this installment.............
    
$
NAME AND ADDRESS:
2. Amount of unused overpayment
credit, if any, applied to this
$
    
installment........................................
3. Amount of this installment
$
    
payment (Line 1 less Line 2).........
Make checks payable to: CITY TREASURER
Note: DO NOT SEND CASH THROUGH U.S. MAIL
Mail to:
Columbus Income Tax Division
This form may be electronically filed
PO Box 182158
Rev. 10/12/11
and paid at
Columbus, Ohio 43218-2158
2012
IR-18
City of Columbus, Income Tax Division
Quarterly Statement of Estimated Income Tax Due
-I
SOCIAL SECURITY NUMBER
VOUCHER 4 - (CALENDAR YEAR - DUE JANUARY 31, 2013)
Part B
Part B
PAYMENT DUE ON
#
4
JANUARY 31, 2013
1. Amount of this installment.............
    
$
NAME AND ADDRESS:
2. Amount of unused overpayment
credit, if any, applied to this
$
    
installment........................................
3. Amount of this installment
$
    
payment (Line 1 less Line 2).........
Make checks payable to: CITY TREASURER
Note: DO NOT SEND CASH THROUGH U.S. MAIL
PRINT
RESET FORM
Mail to:
Columbus Income Tax Division
This form may be electronically filed
PO Box 182158
and paid at
Columbus, Ohio 43218-2158
Rev. 10/12/11

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