Business Declaration Of Estimated Income Tax Form - 2004

2004 BUSINESS DECLARATION

OF ESTIMATED INCOME TAX

FOR CALENDAR YEAR 2004 OR _______ MONTHS ENDING ______20_____

FOR OFFICIAL USE ONLY

A legally filed declaration must be signed, dated and accompanied by payment. The safest and easiest way to declare is to estimate this year’s taxes based

on last year’s taxable income. Mail To: Cincinnati Income Tax Bureau P.O. Box 5487 Cincinnati, OH. 45201-5487 on or before APRIL 30, 2004.

BUSINESS NAME

ACCT #

MAILING ADDRESS

COMPLETE THE BLOCKS TO THE RIGHT IF THIS SPACE IS

BLANK OR THE PREPRINTED INFORMATION IS INCORRECT.

CITY

STATE

ZIPCODE

FED ID#

CORPORATION

PARTNERSHIP

PHONE #

OTHER___________________________

INTEREST AND PENALTIES MUST BE ASSESSED FOR FAILURE TO FILE AND MAKE TIMELY PAYMENTS

1. ESTIMATED 2004 TAXABLE INCOME

X 2.1% = ESTIMATED TAX...

2. DEDUCT OVERPAYMENT OF LAST YEAR’S TAX IF YOU REQUESTED TRANSFER

ON YOUR 2003 RETURN………………………………………………………………………………………………….

3. BALANCE OF 2004 ESTIMATED

TAX PAYMENT……………………………………………………………………………………………………………

4. AMOUNT TO BE PAID WITH YOUR

DECLARATION AT TIME OF FILING. (1/4 of Line 1 minus Line 2) ……………………………………………….

The undersigned declares this to be a true, correct and complete declaration of estimated Cincinnati income tax for the year 2004.

_________

____________________________

_________________________________

SIGNATURE

DATE

TITLE

EXPLANATION OF NEW TAXPAYER OR CHANGE OF TAX STATUS

ADDRESS OF

CINCINNATI LOCATION ______________________________________________________________________________________________________________________

NATURE OF BUSINESS

_______________________________________________________________________________________________________________________

LOCAL MANAGER OR REPRESENTATIVE_________________________________________________________________________________________________________

DATE TAXABLE ACTIVITY

BEGAN IN CINCINNATI ______________________________________________________________________________________________________________________

WILL YOU HAVE EMPLOYEES SUBJECT TO CINCINNATI WITHHOLDING TAX? __________ WILL REMITTANCE EXCEED $300.00 PER MONTH? ____________

GENERAL INFORMATION & INSTRUCTIONS

2004 DECLARATION AND RETURN PAYMENT CALENDAR

APRIL 30, 2004

JULY 31, 2004

OCT. 31, 2004

JAN. 31, 2005___

APRIL 30, 2005

ND

RD

TH

. PAY

FILE DECLARATION

MAKE 2

QUARTERLY

MAKE 3

QUARTERLY

MAKE 4

QUARTERLY

FILE RETURN

WITH ¼ PAYMENT

PAYMENT

PAYMENT

PAYMENT

ANY BALANCE DUE.

Within four months after beginning a new business located or operating within the corporate limits of Cincinnati, or for existing businesses, within 4 months of the start

of the tax year, the business must file a Declaration. If filing your first Declaration, offer an appropriate additional explanation above or by attachment. Please notify

the tax office promptly of any later changes. If your form is blank, or your name, address and account number have been preprinted and the information shown is not

correct, please make necessary changes in the boxes above.

The three months prior to the Declaration due date should provide a reasonably accurate basis from which most businesses can estimate the current year’s income. An

original estimate can and should be amended if subsequent events indicate it to be grossly in error. If impractical to base this year’s estimate as suggested, refer to last

year’s actual taxable income as indicated on your return. An estimate based on an amount equal to or greater than the last full year’s taxable income is insurance

against any penalty on underestimating for Cincinnati purposes.

Make your own income and estimated tax entries on Line 1. If you overpaid last year’s tax and requested transfer of same towards this year’s estimated tax, enter the

amount on Line 2. Then deduct it from Line 1 and enter the difference on Line 3.

Line 3 represents the net amount of your estimated tax payable this year either in full with the filing of this Declaration, or in installments as indicated by the payment

calendar. Enter on Line 4 the amount of remittance accompanying your Declaration – and please retain records for future reference.