Form Q-1 - Statement Of Canfield, Ohio City Income Tax
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1STATEMENT OF CANFIELD, OHIO CITY INCOME TAX
Form Q-1
Quarterly Notice of Installment of Estimated Tax Declared
OFFICE
AMOUNT PAID
CASH
CHECK
REC’D. BY
DATE PAID
USE
$
#
Make check or Money Order Payable to: City of Canfield Income Tax and mail to the same at 104 Lisbon Street, Canfield OH 44406
Do not remit cash by mail. Postage is not accepted as payment. Please send statement with your payment. Paid check will be your receipt.
Notify Tax Department of change in ownership or name and address.
AMOUNT ENCLOSED $__________________________
ESTIMATED TAX
DATE OF LAST
TOTAL AMOUNT
AMOUNT OF UNPAID
QUARTERLY
DECLARED
CREDIT
CREDITED
BALANCE
INSTALLMENT DUE
NAME
_______________________________________________________
ADDRESS
________________________________________________________
CITY, STATE, ZIP ________________________________________________________
ACCOUNT # _______________
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
STATEMENT OF CANFIELD, OHIO CITY INCOME TAX
Form Q-1
Quarterly Notice of Installment of Estimated Tax Declared
OFFICE
AMOUNT PAID
CASH
CHECK
REC’D. BY
DATE PAID
USE
$
#
Make check or Money Order Payable to: City of Canfield Income Tax and mail to the same at 104 Lisbon Street, Canfield OH 44406
Do not remit cash by mail. Postage is not accepted as payment. Please send statement with your payment. Paid check will be your receipt.
Notify Tax Department of change in ownership or name and address.
AMOUNT ENCLOSED $__________________________
ESTIMATED TAX
DATE OF LAST
TOTAL AMOUNT
AMOUNT OF UNPAID
QUARTERLY
DECLARED
CREDIT
CREDITED
BALANCE
INSTALLMENT DUE
NAME
_______________________________________________________
ADDRESS
________________________________________________________
CITY, STATE, ZIP ________________________________________________________
ACCOUNT # _______________
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
STATEMENT OF CANFIELD, OHIO CITY INCOME TAX
Form Q-1
Quarterly Notice of Installment of Estimated Tax Declared
OFFICE
AMOUNT PAID
CASH
CHECK
REC’D. BY
DATE PAID
USE
$
#
Make check or Money Order Payable to: City of Canfield Income Tax and mail to the same at 104 Lisbon Street, Canfield OH 44406
Do not remit cash by mail. Postage is not accepted as payment. Please send statement with your payment. Paid check will be your receipt.
Notify Tax Department of change in ownership or name and address.
AMOUNT ENCLOSED $__________________________
ESTIMATED TAX
DATE OF LAST
TOTAL AMOUNT
AMOUNT OF UNPAID
QUARTERLY
DECLARED
CREDIT
CREDITED
BALANCE
INSTALLMENT DUE
NAME
_______________________________________________________
ADDRESS
________________________________________________________
CITY, STATE, ZIP ________________________________________________________
ACCOUNT # _______________
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