AKRON   QUARTERLY   STATEMENT 
                                         DECLARATION  OF  ESTIMATED  AKRON  INCOME  TAX 
 VOUCHER  1                               FORM D-1
 You may be required to pay Quarterly Estimated Tax to avoid penalty and interest charges.  Please see FORM D-1 & AQ-1 Instructions & Worksheet. 
ACCOUNT  NUMBER      DUE   ON  OR  BEFORE SOC SEC #  /  FED  ID  # 
                                                                                       ENTER  YOUR  ESTIMATED 
                                                                                       TAX  HERE 
I declare that this return has been examined by me, and to the best of my knowledge    1. Amount  of  this  estimated  payment …………$
and belief it is correct and complete. 
                                                                                       2. Amount  of  any  unused  overpayment
                                                                                                    credit  applied  to  this  installment  ……………$
SIGNATURE  AND TITLE                      DATE 
                                                                                       3. Pay  this  amount  (line  1  less  line  2) ………$
                                                                                                    Make  checks  payable  and  mail  to: 
                                                                                                                    CITY OF AKRON 
                                                                                                                   Income Tax Division 
                                                                                                         1 Cascade Plaza – Suite 100 
                                                                                                         Akron, Ohio 44308 - 1161 

Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                      THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
                                                                                                       TAXPAYER  ASSISTANCE  (330) 375-2290 
……………………………………………………………………………………………………………………………………………………………………………………………….     DETACH      HERE          …………………………………………………….……………………………………………………………………………………………………………………………………….. 

                                         AKRON   QUARTERLY   STATEMENT 
                                         PAYMENT   OF  ESTIMATED  AKRON  INCOME  TAX 
 VOUCHER  2                               FORM  AQ-1                                                  CHECK  (  √ )  THIS  BOX  IF  AMENDING  YOUR  DECLARATION  (SEE REVERSE  SIDE) 
 You may be required to pay Quarterly Estimated Tax to avoid penalty and interest charges.  Please see FORM D-1 & AQ-1 Instructions & Worksheet. 
ACCOUNT  NUMBER      DUE   ON  OR  BEFORE SOC SEC #  /  FED  ID  # 

I declare that this return has been examined by me, and to the best of my knowledge                 1. Amount  of  this  estimated  payment …………$
and belief it is correct and complete. 
                                                                                                    2. Amount  of  any  unused  overpayment
                                                                                                    credit  applied  to  this  installment  ……………$
SIGNATURE  AND TITLE                      DATE 
                                                                                                    3. Pay  this  amount  (line  1  less  line  2) ………$
                                                                                                       Make  checks  payable  and  mail  to: 
                                                                                                                       CITY OF AKRON 
                                                                                                                    Income Tax Division 
                                                                                                                1 Cascade Plaza – Suite 100 
                                                                                                                  Akron, Ohio 44308 - 1161 

Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                      THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
                                                                                                       TAXPAYER  ASSISTANCE  (330) 375-2290 
……………………………………………………………………………………………………………………………………………………………………………………………….      DETACH       HERE        …………………………………………………….……………………………………………………………………………………………………………………………………….. 

                                         AKRON   QUARTERLY   STATEMENT 
                                         PAYMENT   OF  ESTIMATED  AKRON  INCOME  TAX 
                VOUCHER                3  FORM  AQ-1                                                  CHECK  (  √ )  THIS  BOX  IF  AMENDING  YOUR  DECLARATION  (SEE REVERSE  SIDE) 
 You may be required to pay Quarterly Estimated Tax to avoid penalty and interest charges.  Please see FORM D-1 & AQ-1 Instructions & Worksheet.                        
ACCOUNT  NUMBER      DUE   ON  OR  BEFORE SOC SEC #  /  FED  ID  # 

I declare that this return has been examined by me, and to the best of my knowledge                 1. Amount  of  this  estimated  payment …………$
and belief it is correct and complete. 
                                                                                                    2. Amount  of  any  unused  overpayment
                                                                                                    credit  applied  to  this  installment  ……………$
SIGNATURE  AND TITLE                                 DATE 
                                                                                                    3. Pay  this  amount  (line  1  less  line  2) ………$
                                                                                                       Make  checks  payable  and  mail  to: 
                                                                                                                       CITY OF AKRON 
                                                                                                                    Income Tax Division 
                                                                                                                1 Cascade Plaza – Suite 100  
                                                                                                                  Akron, Ohio 44308 - 1161 

Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                      THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
                                                                                                       TAXPAYER  ASSISTANCE  (330) 375-2290 
……………………………………………………………………………………………………………………………………………………………………………………………….     DETACH      HERE          …………………………………………………….……………………………………………………………………………………………………………………………………….. 

                FORM AQ-1                AKRON  QUARTERLY  STATEMENT
                                         PAYMENT   OF ESTIMATED  AKRON  INCOME TAX 
                VOUCHER                4                                                               CHECK  ( √ )  THIS  BOX  IF  AMENDING  YOUR  DECLARATION      (SEE  REVERSE  SIDE) 
 You may be required to pay Quarterly Estimated Tax to avoid penalty and interest charges.  Please see FORM D-1 & AQ-1 Instructions & Worksheet. 
ACCOUNT  NUMBER      DUE   ON  OR  BEFORE SOC SEC #  /  FED  ID  # 

I declare that this return has been examined by me, and to the best of my knowledge                 1. Amount  of  this  estimated  payment …………$
and belief it is correct and complete. 
                                                                                                    2. Amount  of  any  unused  overpayment
                                                                                                    credit  applied  to  this  installment  ……………$
SIGNATURE  AND TITLE                                 DATE 
                                                                                                    3. Pay  this  amount  (line  1  less  line  2) ………$
                                                                                                       Make  checks  payable  and  mail  to: 
                                                                                                                       CITY OF AKRON 
                                                                                                                    Income Tax Division 
                                                                                                                1 Cascade Plaza – Suite 100 
                                                                                                                  Akron, Ohio 44308 - 1161 

Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                      THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
                                                                                                       TAXPAYER  ASSISTANCE  (330) 375-2290 
                                                                                                                                                           Rev 9 21/  

                                                                                 1. Adjusted Estimated Taxable Income for year... $
To amend your Declaration of Estimated taxes, complete 
the worksheet section to the right and enter the amount                          2. Estimated Tax Due  -  2.50%  of  Line  1......... $
calculated on Line 5 to the front of the form (Line 1).                          3. Credits
                                                                                    A. Payments already made this year.............. $ 
Check  the  box                on  the top  of the  form,  then  sign 
and date the declaration below.                                                     B. Overpayment from prior year  .................... $ 

I  declare that this Amended Declaration has  been examined  by me,                 C. Other  (Specify                     ) .. $ 
and  to  the  best  of  my  knowledge  and  belief  it  is  correct,  true  and     D.  Total Credits (Add Lines 3A, 3B & 3C)  ..... $ 
complete. 
                                                                                 4. Balance of Estimated Tax ............................... $
SIGNATURE     AND    TITLE               DATE                                       (Subtract Line 3D from Line 2) 
                                                                                 5. Payment to be made with this Amended  ....... $
                                                                                    Declaration (Divide Line 4 by the number of remaining payments.) 

                                                                                 1. Adjusted Estimated Taxable Income for year... $
To amend your Declaration of Estimated taxes, complete 
the worksheet section to the right and enter the amount                          2. Estimated Tax Due  -  2.50%  of  Line  1......... $
calculated on Line 5 to the front of the form (Line 1). 
                                                                                 3. Credits
                                                                                    A. Payments already made this year.............. $ 
Check  the  box                on  the  top  of the  form,  then  sign           
and date the declaration below.                                                     B. Overpayment from prior year  .................... $ 

I  declare  that  this  Amended  Declaration  has  been  examined  by me,           C. Other  (Specify                     ) .. $ 
and  to  the  best  of  my  knowledge  and  belief  it  is  correct,  true  and 
complete.                                                                           D. Total Credits (Add Lines 3A, 3B & 3C)  ..... $ 
                                                                                 4. Balance of Estimated Tax ............................... $
SIGNATURE     AND    TITLE               DATE                                       (Subtract Line 3D from Line 2) 
                                                                                 5. Payment to be made with this Amended  ....... $
                                                                                    Declaration (Divide Line 4 by the number of remaining payments.) 

                                                                                 1. Adjusted Estimated Taxable Income for year.. $
To amend your Declaration of Estimated taxes, complete 
the worksheet section to the right and enter the amount                          2. Estimated Tax Due  -  2.50%  of  Line  1......... $
calculated on Line 5 to the front of the form (Line 1).                          3. Credits
                                                                                    A. Payments already made this year.............. $ 
Check the box                on the top  of the form, then sign and 
                                                                                    B. Overpayment from prior year  .................... $ 
date the declaration below. 
I  declare that this Amended Declaration has  been examined  by me,                 C. Other  (Specify                     )... $ 
and  to  the  best  of  my  knowledge  and  belief  it  is  correct,  true  and     D.  Total Credits (Add Lines 3A, 3B & 3C)  ..... $ 
complete. 
                                                                                 4. Balance of Estimated Tax ............................... $
SIGNATURE     AND    TITLE             DATE                                         (Subtract Line 3D from Line 2) 
                                                                                 5. Payment to be made with this Amended  ....... $
                                                                                    Declaration (Divide Line 4 by the number of remaining payments.) 

                                                                                                                                              Rev 9 21/