ASHLAND MUNICIPAL INCOME TAX
                                 QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED                               PART  1
MAKE CHECK OR MONEY ORDER PAYABLE TO:                                        ASHLAND MUNICIPAL INCOME TAX
     ASHLAND MUNICIPAL INCOME TAX                                  MAIL TO:             218 LUTHER STREET                 (4)
                         PAID CHECK WILL BE YOUR RECEIPT                           ASHLAND, OHIO 44805-3128    AMOUNT 
If receipt is desired, return both copies of this statement with a                                             ENCLOSED      $_____________
self addressed stamped envelope.                                        (2)  APPLY PENALTY        (3)   APPLY INTEREST
         DO NOT REMIT CASH BY MAIL                                      $_________________        $_______________
          ESTIMATED TAX                                          CREDITS AND OR PAYMENTS             AMOUNT OF               QUARTERLY
              DECLARED           DATE OF LAST CREDIT                  TOTAL AMOUNT CREDITED      UNPAID BALANCE                   INSTALLMENT   (1)

USE REVERSE SIDE IF YOU WISH TO CHANGE YOUR ESTIMATED TAX DECLARED
    NAME
                                                                                            ACCOUNT NUMBER
    ADDRESS

                                                                                           DUE ON OR BEFORE

Q-1                                                      RETURN PART 1  -  KEEP PART 2 FOR YOUR RECORDS

                                                                       ASHLAND MUNICIPAL INCOME TAX
                                 QUARTERLY NOTICE OF INSTALLMENT DUE ON ESTIMATED TAX DECLARED                               PART  2
MAKE CHECK OR MONEY ORDER PAYABLE TO:                                        ASHLAND MUNICIPAL INCOME TAX
     ASHLAND MUNICIPAL INCOME TAX                                  MAIL TO:             218 LUTHER STREET                 (4)
                         PAID CHECK WILL BE YOUR RECEIPT                           ASHLAND, OHIO 44805-3128    AMOUNT 
If receipt is desired, return both copies of this statement with a                                             ENCLOSED      $_____________
self addressed stamped envelope.                                        (2)  APPLY PENALTY        (3)   APPLY INTEREST
         DO NOT REMIT CASH BY MAIL                                      $_________________        $_______________
          ESTIMATED TAX                                          CREDITS AND OR PAYMENTS             AMOUNT OF               QUARTERLY
              DECLARED           DATE OF LAST CREDIT                  TOTAL AMOUNT CREDITED      UNPAID BALANCE                   INSTALLMENT   (1)

USE REVERSE SIDE IF YOU WISH TO CHANGE YOUR ESTIMATED TAX DECLARED
    NAME
                                                                                            ACCOUNT NUMBER
    ADDRESS

                                                                                           DUE ON OR BEFORE

Q-1                                                      RETURN PART 1  -  KEEP PART 2 FOR YOUR RECORDS

                                                          FORM Q-1 INFORMATION AND INSTRUCTIONS
    Every taxpayer who anticipates at least $200.00 of  income tax liability which will not be withheld and is due to the City of Ashland, is required
    to file with the City of Ashland  a Declaration of Estimated Tax.  Such declaration shall be filed on or before the 15th day of the 4th month, 
    and thereafter a similar declaration shall be filed for each year on or before April 18th of each ensuing year by all such taxpayers. Such
    declaration shall be filed on a form prescribed and furnished by the Director of Finance and Public Record, which form may simply state 
    that the figures used in making such declaration, required by Chapter 230.05  that is taxable to the City of Ashland and not fully withheld. 
    For individuals, and calander year tax payers that are not individuals, the declaration to be filed on or before April 18th, and the declaration
    to be filed on or before April 18th of each ensuing year shall be accopmanied by payment of at least 22-1/2% of the estimated Ashland
    Municipal Income Tax, and at least a similar amount shall be paid on or before June 15th, September 15th, and December 15th of such
     taxable year.  For fiscal year taxpayers that are not individuals, 22-1/2% by the 15th day of the fourth month of the taxpayer's taxable year,
    45% by the 15th day of the sixth month, 67-1/2% by the 15th day of the ninth month, and 90% by the 15th day of the twelfth month.
                                                                   PENALTIES AND INTEREST
    Section 230-18(A)(4) Interest rate means the federal short-term rate, rounded to the nearest whole number percent, plus five percent. 
    The rate shall apply for the calendar year next following the July of the year in which the federal short-term rate is determined in  
    accordance with division (A)(2) of this section.  (C)(1) states, Interest shall be imposed at the rate described in division (A) of this section,
    per annum, on all unpaid estimated income tax.
    Per Section 230.18(2)(a), With respect to unpaid estimated income tax, the City of Ashland may impose a penalty equal to fifteen
    percent (15%) of the amount not timely filed quaretrly. 
    If interest and penalty apply, Quarterly installment (1) plus Penalty (2) plus Interest(3) equals amount enclosed (4).