Form D-1 - Declaration Of Estimated Income Tax

EXPLANATION OF NEW TAXPAYER OR OF CHANGE IN TAX STATUS

Dates

AT THE PRESENT TIME

Date Began

PRIOR TO THE PRESENT TIME

From

Business Location or

Place of Residence

Type of Business or

Occupation,etc.

Employer’s Name

(if any)

Business Conducted or

Work Done in (City)

IF A CLEAR UNDERSTANDING OF YOUR SITUATION CANNOT BE CONVEYED ABOVE,PLEASE ATTACH EXPLANATION AND GIVE YOUR LOCAL PHONE NUMBER.

GENERAL INFORMATION

DECLARATION OF ESTIMATED TAX IS MAILED TO TAXPAYERS OF RECORD. FILE WITH THE TAX DIVISION

(ADDRESS AT UPPER LEFT FRONT CORNER). WITHIN FOUR MONTHS OF THE BEGINNING OF THE TAXABLE YEAR

OR PERIOD, BEGINNING OF A NEW BUSINESS OR TAKING OF A NEW JOB, ETC., EVERYONE WHOSE ENTIRE TAX

LIABILITY WILL NOT BE WITHHELD BY AN EMPLOYER MUST FILE A DECLARATION OF ESTIMATED TAX.

TO AVOID BEING PENALIZED A TAXPAYER MUST HAVE 100% OF THE PREVIOUS YEAR TAX LIABILITY PAID

IN OR 90% (FOR HAMILTON, J.E.D.D., J.E.D.D. II, AND BUTLER COUNTY ANNEX) OR 70% (FOR OXFORD,

EATON AND NEW MIAMI) OF THE CURRENT YEAR TAX LIABILITY (LINE 2) COMPLETELY PAID IN BY THE

LAST ESTIMATED TAX DUE DATE. SINCE IT IS DIFFICULT TO DETERMINE YOUR 2003 TAX LIABILITY, USING

YOUR 2002 LIABILITY OR AN AMOUNT GREAT E R , IS INSURANCE AGAINST ANY PENA LTY FOR UNDER-

ESTIMATING FOR HAMILTON, NEW MIAMI, EATON, OXFORD, J.E.D.D., J.E.D.D. II OR BUTLER COUNTY ANNEX

PURPOSES. A NEW TAXPAYER WITHOUT BASIS ON WHICH TO MAKE A BETTER ESTIMATE MAY MAKE A VALID

ESTIMATE BY DECLARING $200.00 AS THE FIRST YEAR TAX ESTIMATE. IF FILING YOUR FIRST DECLARATION, OR

IF YOUR STATUS HAS CHANGED DURING THE PAST YEAR, PLEASE COMPLETE (A), (B), AND (C) ON THE FORM

AND THE ABOVE EXPLANATION OR BY ATTACHMENT. PLEASE NOTIFY THE TAX OFFICE PROMPTLY OF ANY

L ATER CHANGES. IF YOUR NA M E , ADDRESS AND ACCOUNT NUMBER HAS BEEN PRINTED AND THE

I N F O R M ATION SHOWN IS NOT CORRECT, PLEASE MAKE ANY NECESSARY CHANGES JUST BELOW SUCH

IMPRINTING.

HOW TO FILL OUT SECTION D. ON LINE 1, ENTER YOUR ESTIMATE OF THE INCOME SUBJECT TO TAX WHICH YOU

EXPECT TO RECEIVE IN 2003. ON LINE 2, IF YOU ARE A HAMILTON, J.E.D.D., J.E.D.D. II, OR BUTLER COUNTY

ANNEX TAXPAYER, ENTER 2% OF THE AMOUNT ON LINE 1. IF YOU ARE A NEW MIAMI TAXPAYER, ENTER 1.75%

OF THE AMOUNT ON LINE 1. IF YOU ARE AN OXFORD TAXPAYER ENTER 1.75% OF THE AMOUNT ON LINE 1. IF

YOU ARE AN EATON TAXPAYER, ENTER 1.5% OF THE AMOUNT ON LINE 1. ON LINE 4, ENTER THE AMOUNT OF

YOUR ESTIMATED TAX LIABILITY OVER AND ABOVE THAT WHICH YOUR EMPLOYER WILL WITHHOLD FOR YOU

(LINE 2 LESS LINE 3). ON LINE 5, LIST ANY ALLOWABLE CREDITS WHICH CAN BE APPLIED FROM YOUR 2002 TAX.

ON LINE 6, ENTER THE BALANCE OF LINE 4 AFTER SUBTRACTING ANY AMOUNT ON LINE 5. THIS IS YOUR

ESTIMATED TAX FOR THE YEAR. ON LINE 7, ENTER THE AMOUNT YOU WILL PAY WITH THE FILING OF THIS

DECLARATION OR SPREAD EQUALLY OVER THE PAYMENT DATES OF 4-30-03, 6-30-03, 9-30-03 AND 12-31-03

FOR HAMILTON, J.E.D.D., J.E.D.D II, AND BUTLER COUNTY ANNEX TAXPAYERS, AND THE DATES OF 4-30-03,

7-31-03, 10-31-03 AND 1-31-04 FOR OXFORD, EATON AND NEW MIAMI TAXPAYERS. FISCAL YEAR TAXPAYERS

SHOULD FILE WITHIN 4 MONTHS AFTER THE BEGINNING OF THE FISCAL YEAR AND ADJUST QUARTERLY

PA YMENTS ACCORDINGLY.

*PLEASE NOTE: WE DO NOT BILL FOR THE FIRST QUARTER WHICH IS DUE 4-30-03 OR WITHIN 4 MONTHS AFTER

YOUR TAX PERIOD BEGINS. ONCE YOU FILE THIS DECLARATION OF ESTIMATED TAX FORM, THE SYSTEM WILL

GENERATE PAYMENT VOUCHERS FOR YOU TO USE IN REMITTING YOUR SECOND, THIRD AND FOURTH QUARTER

TAX PAYMENTS. NO OTHER QUARTERLY BILLINGS WILL BE SENT BY THIS OFFICE. HOWEVER, IF NOT PAID

TIMELYYOU MAY RECEIVE DELINQUENT NOTICES. THE RETURN OF THIS FORM, UNLESS SIGNED, DATED AND

ACCOMPANIED BY PAYMENT OF AT LEAST 25% OF THE ESTIMATED TAX SHOWN ON LINE 4 DOES NOT

CONSTITUTE A LEGAL FILING OF A DECLARATION.

**THE AMOUNT OF EACH QUARTERLY BILLING WILL BE DETERMINED BY DIVIDING LINE 4 BY FOUR. ANY

CREDIT OR PREVIOUS PAYMENTS RECEIVED WILL BE DEDUCTED FROM THE MOST CURRENT PAYMENT DUE.

***J.E.D.D. IS DEFINED AS JOINT ECONOMIC DEVELOPMENT DISTRICT.

Form D-1 - Declaration Of Estimated Income Tax - 2003 Page 2

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