Declaration Of Estimated Tax For Year 2010 - City Of Mason printable pdf download

Declaration Of Estimated Tax For Year 2010 - City Of Mason

CITY OF MASON

Phone: 513-229-8535

DECLARATION OF ESTIMATED TAX

TAX OFFICE

Fax: 513-229-8531

FOR YEAR 2010

6000 Mason-Montgomery Road

Make Check Payable To:

Mason, OH 45040

City of Mason Tax Office

Taxpayer's Name and Address

1. Total Income Subject to Tax $………………..Multiply by 1% for Gross Tax

2. Less Expected Tax Credits:

A. Tax to be Withheld by Employer for City of Mason……………… $__________

B. Credit on Income Taxed by Another City

(Income taxed by another city multiplied by .01)………..………… $__________

C. Total Credits (Line 2A plus Line 2B)……………………………………………………$

3. Net Tax Due (Line 1 less Line 2C)………………………………………………………… $

4. Quarterly Estimated Payment (Line 3 Divided by 4)…………………………………… $

5. AMOUNT ENCLOSED

I certify that I have examined this form and to the best of my knowledge and belief, it is true,

correct, and complete. If prepared by a person other than taxpayer, the declaration is based

on all information of which preparer has any knowledge.

Signature of Taxpayer or Agent (required)

Date

Signature of Person Preparing (if other than taxpayer)

Date

Address

Telephone Number

May the Mason Tax Office discuss this form

TO PAY BY CREDIT CARD: Enter number and expiration date fully and accurately.

with the preparer shown?

NO.

Yes___No___

NO.

Amount Authorized: $

Exp. Date:

Phone Number: (H)

(W)

CARDHOLDER SIGNATURE:

DATE

SEE BACK FOR INSTRUCTIONS

Declaration Of Estimated Tax For Year 2010 - City Of Mason