Form 01 - Declaration Of Estimated Income Tax - City Of Warren printable pdf download

Form 01 - Declaration Of Estimated Income Tax - City Of Warren

FORM 01 INCOME TAX

DECLARATION OF ESTIMATED WARREN, OHIO, CITY INCOME TAX

P.O. BOX 230

WARREN, OHIO 44482

FOR THE PERIOD FROM JANUARY 1,__________THROUGH DECEMBER 31. ___________ _____

OR FISCAL PERIOD BEGINNING ____________________________THROUGH _____________________________

• ALL TAXPAYERS WHO ANTICIPATE TAXABLE INCOME OF $200.00 MUST FILE AN ESTIMATE •

NON-INDIVIDUAL DUE DATES:

INDIVIDUAL DUE DATES:

APRIL 15

JUNE15

JUNE 15

SEPTEMBER 15

DECEMBER 15

SOCIAL SECURITY# (H)

SOCIAL SECURITY

(W)

FED.

D.#

<Ill PLEASE PRINT NAME, ADDRESS, AND

SOCIAL SECURITY OR FEDERAL I.D.#

..................................................

1. Total Estimated Income Subject to Warren, Ohio, City Income Tax

2. ESTIMATED WARREN, OHIO, CITY INCOME TAX (2.5%)

3. Less: ESTIMATED WARREN, OHIO, CITY INCOME TAX to be withheld during year ......................................

4. BALANCE OF WARREN, OHIO, CITY INCOME TAX DECLARED

5. LESS CREDITS: a. Overpayment claimed on previous year's return

b. Previous payments, if this is an amended estimate .......................................

....................................

6. UNPAID BALANCE of net tax due

................ ·······················

......................

ATTACH CHECK OR M.D. FOR AMOUNT DUE WITH THIS DECLARATION

(22'/,% PMT DUE BY 4/15)

SOCIAL SECURITY NUMBER:

I CERTIFY THAT THIS IS A CORRECT DECLARATION, SUBJECT TO AMENDMENT AS PROVIDED IN THE ORDINANCE

I.D.NUMBER:

SIGNATURE OF TAXPAYER

DATE

Form 01 - Declaration Of Estimated Income Tax - City Of Warren