Form Q-1 - Statement Of Mt. Orab, Ohio Income Tax

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Form Q-1
STATEMENT OF MT. ORAB, OHIO INCOME TAX
Village of
Mt. Orab
Notice of Tax Due
MAKE CHECK OR MONEY ORDER TO:
This Statement MUST Accompany Your
VILLAGE OF MT. ORAB
AMOUNT
Remittance To:
If receipt is desired, return this statement
ENCLOSED
INCOME TAX BUREAU
With a self addressed, stamped envelope
$
P.O. BOX 268, MT. ORAB, OH 45154
DO NOT REMIT CASH BY MAIL
CREDITS AND/OR PAYMENTS
AMOUNT OF
CURRENT
TAX LIABILITY
Date of Last Credit
Total Amount Credited UNPAID BALANCE
INSTALLMENT DUE
ENTER NAME, ADDRESS BELOW
Ck #
DUE ON OR BEFORE:

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