Form D-1 - 2010 Individual Declaration Of Estimated Income Tax

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Click on the fields below and type in your
2010 INDIVIDUAL DECLARATION
information. Then print the form and mail it to
our office.
OF ESTIMATED INCOME TAX
FOR CALENDAR YEAR 2010 OR _______ MONTHS ENDING _______ 20____
FOR OFFICIAL USE ONLY
A legally filed declaration must be signed, dated and accompanied by payment. The safest and easiest way to declare is to estimate this year’s taxes based on last year’s taxable
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income. Mail To: Cincinnati Income Tax Division, 805 Central Avenue Suite 600, Cincinnati, OH 45202-5756, by APRIL 15, 2010 or by the 15
day of the 4
month
after the tax year begins.
Account # ____________________
Social Security # ____________________
Spouse’s Social Security # __________________
Name
Address
City/State/Zip
Please make corrections as necessary if your account information is preprinted above.
TAX DECLARATION
1. Total Estimated Income Subject to Tax……………………………………………
_____________________
2. Cincinnati Income Tax Declared (Multiply Line 1 by 2.1% [.021])………………
_____________________
3. Estimated Taxes Withheld from Wages…………………………………………...
_____________________
4. Tax Due after Withholding (Line 2 less Line 3)…………………………………..
_____________________
5. Declaration Due (25% of Line 4 if making installment payments)……………….
_____________________
6. Overpayment Credits from Previous Years……………………………………….
_____________________
7. First Quarter Payment Amount Due………………………………………………
_____________________
The undersigned declares this to be a true, correct and complete Declaration of Estimated Cincinnati Income Tax for the year 2010.
___________________________
_____________
_______________________________
SIGNATURE
SPOUSE’S SIGNATURE
DATE
INSTRUCTIONS
Line 1. We recommend that you use 100% of your previous year’s income to estimate the current year tax liability to ensure that you
meet your estimated tax payment obligation. If the preceding tax year was not for a full 12-month period, make estimated
payments based your current year’s income or an annualized amount of your previous year’s earnings.
Line 2. Compute your total estimated tax liability for 2010 by multiplying the amount on Line 1 by 2.1%. Enter the total on this line.
Line 3. Enter the estimated amount of Cincinnati and other allowable municipal taxes to be withheld from your wages by your
employer.
Line 4. Enter the total of Line 2 minus Line 3. Payment of this amount less overpayment credits listed on Line 6 will satisfy your
annual estimated payment requirement.
Line 5. If you elect to make quarterly installment payments, divide Line 4 by 4 to determine your quarterly tax liability.
Line 6. Enter the amount of tax you overpaid on last year’s tax return that was not refunded to you.
Line 7. Enter the total of Line 5 minus Line 6. This is the amount of net estimated tax due by April 15, 2010. Three additional
payments are due according to the payment schedule below. Subsequent payments are equal to the total estimated tax on Line
4 divided by 4 less any overpayment still available from prior years. Failure to remit timely payments may result in the
assessment of interest and penalties.
PAYMENT SCHEDULE FOR CALENDAR YEAR FILERS
JANUARY 31, 2011
APRIL 15, 2010
AUGUST 2, 2010
NOVEMBER 1, 2010
JANUARY 31, 2010
APRIL 15, 2011
ND
RD
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FILE DECLARATION
MAKE 2
QUARTERLY
MAKE 3
QUARTERLY
MAKE 4
QUARTERLY
FILE RETURN. PAY
WITH 1/4 PAYMENT.
PAYMENT.
PAYMENT.
PAYMENT.
ANY BALANCE DUE.
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By the 15
day of the 4
month after beginning a new business or taking a new job, everyone whose entire tax liability will not
be withheld by an employer must file a Declaration.
We will not bill you for the remaining quarterly installments. Please retain a copy of this form for future reference.
If you need additional information, please contact us at (513) 352-2546.

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