Declaration Of Estimated Tax Form

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DECLARATION OF ESTIMATED TAX FOR YEAR
Acct#______________
FILING REQUIRED EVEN IF NO TAX IS DUE
_________________________________________________________________________________
Name: ________________________________
Current Employer______________________________
SS # Taxpayer_________________________________
Address:______________________________
SS # Spouse ___________________________________
Phone # Home_____________Work_______________
______________________________
IF MOVED SINCE THE PREVIOUS FINAL RETURN
WAS DUE GIVE DATE OF MOVE
INTO VILLAGE________________
OUT OF_______________________
MOVE IN DATE_______________________________
TAXABLE ________MONTHS (Move in month through December)
To Compute taxable Income:
ANNUAL WAGES = WAGES PER MONTH X MONTHS OF RESIDENCY = TAXABLE INCOME
12 MONTHS
WAGES
=
X
MONTHS =
TAXABLE
12
TAXABLE INCOME X .02 =_______- TAX PAID TO ANOTHER CITY= ESTIMATED TAX
(minus)
(Not to exceed 2% wages taxed)
Example: Estimated Income of $25,000.00:
Line 8
25,000. X .02 = 500.00
Line 9c
25,000. X .02 = 500.00 (Not to exceed 2% of wages taxed)
Line 10
Line 8 minus Line 9 = 0 (Estimated tax for 2009)
If estimated tax due is over $50.00, quarterly payments are required. Statements will be
Mailed at the end of each quarter. Full payment may be made at this time if preferred.
If payment is under $50.00, payment may be made now or at the time of 2009 filing.
A payment plan can be arranged by calling the Tax Office to make arrangements.
DECLARATION OF ESTIMATED TAX FOR YEAR 2009
8. TOTAL INCOME SUBJECT TO TAX $______________MULTIPLY BY TAX RATE OF 2% FOR GROSS TAX OF ……………$_____________
9. LESS EXPECTED TAX CREDIT
a.
WITHHELD BY EMPLOYER FOR WOODLAWN (NOT TO EXCEED 2% OF THAT PORTION TAXED) $_______________
b.
OVERPAYMENT FROM PRIOR YEAR ……………………………………………………………………… $______________
c.
PAYMENTS TO ANOTHER MUNCIPALITY (NOT TO EXCEED 2% OF THAT PORTION TAXED)…….$_______________
d.
TOTAL CREDITS…………………………………………………………………………………………………………………...$____________
10. NET EXTIMATED TAX DUE FOR 2009 (LINE 8 LESS LINE 9d)…………………………………………………………..………$____________
11. AMOUNT PAID WITH THIS DECLARATION (NOT LESS THAN ¼ OF LINE 10)…………………………………………
(NOT REQUIRED IF LINE 10 IS LESS THAN $50.00)
12. TOTAL OF THIS PAYMENT…………………………………….CHECK #__________ …………………………………….
MAKE CHECKS PAYABLE TO VILLAGE OF WOODLAWN
I CERTIFY THAT I HAVE EXAMINED THIS RETURN (INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS) AND TO THE
BEST OF MY KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE. IF PREPARED BY A PERSON OTHER THAN
TAXPAYER, THE DELARATION IS BASED ON ALL INFORMATION OF WHICH PREPARER HAS ANY KNOWLEDGE.
______________________________________________________________
_________________________________________________
Signature of Person Preparing if Other Than Taxpayer
Date
Signature of Taxpayer
Date
____________________________________________________________________________________
__________________________________________________________________
Address
Telephone Number
Signature of Taxpayer
Date

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