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                                                                                                   FOR OFFICE USE ONLY
QUARTER 2                                2023 ESTIMATED TAX 
2nd Qtr. 2023 or FY ending:              CITY OF SPRINGFIELD
DUE DATE: 06/15/23
15th day of 6th month of fiscal year     INCOME TAX DIVISION                              P/M DATE 
                                         P.O. BOX 5200, SPRINGFIELD, OH 45501
                                         TELEPHONE: (937) 324-7357

FOR YOUR CONVENIENCE, THIS FORM CAN BE USED IF YOU ARE REQUIRED TO MAKE ESTIMATED TAX PAYMENTS.
MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO: “CITY OF SPRINGFIELD”
PAY ONLINE WITH TAX CONNECT AT www.springfieldohio.gov (fee applies)
PAY THRU YOUR BANK USING YOUR CITY OF SPRINGFIELD ACCOUNT NUMBER WITHOUT A FEE.

Account Number:                                                                           AMOUNT DUE FOR 2ND QTR.
First and Last Name(s):
Street Address or PO Box:
City, State, and Zip Code:
                                                                                          CHECK NO.

REMINDER: TO AVOID PENALTY, 90% OF TAX LIABILITY MUST BE WITHHELD OR PAID ON OR BEFORE 
JANUARY 15, 2024 FOR INDIVIDUALS OR QUARTER 4 DUE DATE FOR ENTITIES OTHER THAN INDIVIDUALS

                                                                                                   FOR OFFICE USE ONLY
QUARTER 3                                2023 ESTIMATED TAX 
3rd Qtr. 2023 or FY ending:              CITY OF SPRINGFIELD
DUE DATE: 09/15/23
                                         INCOME TAX DIVISION
15th day of 9th month of fiscal year     P.O. BOX 5200, SPRINGFIELD, OH 45501             P/M DATE 
                                         TELEPHONE: (937) 324-7357

FOR YOUR CONVENIENCE, THIS FORM CAN BE USED IF YOU ARE REQUIRED TO MAKE ESTIMATED TAX PAYMENTS.
MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO: “CITY OF SPRINGFIELD”
PAY ONLINE WITH TAX CONNECT AT www.springfieldohio.gov (fee applies)
PAY THRU YOUR BANK USING YOUR CITY OF SPRINGFIELD ACCOUNT NUMBER WITHOUT A FEE.

Account Number:
First and Last Name(s):                                                                   AMOUNT DUE FOR 3RD QTR
Street Address or PO Box:
City, State, and Zip Code:

                                                                                          CHECK NO.

REMINDER: TO AVOID PENALTY, 90% OF TAX LIABILITY MUST BE WITHHELD OR PAID ON OR BEFORE 
JANUARY 15, 2024 FOR INDIVIDUALS OR QUARTER 4 DUE DATE FOR ENTITIES OTHER THAN INDIVIDUALS

                                                                                                   FOR OFFICE USE ONLY
QUARTER 4                                2023 ESTIMATED TAX 
4th Qtr. 2023 or FY ending:              CITY OF SPRINGFIELD
DUE DATE: 1/15/24 for individuals
                                         INCOME TAX DIVISION
or 15th day of 12th month of fiscal year P.O. BOX 5200, SPRINGFIELD, OH 45501             P/M DATE 
                                         TELEPHONE: (937) 324-7357

FOR YOUR CONVENIENCE, THIS FORM CAN BE USED IF YOU ARE REQUIRED TO MAKE ESTIMATED TAX PAYMENTS.
MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO: “CITY OF SPRINGFIELD”
PAY ONLINE WITH TAX CONNECT AT www.springfieldohio.gov (fee applies)
PAY THRU YOUR BANK USING YOUR CITY OF SPRINGFIELD ACCOUNT NUMBER WITHOUT A FEE.

Account Number:
                                                                                          AMOUNT DUE FOR 4TH QTR.
First and Last Name(s):
Street Address or PO Box:
City, State, and Zip Code:

                                                                                          CHECK NO.

REMINDER: TO AVOID PENALTY, 90% OF TAX LIABILITY MUST BE WITHHELD OR PAID ON OR BEFORE 
JANUARY 15, 2024 FOR INDIVIDUALS OR QUARTER 4 DUE DATE FOR ENTITIES OTHER THAN INDIVIDUALS