Quarterly Statement Of Estimated Taxes Due Form - Vandalia - Englewood - Brookville - Ohio Income Tax Office
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1QUARTERLY STATEMENT OF ESTIMATED TAXES DUE
VANDALIA – ENGLEWOOD – BROOKVILLE
DUE DATE:
INCOME TAX OFFICE
(937) 415-2240
P.O. BOX 727, VANDALIA, OHIO 45377-0727
NOTICE: TO AVOID PENALTY AND INTEREST ASSESSMENTS, AT LEAST 90% OF THE CURRENT YEAR
TAX LIABILITY OR 100% OF THE PREVIOUS YEAR LIABILITY MUST BE PAID BY JANUARY 31ST.
Please specify amount due for each city
Vandalia
$
Englewood
$
Brookville
$
Total
$
Check #
Make checks payable to City of Vandalia
VISA/MASTERCARD ACCEPTED
(circle one)
Account #
Expiration Date
Amount Authorized
Cardholder’s Name (PRINT)
Signature
Phone # (
)
QUARTERLY STATEMENT OF ESTIMATED TAXES DUE
VANDALIA – ENGLEWOOD – BROOKVILLE
DUE DATE:
INCOME TAX OFFICE
(937) 415-2240
P.O. BOX 727, VANDALIA, OHIO 45377-0727
NOTICE: TO AVOID PENALTY AND INTEREST ASSESSMENTS, AT LEAST 90% OF THE CURRENT YEAR
TAX LIABILITY OR 100% OF THE PREVIOUS YEAR LIABILITY MUST BE PAID BY JANUARY 31ST.
Please specify amount due for each city
Vandalia
$
Englewood
$
Brookville
$
Total
$
Check #
Make checks payable to City of Vandalia
VISA/MASTERCARD ACCEPTED
(circle one)
Account #
Expiration Date
Amount Authorized
Cardholder’s Name (PRINT)
Signature
Phone # (
)
QUARTERLY STATEMENT OF ESTIMATED TAXES DUE
VANDALIA – ENGLEWOOD – BROOKVILLE
DUE DATE:
INCOME TAX OFFICE
(937) 415-2240
P.O. BOX 727, VANDALIA, OHIO 45377-0727
NOTICE: TO AVOID PENALTY AND INTEREST ASSESSMENTS, AT LEAST 90% OF THE CURRENT YEAR
TAX LIABILITY OR 100% OF THE PREVIOUS YEAR LIABILITY MUST BE PAID BY JANUARY 31ST.
Please specify amount due for each city
Vandalia
$
Englewood
$
Brookville
$
Total
$
Check #
Make checks payable to City of Vandalia
VISA/MASTERCARD ACCEPTED
(circle one)
Account #
Expiration Date
Amount Authorized
Cardholder’s Name (PRINT)
Signature
Phone # (
)
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