Quarterly Notice Of Installment Due On Estimated Income Tax Declared Voucher - 2015

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Village of Mantua Income Tax Office
Quarterly Payment of Installment Due on
P.O. Box 775
Estimated Income Tax Declared
Mantua, Ohio 44255-0775
330-274-8776
VOUCHER ONE
Due April 15
Amount Enclosed: _______________________
Date:____________________________
Individual:
Last Four Numbers of your Social Security Number __________________or
Corporation: Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
CUT HERE
Village of Mantua Income Tax Office
Quarterly Payment of Installment Due on
P.O. Box 775
Estimated Income Tax Declared
Mantua, Ohio 44255-0775
330-274-8776
VOUCHER TWO
Due June 15
Amount Enclosed: _______________________
Date:_____________________________
Individual: Last Four Numbers of your Social Security Number __________________or
Corporation: Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - -
CUT HERE
Village of Mantua Income Tax Office
Quarterly Payment of Installment Due on
P.O. Box 775
Estimated Income Tax Declared
Mantua, Ohio 44255-0775
330-274-8776
VOUCHER THREE
Due September 15
Amount Enclosed: _______________________
Date:____________________________
Individual: Last Four Numbers of your Social Security Number __________________or
Corporation: Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - -
CUT HERE
Village of Mantua Income Tax Office
Quarterly Payment of Installment Due on
P.O. Box 775
Estimated Income Tax Declared
Mantua, Ohio 44255-0775
330-274-8776
VOUCHER FOUR
Due December 15
Amount Enclosed: _______________________
Date:____________________________
Individual:
Last Four Numbers of your Social Security Number __________________or
Corporation:
Federal Identification Number: _____________________________________
Name: ________________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip code _____________________________________________________________

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