CITY OF MANSFIELD, OHIO 
                                DECLARATION OF ESTIMATED TAX FOR YEAR 2024 
                       2024 ESTIMATED TAX VOUCHER #1 –th             th                             Due 15  day of 4  fiscal month
                                               
Name:  _________________________________________________      FEIN # _____________________________ 
Address:  _________________________________________________________________________________________ 
 
 1. Total income subject to tax……………………………………… $_______________________ (Multiply by .02)  $ 
 2. Less income tax withheld by other city (Credit limited to 1%)………………………………………………………     $ 
 3. Total Declaration (line 1 minus line 2) ………………………………………………………………………………                 $ 
 4. Payment amounts (line 3 times 0.225) ………………………………………………………………………………                    $ 
 5. Overpayment from previous year (if not refunded) …………………………………………………………………             $ 
 6. 1 stpayment amount (line 4 minus line 5) ……………………………………………………………………………                 $ 
                       90% OF BALANCE TO BE PAID IN FOUR EQUAL INSTALLMENTS 

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                       2024 ESTIMATED TAX VOUCHER #2 –th             th                             Due 15  day of 6  fiscal month 
                                               
Name:  _________________________________________________      FEIN # _____________________________ 
Address:  _________________________________________________________________________________________ 
 
 1. Payment Enclosed           $                  2. Check #              
                                                     ……………… 
 3. Prior amount paid          $                  4. Remaining Balance   $ 
 Contact Person………                                Phone # …………………..   

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                       2024 ESTIMATED TAX VOUCHER #3 –th             th                             Due 15  day of 9  fiscal month 
                                               
Name:  _________________________________________________      FEIN # _____________________________ 
Address:  _________________________________________________________________________________________ 
 
 1. Payment Enclosed           $                  2. Check #              
                                                     ……………… 
 3. Prior amount paid          $                  4. Remaining Balance   $ 
 Contact Person………                                Phone # …………………..   

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                 2024 ESTIMATED TAX VOUCHER #4 –th                     th                           Due 15  day of 12  fiscal month 
                                               
Name:  _________________________________________________      FEIN # _____________________________ 
Address:  _________________________________________________________________________________________ 
 
 1. Payment Enclosed           $                  2. Check #              
                                                     ……………… 
 3. Prior amount paid          $                  4. Remaining Balance   $ 
 Contact Person………                                Phone # …………………..   
 
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MAIL PAYMENTS TO:                CITY OF MANSFIELD, INCOME TAX DIVISION 
                                 P.O. BOX 577 
                                 MANSFIELD, OHIO   44901-0577