PDF document
- 1 -
                                                                                                                                                                                    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:  JEDDs,  PO Box 80538,  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:  JEDDs,  PO Box 80538,  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 
                                                                                                                                                                   
                                                                                                                                                                                                                                                                                 √  )  THIS  BOX  IF  AMENDING  YOUR  DECLARATION  (SEE REVERSE  SIDE) 
                                                                                                                                                                       VOUCHER    3                                                                                    CHECK  (  
                                                                                 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:  JEDDs,  PO Box 80538,  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)   1/15/2 2is 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:  JEDDs,  PO Box 80538,  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 1/21



- 2 -
                                                                                                        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 % 0      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  -  2.5 % 0      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  -  2.5 % 0      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.)  

                                                                                                                                                                       Rev 1/21






PDF file checksum: 2711601074

(Plugin #1/9.12/13.0)