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                                       JEDD   QUARTERLY   FORM
 JD-1                                  DECLARATION  OF  ESTIMATED  JEDD  INCOME  TAX 
   
      VOUCHER    1 
                                                                                                                   
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 to the appropriate JEDD: 
                                                                                                                          (Bath-Akron-Fairlawn JEDD, Copley-Akron JEDD,    
                                                                                                                          Coventry-Akron JEDD  or  Springfield-Akron JEDD) 
                                                                                                                          Mail  to:  City of Akron, 1 Cascade Plaza- Suite 100  
                                                                                                                          Akron,  OH  44308 
                                                                                                    I                     THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
 Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                                                   TAXPAYER  ASSISTANCE   (330) 375-2539 
……………………………………………………………………………………………………………………………………………………………………………………………. DETACH  HERE  …………………………………………………….……………………………………………………………………………………………………………………………………….. 

                                       JEDD   QUARTERLY   FORM 
 JQ-1                                       PAYMENT  OF  ESTIMATED  JEDD  INCOME  TAX 
  
      VOUCHER    2                                                                                                                CHECK  (    )  THIS  BOX  IF  AMENDING  YOUR  DECLARATION  (SEE REVERSE  SIDE) 
                                                                                                                        
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 to the appropriate JEDD: 
                                                                                                                          (Bath-Akron-Fairlawn JEDD, Copley-Akron JEDD,   
                                                                                                                          Coventry-Akron JEDD  or  Springfield-Akron JEDD) 
                                                                                                                          Mail  to:  City of Akron, 1 Cascade Plaza- Suite 100 
                                                                                                                          Akron,  OH  44308 
                                                                                                                          THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
 Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                                                      TAXPAYER  ASSISTANCE  (330) 375-2539 
…………………………………………………………………………………………………………………………………………………………………………………………….                            DETACH  HERE  …………………………………………………….……………………………………………………………………………………………………………………………………….. 

                                       JEDD   QUARTERLY   FORM 
 JQ-1                                       PAYMENT  OF  ESTIMATED  JEDD  INCOME  TAX 
  
      VOUCHER    3                                                                                                                  CHECK  (    )  THIS  BOX  IF  AMENDING  YOUR  DECLARATION  (SEE REVERSE  SIDE) 
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 to the appropriate JEDD: 
                                                                                                                          (Bath-Akron-Fairlawn JEDD, Copley-Akron JEDD,    
                                                                                                                          Coventry-Akron JEDD  or  Springfield-Akron JEDD) 
                                                                                                                          Mail  to:  City of Akron, 1 Cascade Plaza- Suite 100  
                                                                                                                          Akron,  OH  44308 
                                                                                                                          THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
 Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                                                      TAXPAYER  ASSISTANCE  (330) 375-2539 
……………………………………………………………………………………………………………………………………………………………………………………….                              DETACH  HERE  …………………………………………………….……………………………………………………………………………………………………………………………………….. 

                                       JEDD   QUARTERLY   FORM 
 JQ-1                                  PAYMENT  OF  ESTIMATED  JEDD  INCOME  TAX   
                                       (1) 12/15/21 is the fourth quarter due date for Businesses.  )  THIS  BOX  IF  AMENDING  YOUR  DECLARATION  (SEE REVERSE  SIDE) 
      VOUCHER    4                                                                                                                  CHECK  (  
                                        (2)  1/15/22 is the fourth quarter due date for Individuals.
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 to the appropriate JEDD: 
                                                                                                                          (Bath-Akron-Fairlawn JEDD, Copley-Akron JEDD,    
                                                                                                                          Coventry-Akron JEDD  or  Springfield-Akron JEDD) 
                                                                                                                          Mail  to:  City of Akron, 1 Cascade Plaza- Suite 100 
                                                                                                                          Akron,  OH  44308 
                                                                                                                          THIS  FORM  MUST  BE  RETURNED  WITH  REMITTANCE. 
 Enter  name  &  address  in  the  space  above  or  make  needed  corrections.                                                      TAXPAYER  ASSISTANCE  (330) 375-2539       Rev 9/21



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                                                                             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  -  2.5 % 0of    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  -  2.5 % 0of    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  -  2.5 % 0of    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.)  

                                                                                                                                                          Rev 9/21






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