Declaration Of Estimated Tax Form - City Of Perrysburg - 2012

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For calendar year 2012 or fiscal year ending
City of Perrysburg Declaration of Estimated Tax
Voucher No. 1 due April 15, 2012
1.
Declaration from Line 5 of
Estimated Tax Worksheet
File #
2.
¼ of Line 1
3.
Less any carryover from prior
Name
year
Address
4.
Line 2 minus Line 3
Amount of first installment
Taxpayer check no. ___________________
____________________________________
____________
Return this voucher with payment to:
Taxpayer must sign here
Date
City of Perrysburg Tax Commissioner
PO Box 490, Perrysburg, OH 43552-0490
SS#/FEIN/File #
  
For calendar year 2012 or fiscal year ending
City of Perrysburg Declaration of Estimated Tax
Voucher No. 2 due July 31, 2012
1.
Declaration from Line 5 of
Estimated Tax Worksheet
File #
2.
Less previous payments to date
3.
Line 1 – Line 2
Name
Balance 2012 Estimated Tax due
Address
4.
1/3 of Line 3
Amount of second quarter installment
Taxpayer check no. ___________________
____________________________________
____________
Return this voucher with payment to:
Taxpayer must sign here
Date
City of Perrysburg Tax Commissioner
PO Box 490, Perrysburg, OH 43552-0490
SS#/FEIN/File #
  
For calendar year 2012 or fiscal year ending
City of Perrysburg Declaration of Estimated Tax
Voucher No. 3 due October 31, 2012
1.
Declaration from Line 5 of
Estimated Tax Worksheet
File #
2.
Less previous payments to date
3.
Line 1 – Line 2
Name
Balance 2012 Estimated Tax due
Address
4.
½ of Line 3
Amount of third quarter installment
Taxpayer check no. ___________________
____________________________________
____________
Return this voucher with payment to:
Taxpayer must sign here
Date
City of Perrysburg Tax Commissioner
PO Box 490, Perrysburg, OH 43552-0490
SS#/FEIN/File #
  
For calendar year 2012 or fiscal year ending
City of Perrysburg Declaration of Estimated Tax
Voucher No. 4 due January 31, 2013
1.
Declaration from Line 5 of
Estimated Tax Worksheet
File #
2.
Less previous payments to date
3.
Line 1 – Line 2
Name
Balance 2012 Estimated Tax due
Address
4.
Pay amount on Line 3
for fourth quarter installment
Taxpayer check no. ___________________
____________________________________
____________
Return this voucher with payment to:
Taxpayer must sign here
Date
City of Perrysburg Tax Commissioner
PO Box 490, Perrysburg, OH 43552-0490
SS#/FEIN/File #
2012-Est-1

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