Income Tax Return Form - City Of Ontario, Income Tax Department Page 4

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CITY OF ONTARIO, OHIO
DECLARATION OF ESTIMATED TAX FOR YEAR 2017
2017 ESTIMATED VOUCHER #1 – DUE APRIL 18, 2017
Name:
Last four of Soc. Sec. #
Address:
1. Total income subject to tax $ _________________ (Multiply by 1.5%) ..............................
$
2. Less allowable credit of other city wages (limited to 1.0%) ...................................................
$
3. Total Declaration (line 1 minus line 2) ...................................................................................
$
4. Payment amounts (line 3 times 0.225) .................................................................................
$
5. Overpayment from previous year ..........................................................................................
$
6. First payment amount (line 4 minus line 5) ...........................................................................
$
90% OF BALANCE TO BE PAID IN FOUR EQUAL INSTALLMENTS
2017 ESTIMATED TAX VOUCHER #2 – DUE JUNE 15, 2017
Name:
Last four of Soc. Sec. #
Address:
Phone Number
1. Payment Enclosed $ _____________________
2. Remaining Balance $ ____________________
2017 ESTIMATED TAX VOUCHER #3 – DUE SEPTEMBER 15, 2017
Name:
Last four of Soc. Sec. #
Address:
Phone Number
1. Payment Enclosed $ _____________________
2. Remaining Balance $ ____________________
2017 ESTIMATED TAX VOUCHER #4 – DUE DECEMBER 15, 2017
Name:
Last four of Soc. Sec. #
Address:
Phone Number
1. Payment Enclosed $ _____________________
2. Remaining Balance $ ____________________
MAIL PAYMENTS TO:
CITY OF ONTARIO, INCOME TAX DEPARTMENT
555 STUMBO ROAD
ONTARIO, OHIO 44906-1259
IF YOU HAVE ANY QUESTIONS CONTACT THE TAX OFFICE AT 419-529-3045

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