Declaration Of Estimated Tax For Year 2004 - City Of Pickerington printable pdf download

Declaration Of Estimated Tax For Year 2004 - City Of Pickerington

CITY OF PICKERINGTON

INCOME TAX DEPARTMENT

100 LOCKVILLE RD

PICKERINGTON OH 43147-1399

TELEPHONE:(614) 837-4116

FAX:(614) 833-2201

DECLARATION OF ESTIMATED TAX FOR YEAR 2004

Required by law according to Codified Ordinance Section 882.08 on all income from which City of

Pickerington tax is not withheld. Penalty for noncompliance.

NAME:__________________________________________________________________________________________________

(Please print taxpayer and spouse)

STREET ADDRESS:_______________________________________________________________________________________

HOME PHONE:______________________________MOVE IN OR OUT DATE:______________________________________

(Partial year residents only)

1. Check if employer is withholding tax for Pickerington CITY (not school tax):

(Do not include this income when estimating on line 2)

_____taxpayer

SS#__________________

Employer’s name________________________________

_____spouse

SS#__________________ Employer’s name________________________________

2. Total gross income subject to tax:

$_______________________

Partial year residents:

Proportion income to include only that earned as a resident of the City of Pickerington.

3. Multiply line 2 by 1% (.01):

$_______________________

4. Less resident credit of ½% (.005):

$_______________________

(Multiply .005 X all income from line 2 that was taxed by another city)

5. Subtract line 4 from line 3 for total estimated tax due:

$_______________________

6. First quarter estimate payment (1/4 of line 5): Due April 15, 2004:

$_______________________

7. Second quarter (estimate payments must equal 1/2 of line 5):

$_______________________

(Amount due by July 15, 2004)

8. Third quarter (estimate payments must equal 3/4 of line 5):

$_______________________

(Amount due by October 15, 2004)

9.Fourth quarter (estimate payments must equal 100% of line 5):

$_______________________

(Amount due by December 15, 2004)

Declaration Of Estimated Tax For Year 2004 - City Of Pickerington