Quarterly Corporate Estimate Payment Coupon - City Of Canton - 2012 Page 2
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1
2CITY OF CANTON, OHIO
Robert C. Schirack, Treasurer
CITY OF CANTON
QUARTERLY CORPORATE ESTIMATE PAYMENT COUPON
INCOME TAX DEPARTMENT
2012 1st Quarter
P.O. BOX 9940
$
AMOUNT PAID
CANTON, OHIO 44711-9940
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
Federal I.D. No.
Account Number
Due on or Before*
4-17-2012
$
q
q
MasterCard
Name & Address
(Amount Authorized)
CREDIT CARD EXPIRATION DATE
/
* OR THE SEVENTEENTH DAY OF THE FOURTH MONTH OF THE FISCAL YEAR
CARDHOLDER
CITY OF CANTON, OHIO
Robert C. Schirack, Treasurer
CITY OF CANTON
QUARTERLY CORPORATE ESTIMATE PAYMENT COUPON
INCOME TAX DEPARTMENT
2012 2nd Quarter
P.O. BOX 9940
$
AMOUNT PAID
CANTON, OHIO 44711-9940
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
Federal I.D. No.
Account Number
Due on or Before*
6-15-2012
q
q
MasterCard
$
Name & Address
(Amount Authorized)
CREDIT CARD EXPIRATION DATE
/
* OR THE FIFTEENTH DAY OF THE SIXTH MONTH OF THE FISCAL YEAR
CARDHOLDER
CITY OF CANTON, OHIO
Robert C. Schirack, Treasurer
CITY OF CANTON
QUARTERLY CORPORATE ESTIMATE PAYMENT COUPON
INCOME TAX DEPARTMENT
2012 3rd Quarter
P.O. BOX 9940
$
AMOUNT PAID
CANTON, OHIO 44711-9940
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
Federal I.D. No.
Account Number
Due on or Before*
9-15-2012
q
q
MasterCard
$
Name & Address
(Amount Authorized)
CREDIT CARD EXPIRATION DATE
/
* OR THE FIFTEENTH DAY OF THE NINTH MONTH OF THE FISCAL YEAR
CARDHOLDER
CITY OF CANTON, OHIO
Robert C. Schirack, Treasurer
CITY OF CANTON
QUARTERLY CORPORATE ESTIMATE PAYMENT COUPON
INCOME TAX DEPARTMENT
2012 4th Quarter
P.O. BOX 9940
$
AMOUNT PAID
CANTON, OHIO 44711-9940
TO CHARGE YOUR PAYMENT, PLEASE COMPLETE.
Federal I.D. No.
Account Number
Due on or Before*
12-15-2012
q
q
MasterCard
$
Name & Address
(Amount Authorized)
CREDIT CARD EXPIRATION DATE
/
* OR THE FIFTEENTH DAY OF THE TWELFTH MONTH OF THE FISCAL YEAR
CARDHOLDER
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