Form On-1 - Notice Of Installement Due On Estimated Tax Declared Form

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Form ON-1
STATEMENT OF PANDORA OHIO INCOME TAX
NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED
Mail check or money order to:
This Statement MUST Accompany
Village of Pandora, Ohio – Income Tax
your remittance to: Village of
DO NOT REMIT CASH BY MAIL.
Pandora, Ohio, P.O.Box 193,
Pandora, Ohio
Amount Enclosed
$_____________________________
Estimated Tax
Credits and/or Payments
Amount of
Installment
Declared
Date of
Total Amount
Unpaid Balance
Due
Last Credit
Credited
If this statement does not reflect payment recently made,please advise
this department at once.
Name and Address
Due on or Before:
Notify Dept. of Taxation promptly of any change of name or address shown
above.

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