Form D-1 - Declaration Of Estimated Income Tax - 2003
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22003 DECLARATION OF ESTIMATED INCOME TAX
FORM D-1
FORM D-1
HAMILTON - 2%
EATON - 1.5%
J.E.D.D. - 2%
To be Filed With
HAMILTON INCOME TAX DIV.
RETURN THIS COPY
OXFORD - 1.75%
NEW MIAMI - 1.75%
J.E.D.D. II - 2%
345 High Street, Suite 410
Hamilton, Ohio 45011
FILE BY4/30/03 OR
BUTLER COUNTY ANNEX - 2%
Phone #: 513/785-7400
WITHIN 4 MONTHS AFTER
Toll Free #: 1-800-854-1684
FAX #: 513/785-7401
YOUR TAX PERIOD BEGINS
FOR THE CALENDAR YEAR 2003 OR _________ MONTHS ENDING _____________ 20 ______
(A)
IF YOU ARE FILING FOR THE FIRSTTIME OR YOUR TAX STATUS HAS CHANGED IN THE PASTYEAR, (FOR
(B) Circle Whether
1. Employee
2. Owner
EXAMPLE, A NEW EMPLOYER WITHHOLDING ON YOUR WAGES FOR THE CITY, OR YOU ARE NO LONGER
LIVING AND/OR WORKING IN THE CITY), PLEASE CHECK THIS BLOCK AND EXPLAIN ON REVERSE SIDE.
3. Professional
4. Partnership
5. Corporation
6. Other _______________________
(C) Business, Professions, Etc., State Nature
ACCOUNT NUMBER
RESIDENT:
HAMILTON
NEW MIAMI
J.E.D.D.
EATON
OXFORD
J.E.D.D. II
PRINT TAXPAYER’S NAME,
BUTLER COUNTYANNEX
ADDRESS AND ACCOUNT
YES
NUMBER IN THIS BLOCK.
DO YOU NOW HAVE OR
EXPECT TO HAVE EMPLOYEES?
NO
(D) COMPUTATION OF ESTIMATED TAX
THIS SPACE FOR OFFICE USE ONLY
1. ESTIMATED INCOME SUBJECT TO
TAX
$
2.
OF AMOUNTSHOWN ON LINE 1
3. LESS TAX TO BE WITHHELD FOR CITYOF_________________________
4. BALANCE OF TAX DECLARED FOR ENTIRE YEAR
5. CREDITS:
a. OVERPAYMENT- PREVIOUS YEAR’S TAX
b. PAYMENTOF PREVIOUS 2003 DECLARATION
6. NET TAX DUE (LINE 4 LESS LINES 5a & 5b)
7. AMOUNT PAID WITH THIS RETURN (NOTLESS THAN 25% OF LINE 4)
$
(LESS CREDITS FROM 5a & 5b)
THE UNDERSIGNED DECLARES THIS TO BE A TRUE, CORRECT AND COMPLETE DECLARATION OF
ESTIMATED INCOME TAX FOR THE PERIOD STATED, FOR THE MUNICIPALITY OF
DATED
20
SIGNATURE
MAKE REMITTANCE TO THE “CITY OF HAMILTON”
TITLE, IF SIGNING FOR A BUSINESS
SEE REVERSE SIDE FOR INSTRUCTIONS
CHECK THE BOX IF YOU WANTTHE HAMILTON INCOME TAX OFFICE TO CONTACTTHE TAX PREPARER.
NOTE: IF YOUR 2002 TAX LIABILITY WAS $200.00 OR MORE, THIS DECLARATION OF ESTIMATED TAX
FORM MUST BE FILED AND PAID TIMELY TO AVOID A PENALTY. SEE INSTRUCTIONS ON BACK.
To pay by credit card you must complete the following:
Check One: Visa
or Mastercard
(16 Digits)
Card Expiration Date _____ / _____
Total Amount Authorized $
For 2002 $ ___________
For 2003 Estimate $ ___________
Signature _________________________________
Daytime Phone Number _______________________________
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