Form D1 - Declaration Of Estimated Tax - 2000
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1FORM D1- Multiple City
ESTIMATE
2000
City of Dayton
Department of Finance
Division of Revenue and Taxation
PO Box 2806
Dayton, Ohio 45401-2806
m
Account Number
Complete the Information Below
Name
City of Residence
Spouses Name
City of Employment
Address
Status as Taxpayer:
Individual
Corporation
City, State, Zip Code
Partnership
Partner
Other
Sole Proprietor
Declaration of Estimated Tax
Column A
Column B
Rate
Column C
Column D
Column E
Column F
City/Village
Taxable Income
%
Estimated Tax
Prior Credits
Tax Withheld
Net Tax
Brookville
1.75%
Cedarville
1.00%
Dayton
2.25%
Englewood
1.75%
Farmersville
1.00%
Huber Heights
1.95%
Phillipsburg
1.50%
Trotwood
2.25%
West Milton
1.50%
Yellow Springs
1.50%
Line 1. Net Tax Due from Column F above. (Enter this amount on Line 1of the Quarterly Statements)
$
Line 2. Amount Paid. (Not less than 1/4 of Net Tax Due.
$
The undersigned declare this return and attached schedules to be a true and complete return for the taxable year stated and that the figures used herein are the same
as used for Federal Tax purposes, adjusted to the requirements of the city tax ordinances represented by this return. If this return was prepared by a tax professional,
may we contact them directly concerning this return?
Yes ___ No___
Your Signature
Date
Day Time Phone No. ________________________________
Spouse’s Signature
Date
Day Time Phone No. ________________________________
Preparer’s Signature
Date
Preparer’s Phone No. ________________________________
DECLARATION OF ESTIMATED TAX INSTRUCTIONS
Column B
Enter the estimated income by city/village in which the income will be earned.
Residents should include all income subject to the tax by their resident community if listed.
Column C
For each community with income listed, multiply the estimated income by the rate given. (Column B X Rate.)
Column D
Enter any credits from a prior year or previously paid.
Column E
Enter the tax to be withheld by your employer and/or amounts to be paid by a partnership on behalf of a partner.
Residents should include credits for taxes to be paid another community on the same income.
Column F
Enter the remainder after subtracting Columns D and E from Column C. (C-(D+E)=F)
Line 1
Add amounts in Column F and enter on Line 1 of this form and Line 1 of each Quarterly Statement in this packet.
Line 2
Enter the amount to be paid with this filing. Amount should be at least 1/4 of Line 1.
Make checks or money orders payable to the City of Dayton
Signatures:
Your signature (and spouse if a joint return) should appear at the bottom of the return. If the return was prepared by a tax
professional make certain your return contains their signature and ID number.
Telephone Numbers:
Daytime phone numbers are optional but helpful if there is a problem with your return.
Quarterly Statements:
Three Quarterly Statements are included in this package. No additional reminders will be sent during the year.The amount on Line 1 of the
Declaration should be entered on Line 1 of each statement. On Line 2 of each statement enter 1/4 of the the Line 1 total. For calendar year
taxpayers the due dates are preprinted. For Fiscal year tax payers the payments are due the end of the 7th, 10th and 13th months after
the start of the fiscal year.
If you need assistance call the Division of Revenue and Taxation at (937) 333-3500.
Mail Address: City of Dayton
Office Location:
City Hall - First Floor
Department of Finance
101 West Third Street
Division of Revenue and Taxation
Dayton, Ohio 45402
PO Box 2806
Forms Line Only:
(937) 333-3501
Dayton, Ohio 45401-2806
FAX Number:
(937) 333-4280
On Line Forms and Information:
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