Ohio Quarterly Notice Of Installment Due On Estimated Tax Declared

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CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
MAKE CHECK OR MONEY ORDER PAYABLE TO:
CALENDAR YEAR - DUE OCTOBER 31
VOUCHER 3
FORMS AVAILABLE ON INTERNET AT eld.oh.us
VOUCHER 1
CITY OF SPRINGFIELD, INCOME TAX DIVISION
FOR OFFICE USE ONLY:
➙
MAIL TO
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
FISCAL YEAR - DUE 15 DAYS AFTER
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
CALENDAR YEAR - DUE OCTOBER 31
END OF QUARTER
1
QUARTER
ST
VOUCHER 3
MAKE CHECK OR MONEY ORDER PAYABLE TO:
TELEPHONE (937) 324-7357
FISCAL YEAR - DUE 15 DAYS AFTER
END OF QUARTER
CITY OF SPRINGFIELD, INCOME TAX DIVISION
➙
MAIL TO
CALENDAR YEAR - DUE OCTOBER 31
MAKE CHECK OR MONEY ORDER PAYABLE TO:
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
CALENDAR YEAR:
FISCAL YEAR - DUE 15 DAYS AFTER
CANCELLED CHECK WILL BE YOUR RECEIPT
CITY OF SPRINGFIELD, INCOME TAX DIVISION
➙
MAIL TO
TELEPHONE (937) 324-7357
END OF QUARTER
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
DO NOT REMIT CASH BY MAIL
DUE APRIL 15
MAKE CHECK OR MONEY ORDER PAYABLE TO:
TELEPHONE (937) 324-7357
CITY OF SPRINGFIELD, INCOME TAX DIVISION
➙
MAIL TO
CANCELLED CHECK WILL BE YOUR RECEIPT
FISCAL YEAR:
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
DO NOT REMIT CASH BY MAIL
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
CANCELLED CHECK WILL BE YOUR RECEIPT
TELEPHONE (937) 324-7357
DUE 15 DAYS AFTER
DO NOT REMIT CASH BY MAIL
END OF QUARTER
$ ..........................................
$ .........................................
CANCELLED CHECK WILL BE YOUR RECEIPT
TOTAL ESTIMATED TAX DECLARED:
PAYMENT FOR YEAR:
QUARTERLY PAYMENT ENCLOSED:
DO NOT REMIT CASH BY MAIL
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
$ ..........................................
$ .........................................
S) AND ADDRESS:
$ ..........................................
$ .........................................
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
NAME(S) AND ADDRESS:
NAME(S) AND ADDRESS:
$ ..........................................
$ .........................................
NAME(S) AND ADDRESS:
TELEPHONE #: ________________________________________
NAME(S) AND ADDRESS:
L SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER / FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
Q-1
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
METHOD OF PAYMENT
METHOD OF PAYMENT
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
METHOD OF PAYMENT
Check
Check
R
Check
R
METHOD OF PAYMENT
R
$
CREDIT CARD EXPIRATION DATE
/
/
Check
FORMS AVAILABLE ON INTERNET AT eld.oh.us
R
$
CREDIT CARD EXPIRATION DATE
/
/
(Amount Authorized)
$
CREDIT CARD EXPIRATION DATE
/
/
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
(Amount Authorized)
PHONE NUMBER
HOME
WORK
(Amount Authorized)
$
CREDIT CARD EXPIRATION DATE
/
/
VOUCHER
PHONE NUMBER
HOME
WORK
(Amount Authorized)
PHONE NUMBER
HOME
WORK
PHONE NUMBER
HOME
WORK
FORMS AVAILABLE ON INTERNET AT eld.oh.us
CARDHOLDER SIGNATURE
CALENDAR YEAR - DUE OCTOBE
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
CARDHOLDER SIGNATURE
FISCAL YEAR - DUE 15 DAYS AFT
CARDHOLDER SIGNATURE
VOUCHER 3
FORMS AVAILABLE ON INTERNET AT eld.oh.us
CARDHOLDER SIGNATURE
END OF QUARTE
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
MAKE CHECK OR MONEY ORDER PAYABLE TO:
CALENDAR YEAR - DUE OCTOBER 31
VOUCHER 3
VOUCHER 2
VOUCHER 1
FORMS AVAILABLE ON INTERNET AT eld.oh.us
VOUCHER 2
CITY OF SPRINGFIELD, INCOME TAX DIVISION
FOR OFFICE USE ONLY:
➙
MAIL TO
Y OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX D
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
FISCAL YEAR - DUE 15 DAYS AFTER
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARE
GFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
CITY OF SPRINGFIELD, OHIO QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
CALENDAR YEAR - DUE OCTOBER 31
END OF QUARTER
CALENDAR YEAR - DUE JULY 31
CALENDAR YEAR - DUE APRIL 15
VOUCHER 2
2
QUARTER
VOUCH
ND
VOUCHER 3
VOUCHER 2
VOUCHER 1
MAKE CHECK OR MONEY ORDER PAYABLE TO:
TELEPHONE (937) 324-7357
VOUCHER 2
VOU
FISCAL YEAR - DUE 15 DAYS AFTER
FISCAL YEAR - DUE 15 DAYS AFTER
FISCAL YEAR - DUE 15 DAYS AFTER
END OF QUARTER
CITY OF SPRINGFIELD, INCOME TAX DIVISION
END OF QUARTER
END OF QUARTER
➙
MAIL TO
CALENDAR YEAR - DUE OCTOBER 31
CALENDAR YEAR - DUE JULY 31
CALENDAR YEAR - DUE A
CALENDAR YEAR - DUE JULY 31
CALENDAR YEAR - DUE APRIL 15
MAKE CHECK OR MONEY ORDER PAYABLE TO:
MAKE CHECK OR MONEY ORDER PAYABLE TO:
MAKE CHECK OR MONEY ORDER PAYABLE TO:
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
CALENDAR YEAR - DUE JULY 31
CALENDAR YEAR -
CALENDAR YEAR:
FISCAL YEAR - DUE 15 DAYS AFTER
CANCELLED CHECK WILL BE YOUR RECEIPT
FISCAL YEAR - DUE 15 DAYS AFTER
FISCAL YEAR - DUE 15 DAYS AFTER
FISCAL YEAR - DUE 15 DAYS AFTE
FISCAL YEAR - DUE 15 D
MAIL
CITY OF SPRINGFIELD, INCOME TAX DIVISION
MAIL
➙
CITY OF SPRINGFIELD, INCOME TAX DIVISION
MAIL TO
CITY OF SPRINGFIELD, INCOME TAX DIVISION
TELEPHONE (937) 324-7357
END OF QUARTER
END OF QUARTER
END OF QUARTER
END OF QUARTER
END OF Q
FISCAL YEAR - DUE 15 DAYS AFTER
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
DO NOT REMIT CASH BY MAIL
DUE JULY 31
FISCAL YEAR - DUE
TO
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
TO
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
➙
➙
MAKE CHECK OR MONEY ORDER PAYABLE TO:
MAKE CHECK OR MONEY ORDER PAYABLE TO:
MAKE CHECK OR MONEY ORDER PAYABLE TO:
MAKE CHECK OR MONEY ORDER PAYABLE TO:
MAKE CHECK OR MONEY ORDER PAYABLE TO:
END OF QUARTER
END
TELEPHONE (937) 324-7357
TELEPHONE (937) 324-7357
TELEPHONE (937) 324-7357
MAIL
CITY OF SPRINGFIELD, INCOME TAX DIVISION
MAIL
➙
CITY OF SPRINGFIELD, INCOME TAX DIVISION
MAIL TO
CITY OF SPRINGFIELD, INCOME TAX DIVISION
AIL
MAIL
KE CHECK OR MONEY ORDER PAYABLE TO:
CITY OF SPRINGFIELD, INCOME TAX DIVISION
MAKE CHECK OR MONEY ORDER PAYABLE TO:
CITY OF SPRINGFIELD, INCOME TAX DIVISION
CANCELLED CHECK WILL BE YOUR RECEIPT
FISCAL YEAR:
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
TO
➙
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
TO
➙
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
O
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
DO NOT REMIT CASH BY MAIL
TO
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
➙
MAIL
➙
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
TY OF SPRINGFIELD, INCOME TAX DIVISION
CITY OF SPRINGFIELD, INCOME TAX DIVISION
CANCELLED CHECK WILL BE YOUR RECEIPT
CANCELLED CHECK WILL BE YOUR RECEIPT
CANCELLED CHECK WILL BE YOUR RECEIPT
TELEPHONE (937) 324-7357
DUE 15 DAYS AFTER
TELEPHONE (937) 324-7357
TELEPHONE (937) 324-7357
TELEPHONE (937) 324-7357
TELEPHONE (937) 324-7357
DO NOT REMIT CASH BY MAIL
DO NOT REMIT CASH BY MAIL
DO NOT REMIT CASH BY MAIL
O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
TO
➙
P.O. BOX 5200, SPRINGFIELD, OHIO 45501-5200
END OF QUARTER
$ ..........................................
$ .........................................
TELEPHONE (937) 324-7357
TELEPHONE (937) 324-7357
CANCELLED CHECK WILL BE YOUR RECEIPT
TOTAL ESTIMATED TAX DECLARED:
PAYMENT FOR YEAR:
QUARTERLY PAYMENT ENCLOSED:
CANCELLED CHECK WILL BE YOUR RECEIPT
CANCELLED CHECK WILL BE YOUR RECEIPT
CANCELLED CHECK WILL BE YOUR RECEIPT
CANCELLED CHECK WILL BE YOUR RECEIPT
DO NOT REMIT CASH BY MAIL
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
DO NOT REMIT CASH BY MAIL
DO NOT REMIT CASH BY MAIL
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
DO NOT REMIT CASH BY MAIL
DO NOT REMIT CASH BY MAIL
$ ..........................................
$ .........................................
S) AND ADDRESS:
CANCELLED CHECK WILL BE YOUR RECEIPT
CANCELLED CHECK WILL BE YOUR RECEIPT
$ ..........................................
$ .........................................
$ ..........................................
$ .........................................
$ ..........................................
$ .........................................
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
DO NOT REMIT CASH BY MAIL
DO NOT REMIT CASH BY MAIL
NAME(S) AND ADDRESS:
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLO
NAME(S) AND ADDRESS:
NAME(S) AND ADDRESS:
NAME(S) AND ADDRESS:
$ ..........................................
$ .........................................
$ ..........................................
$ .........................................
$ ..........................................
$ .........................................
NAME(S) AND ADDRESS:
TELEPHONE #: ________________________________________
$ ..........................................
$ .........................................
$ ..........................................
$ ......................................
TIMATED TAX DECLARED:
QUARTERLY PAYMENT ENCLOSED:
TOTAL ESTIMATED TAX DECLARED:
QUARTERLY PAYMENT E
NAME(S) AND ADDRESS:
NAME(S) AND ADDRESS:
NAME(S) AND ADDRESS:
ME(S) AND ADDRESS:
NAME(S) AND ADDRESS:
.....................................
$ .........................................
$ ..........................................
$ .............................
ADDRESS:
NAME(S) AND ADDRESS:
L SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER / FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
Q-1
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
Q-1
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
CIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
Q-1
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
METHOD OF PAYMENT
METHOD OF PAYMENT
METHOD OF PAYMENT
METHOD OF PAYMENT
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
METHOD OF PAYMENT
Check
Check
Check
Check
R
R
R
Check
R
Q-1
Q-1
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
METHOD OF PAYMENT
RITY NUMBER/FEDERAL I.D. NUMBER:
METHOD OF PAYMENT
R
SOCIAL SECURITY NUMBER/FEDERAL I.D. NUMBER:
METHOD OF PAYMENT
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
$
CREDIT CARD EXPIRATION DATE
/
/
$
CREDIT CARD EXPIRATION DATE
Check
/
/
$
CREDIT CARD EXPIRATION DATE
/
/
Check
Check
R
R
R
$
CREDIT CARD EXPIRATION DATE
/
/
(Amount Authorized)
(Amount Authorized)
(Amount Authorized)
$
CREDIT CARD EXPIRATION DATE
/
/
(Amount Authorized)
ETHOD OF PAYMENT
PHONE NUMBER
HOME
METHOD OF PAYMENT
WORK
PHONE NUMBER
HOME
WORK
PHONE NUMBER
HOME
WORK
(Amount Authorized)
$
CREDIT CARD EXPIRATION DATE
/
/
$
CREDIT CARD EXPIRATION DATE
/
/
$
Q-1
CREDIT CARD EXPIRATION DATE
/
/
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANGE IN
NOTIFY INCOME TAX DIVISION PROMPTLY OF ANY CHANG
Check
Check
PHONE NUMBER
HOME
WORK
(Amount Authorized)
(Amount Authorized)
PHONE NUMBER
HOME
(Amount Authorized)
WORK
R
R
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
OWNERSHIP OR NAME AND ADDRESS SHOWN ABOVE
PHONE NUMBER
HOME
WORK
PHONE NUMBER
HOME
WORK
PHONE NUMBER
HOME
WORK
CARDHOLDER SIGNATURE
CARDHOLDER SIGNATURE
CARDHOLDER SIGNATURE
CREDIT CARD EXPIRATION DATE
/
/
$
CREDIT CARD EXPIRATION DATE
/
/
OF PAYMENT
METHOD OF PAYMENT
Amount Authorized)
CARDHOLDER SIGNATURE
(Amount Authorized)
CARDHOLDER SIGNATURE
CARDHOLDER SIGNATURE
Check
CARDHOLDER SIGNATURE
CARDHOLDER SIGNATURE
HONE NUMBER
HOME
WORK
PHONE NUMBER
HOME
WORK
R
R

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