Individual Income Tax Return - City Of Marysville - 2013 Page 3

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CITY OF MARYSVILLE, OHIO
CITY OF MARYSVILLE, OHIO
2ND
Income Tax Division
INDIVIDUAL QUARTERLY
209 S. Main St., P.O. Box 385
QUARTER
ESTIMATED PAYMENT
Marysville, Ohio 43040
Telephone: (937) 645-7350
Fax: (937) 645-7351
1.
Total Estimated Tax Owed
$
Taxpayer Soc. Sec. No.
Spouse Soc. Sec. No.
Due on or Before
July 31,
(
)
2.
Amount of Quarterly
Installment (not less than
$
22.5% of Line 1)
Name & Address
Payable To:
City of Marysville Income Tax
CITY OF MARYSVILLE, OHIO
CITY OF MARYSVILLE, OHIO
3RD
Income Tax Division
INDIVIDUAL QUARTERLY
209 S. Main St., P.O. Box 385
QUARTER
ESTIMATED PAYMENT
Marysville, Ohio 43040
Telephone: (937) 645-7350
Fax: (937) 645-7351
1.
Total Estimated Tax Owed
$
Taxpayer Soc. Sec. No.
Spouse Soc. Sec. No.
Due on or Before
October 31,
(
)
2.
Amount of Quarterly
Installment (not less than
$
22.5% of Line 1)
Name & Address
Payable To:
City of Marysville Income Tax
CITY OF MARYSVILLE, OHIO
CITY OF MARYSVILLE, OHIO
4TH
Income Tax Division
INDIVIDUAL QUARTERLY
209 S. Main St., P.O. Box 385
QUARTER
ESTIMATED PAYMENT
Marysville, Ohio 43040
Telephone: (937) 645-7350
Fax: (937) 645-7351
1.
Total Estimated Tax Owed
$
Taxpayer Soc. Sec. No.
Spouse Soc. Sec. No.
Due on or Before
January 31,
(
)
2.
Amount of Quarterly
Installment (not less than
$
22.5% of Line 1)
Name & Address
Payable To:
City of Marysville Income Tax

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