D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
2005
P.O. BOX 634580
CINCINNATI OH 45263-4580
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
SSN#:
TAX RATE: 2.1%
DUE DATE: JULY 31, 2005
AMOUNT REMITTED: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
2005
P.O. BOX 634580
CINCINNATI OH 45263-4580
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
SSN#:
TAX RATE: 2.1%
DUE DATE: OCTOBER 31, 2005
AMOUNT REMITTED: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
2005
P.O. BOX 634580
CINCINNATI OH 45263-4580
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
SSN#:
TAX RATE: 2.1%
DUE DATE: JANUARY 31, 2006
AMOUNT REMITTED: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________