Form R-B - Business Income Tax Return - City Of Xenia - 2016 Page 4
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5FORM XQ-1 (B)
TAX YEAR
ESTIMATED TAX PAYMENT (Business)
CITY OF XENIA
2017
PO Box 490
nd
2
Quarter – Due on or before June 15, 2017 for calendar yr filers
Xenia, OH 45385-0490
for office use only
th
or due 15
of sixth month of fiscal year
937-376-7248
NOTE: TAX RATE FOR 2017 IS 2.25%
DATE RECEIVED___________
Payment Enclosed $______________________
2
PAYMENT TYPE_____
_____
Federal ID Number
/
FILING PERIOD__02__
_2017
AMT. REC’D $______________
Taxpayer’s Name & Address
FORM XQ-1 (B)
ESTIMATED TAX PAYMENT (Business)
CITY OF XENIA
TAX YEAR
PO Box 490
rd
2015
3
Quarter – Due on or before September 15, 2017 for calendar yr filers
Xenia, OH 45385-0490
th
or due 15
of ninth month of fiscal year
937-376-7248
NOTE: TAX RATE FOR 2017 IS 2.25%
for office use only
DATE RECEIVED___________
Payment Enclosed $______________________
Federal ID Number
2
PAYMENT TYPE_____
_____
/
FILING PERIOD__03__
_2017
Taxpayer’s Name & Address
AMT. REC’D $______________
FORM XQ-1 (B)
TAX YEAR
ESTIMATED TAX PAYMENT (Business)
CITY OF XENIA
2015
PO Box 490
th
4
Quarter – Due on or before December 15, 2017 for calendar yr filers
Xenia, OH 45385-0490
th
or due 15
of twelfth month of fiscal year
for office use only
937-376-7248
NOTE: TAX RATE FOR 2017 IS 2.25%
DATE RECEIVED___________
Payment Enclosed $______________________
2
PAYMENT TYPE_____
_____
Federal ID Number
/
FILING PERIOD__04__
_2017
Taxpayer’s Name & Address
AMT. REC’D $______________
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