CITY OF MASSILLON, OHIO
CITY OF MASSILLON
INCOME TAX DEPARTMENT
QUARTERLY ESTIMATE PAYMENT COUPON
$
P.O. BOX 910
2011 1st Quarter
MASSILLON, OHIO 44648-0910
AMOUNT PAID
FILE #
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
FIN
Due on or Before
4-30-2011
[
u
t
❑
❑
❑
$
(Amount Authorized)
Name & Address
CREDIT CARD EXPIRATION DATE
CARDHOLDER
CITY OF MASSILLON, OHIO
CITY OF MASSILLON
INCOME TAX DEPARTMENT
QUARTERLY ESTIMATE PAYMENT COUPON
$
P.O. BOX 910
2011 2nd Quarter
MASSILLON, OHIO 44648-0910
AMOUNT PAID
FILE #
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
FIN
Due on or Before
7-30-2011
[
u
t
❑
❑
❑
$
(Amount Authorized)
Name & Address
CREDIT CARD EXPIRATION DATE
CARDHOLDER
CITY OF MASSILLON, OHIO
CITY OF MASSILLON
INCOME TAX DEPARTMENT
QUARTERLY ESTIMATE PAYMENT COUPON
$
P.O. BOX 910
2011 3rd Quarter
MASSILLON, OHIO 44648-0910
AMOUNT PAID
FILE #
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
FIN
Due on or Before
10-30-2011
[
u
t
❑
❑
❑
$
(Amount Authorized)
Name & Address
CREDIT CARD EXPIRATION DATE
CARDHOLDER
CITY OF MASSILLON, OHIO
CITY OF MASSILLON
INCOME TAX DEPARTMENT
QUARTERLY ESTIMATE PAYMENT COUPON
$
P.O. BOX 910
2011 4th Quarter
MASSILLON, OHIO 44648-0910
AMOUNT PAID
FILE #
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
FIN
Due on or Before
1-30-2012
[
u
t
❑
❑
❑
$
(Amount Authorized)
Name & Address
CREDIT CARD EXPIRATION DATE
CARDHOLDER