Form Q1 - Business Quarterly Estimate Page 2
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FORM Q1
INDIVIDUAL QUARTERLY ESTIMATE 20__
MAKE CHECK OR MONEY ORDER TO:
AMOUNT
CITY OF READING
CITY OF READING
ENCLOSED $.......................
MAIL
EARNINGS TAX ACCOUNT
TO:
LOCATION 0863
PAID CHECK WILL BE YOUR RECEIPT
Check No:
CINCINNATI OH 45264-0863
_____ Quarter 20__
DO NOT REMIT CASH BY MAIL
Phone 513-733-0300 Fax 513-842-1016
ESTIMATED TAX
TOTAL UNDER PAID
TOTAL AMOUNT
AMOUNT OF
QUARTERLY
DECLARED
ESTIMATE PENALTY
CREDITED
UNPAID BALANCE
INSTALLMENT DUE
NAME
DUE ON OR BEFORE
AND
ADDRESS
TAX ID
NOTIFY INCOME TAX DEPARTMENT OF ANY CHANGE IN EMPLOYMENT, OWNERSHIP AND ADDRESS SHOW ABOVE
IF THIS STATEMENT DOES NOT REFLECT PAYMENT RECENTLY MADE, PLEASE ADVISE INCOME TAX OFFICE PROMPTLY
KEEP FOR YOUR RECORDS
FORM Q1
INDIVIDUAL QUARTERLY ESTIMATE 20__
MAKE CHECK OR MONEY ORDER TO:
AMOUNT
CITY OF READING
CITY OF READING
ENCLOSED $.......................
MAIL
EARNINGS TAX ACCOUNT
TO:
LOCATION 0863
PAID CHECK WILL BE YOUR RECEIPT
Check No:
CINCINNATI OH 45264-0863
_____ Quarter 20__
DO NOT REMIT CASH BY MAIL
Phone 513-733-0300 Fax 513-842-1016
ESTIMATED TAX
TOTAL UNDER PAID
TOTAL AMOUNT
AMOUNT OF
QUARTERLY
DECLARED
ESTIMATE PENALTY
CREDITED
UNPAID BALANCE
INSTALLMENT DUE
NAME
DUE ON OR BEFORE
AND
ADDRESS
TAX ID
NOTIFY INCOME TAX DEPARTMENT OF ANY CHANGE IN EMPLOYMENT, OWNERSHIP AND ADDRESS SHOW ABOVE
IF THIS STATEMENT DOES NOT REFLECT PAYMENT RECENTLY MADE, PLEASE ADVISE INCOME TAX OFFICE PROMPTLY
CREDIT CARD AUTHORIZATION:
□
□
VISA
MASTERCARD
Print Name:
________________________________________
Signature:
________________________________________
Account Number
□□□□ □□□□ □□□□ □□□□
Expiration Date: ______ / ______
CVC______ 3 digit security code on back of card
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Parent category: Financial