City of Wooster, Ohio
Quarterly Statement of Estimated Tax 

Payment due dates:
1st quarter- April 15
2nd quarter- June 15
3rd quarter- September 15
4th quarter- December 15

Make Checks Payable to: City of Wooster- Income Tax Department

                                      City of Wooster, Ohio

                                 Quarterly Statement of Estimated Tax 
Account Number       Due on or Before Declaration of Estimated Tax Carry Forward Credit Payments to Date

Please Print Name and Address Below:                                                    Unpaid Balance

                                                                                        Quarterly Payment Due

                                                                                        Total Due

                                                                                        Amount Enclosed

Return this form with payment to:
City of Wooster
PO Box 1088
Wooster, OH 44691