Form D-1 - Quarterly Payment Of Estimated Net Profit Tax - 2004

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D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
P O BOX 640770
2004
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter your name and address here
SSN#:
TAX RATE:
QUARTER ENDING: MARCH 31, 2004
DUE DATE: APRIL 30, 2004
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
2004
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter your name and address here
SSN#:
TAX RATE:
QUARTER ENDING: JUNE 30, 2004
DUE DATE: JULY 31, 2004
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
2004
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter your name and address here
SSN#:
TAX RATE:
QUARTER ENDING: SEPTEMBER 30, 2004
DUE DATE: OCTOBER 31, 2004
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________

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