Form D1-B - Dayton Business Declaration Of Estimated Tax Page 2

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DAYTON DCM 2
ESTIMATED BUSINESS TAX PAYMENT
Tax year _____ ending DECEMBER or _____________
nd
2
estimated tax payment due June 15, of the year the income is earned.
Estimated full year TAX DUE (from declaration) $_________
__________________ Check here if amended
Business Name ________________________Federal ID# (Account #)
________________
Address ______________________________City, State, Zip
_________________________
22.5% due June 15, Paid
$_____________
Make Checks Payable To The City Of Dayton, and Mail to City of Dayton, PO Box 634747, Cincinnati, Oh 45263-4747.
In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check
___________________________________ cut here _____________________________________
rd
DAYTON DCM 3
ESTIMATED BUSINESS TAX PAYMENT
Tax year_____ending DECEMBER or____________
rd
3
estimated tax payment due September 15, of the year the income is earned..
Estimated full year TAX DUE (from declaration) $________
__________________ Check here if amended
Business Name ________________________Federal ID# (Account #) _____________________
Address _
City, State, Zip __________________________
_________________________________
22.5% due September 15, Paid
$_________________
Make Checks Payable To The City Of Dayton, and Mail to City of Dayton, PO Box 634747, Cincinnati, Oh 45263-4747.
In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check
_______________________________________________
__________________________________________________
cut here
th
DAYTON DCM 4
ESTIMATED BUSINESS TAX PAYMENT
Tax year _____ ending DECEMBER or _____________
4th estimated tax payment due December 15, of the year the income is earned .
Estimated full year TAX DUE (from declaration) $________
__________________ Check here if amended
Business Name ________________________Federal ID# (Account #)
____________________
Address ____________________________
City, State, Zip _________________________
_
22.5% due December 15, Paid
$______________
Make Checks Payable To The City Of Dayton, and Mail to City of Dayton, PO Box 634747, Cincinnati, Oh 45263-4747
In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check

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