Form Sq-1 - Quarterly Estimate Payment Vouchers - 2004
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1QUARTERLY ESTIMATE PAYMENT
For Assistance - (937) 748-9701
CITY OF SPRINGBORO
2004 2ND QUARTER VOUCHER
INCOME TAX DEPARTMENT
FORM SQ-1
320 W. CENTRAL AVE.
PENALTY AND INTEREST WILL BE ASSESSED FOR ALL
SPRINGBORO, OH 45066
LATE PAYMENTS
AMOUNT PAID
$
TAXPAYER SOC. SEC. NUMBER
SPOUSE SOC. SEC. NUMBER
DUE ON OR BEFORE
07/31/04
1. Estimated 2004 tax liability
$_________________
(Less credit for tax withheld)
2. Amount paid first quarter
$_________________
TAXPAYER’S ACCOUNT NUMBER, NAME AND ADDRESS
3. Balance of Estimated liability
$_________________
(Line 1 minus line 2)
4. One-third of line 3
$_________________
REMIT AS SECOND QUARTER
ESTIMATED TAX DUE. PLACE THIS NUMBER
IN THE BOX ABOVE.
QUARTERLY ESTIMATE PAYMENT
For Assistance - (937) 748-9701
CITY OF SPRINGBORO
2004 3rd QUARTER VOUCHER
INCOME TAX DEPARTMENT
FORM SQ-1
320 W. CENTRAL AVE.
PENALTY AND INTEREST WILL BE ASSESSED FOR ALL
SPRINGBORO, OH 45066
LATE PAYMENTS
$
AMOUNT PAID
TAXPAYER SOC. SEC. NUMBER
SPOUSE SOC. SEC. NUMBER
DUE ON OR BEFORE
10/31/04
1. Estimated 2004 tax liability
$_________________
(Less credit for tax withheld)
TAXPAYER’S ACCOUNT NUMBER, NAME AND ADDRESS
2. Amount paid first and
$_________________
second quarters
3. Balance of Estimated liability
$_________________
( Line 1 minus line 2)
4. One-half of line 3
$_________________
REMIT AS THIRD QUARTER
ESTIMATED TAX DUE. PLACE THIS NUMBER
IN THE BOX ABOVE.
QUARTERLY ESTIMATE PAYMENT
For Assistance - (937) 748-9701
CITY OF SPRINGBORO
2004 4th QUARTER VOUCHER
INCOME TAX DEPARTMENT
FORM SQ-1
320 W. CENTRAL AVE.
PENALTY AND INTEREST WILL BE ASSESSED FOR ALL
SPRINGBORO, OH 45066
LATE PAYMENTS
$
AMOUNT PAID
TAXPAYER SOC. SEC. NUMBER
SPOUSE SOC. SEC. NUMBER
DUE ON OR BEFORE
01/31/05
1. Estimated 2004 tax liability
$_________________
(Less credit for tax withheld)
TAXPAYER’S ACCOUNT NUMBER, NAME AND ADDRESS
2. Amount paid first, second and $_________________
third quarters.
3. Balance of Estimated liability
$_________________
(Line 1 minus line 2)
4. BALANCE DUE
$________________
REMIT AS FOURTH QUARTER
ESTIMATED TAX DUE. PLACE THIS NUMBER
IN THE BOX ABOVE.
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