Declaration For Estimated Taxes - Amherst Income Tax Department
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1Declaration of Estimated Taxes for the Tax Year __________
Your first name and initial
Last Name
Amherst Income Tax Department
480 Park Avenue
Spouse's first name and initial
Last Name
Amherst, OH 44001
phone (440) 988-4212
fax (440)-988-3749
Home address (number and street)
Apt. No.
email:
City, town or post office, state, and ZIP code
Your social security number
Spouse's social security number
Computation of Estimated Taxes
1). Total estimated income subject to tax
$
Multiply line 1 by the city income tax rate
X
0.015
2). Total estimated tax
$
3). Estimated income tax to be withheld or paid to other cities
$
(This amount would be 1% (.01) of line 1 if you are working in
another city that has a tax rate equal to or greater than 1%. )
4). Balance of city income tax declared. Subtract line 3 from line 2
$
Estimated Taxes in the City of Amherst are not mandatory. Bills will be mailed on a quarterly schedule as
shown below:
1st Quarter
Due April 15
2nd Quarter
Due June 15
3rd Quarter
Due September 15
4th Quarter
Due December 15
Your estimated payments may be made by check payable to "Amherst Income Tax Department", and mailed
to the address above.
You may also elect to have your estimated payments directly debited from your checking or savings account
on a quarterly basis. If you wish to do this, please complete the "ACH Authorization" form and mail or
drop it off in our office. Please remember to include a void check or deposit slip. You will be mailed a
statement each quarter before your account is debited.
Taxpayer's Signature______________________________Date___________Telephone Number (____)_____________
Spouse's Signature_______________________________Date___________Telephone Number (____)_____________
Preparer's Signature______________________________Date___________Telephone Number (____)_____________
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Parent category: Financial