Form Di-2011c - Corporation - Partnership - Fiduciary Declaration Of Estimated Mantua, Ohio, Income Tax - 2011

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Form DI-2011C
CORPORATION - PARTNERSHIP - FIDUCIARY
2011
Income Tax
DECLARATION OF ESTIMATED MANTUA, OHIO, INCOME
Mantua, Ohio
TAX
P.O. Box 775, Mantua, Ohio 44255
For the Period from January 1, 2011 through December 31, 2011.
or Fiscal Period from ___________________, 20____ through ___________________, 20____
(a) NOTE: This Declaration should be used by businesses on a calendar year basis to estimate their Mantua, Ohio,
Income Tax covering the period from January 1, 2011 through December 31, 2011.
The RATE of TAX is ONE AND ONE HALF PERCENT (1 1/2%) on all income earned after January
1, 2011.
Businesses operating on a fiscal year beginning after January 1, 2011 and extending beyond December
31, 2011, should use this form when declaring the estimated tax for such fiscal year.
(b) ESTIMATED TAX COMPUTATION:
$_________._____
1. ESTIMATED NET INCOME SUBJECT TO MANTUA INCOME TAX
$_________._____
2. ESTIMATED MANTUA INCOME TAX at one and one half per cent (1 1/2%) of line 1
3. LESS: CREDIT for overpayment shown on 2010 Mantua final
$_________._____
return (allowable only if credit was elected in return)
4. PAYMENTS Made on prior declaration for the period IF this is
$_________._____
an amended declaration
$_________._____
5. UNPAID BALANCE of estimated 2011 Mantua Income Tax
6. AMOUNT PAID WITH THIS DECLARATION, and enclosed herewith (make check
$_________._____
to: Village of Mantua - Income Tax)
I hereby declare that this declaration is a true declaration of
estimated net income subject to Mantua, Ohio, Income Tax
NOTIFY INCOME TAX OFFICE OF
CHANGE IN NAME OR ADDRESS
(c) Dated ________________________, 20_____
_________________________________________
(Signature of Authorized Official)
_________________________________________
(Title or Status)
NAME: ___________________________________
ADDRESS: ________________________________
CITY: ____________________________________
Federal Employer ID Number (FEIN):
Do Not Use This Space - For Tax Office Use
Only
________________________________________

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