Individual Declaration Of Estimated Income Tax Form/form D-1 - Quarterly Payment Of Estimated Net Profit Tax - 2003 Page 2

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D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
P O BOX 640770
2003
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT NO:
Enter your name and address here
FED ID NO:
SSN NO:
TAX RATE: 2.10%
QUARTER ENDING: MARCH 31, 2003
DUE DATE: APRIL 30, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
2003
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT NO:
Enter your name and address here
FED ID NO:
SSN NO:
TAX RATE: 2.10%
QUARTER ENDING: JUNE 30, 2003
DUE DATE: JULY 31, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
D-1
QUARTERLY PAYMENT OF ESTIMATED NET PROFIT TAX
CINCINNATI INCOME TAX BUREAU
2003
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT NO:
FED ID NO:
Enter your name and address here
SSN NO:
TAX RATE: 2.10%
QUARTER ENDING: SEPTEMBER 30, 2003
DUE DATE: OCTOBER 31, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________

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