PDF document
- 1 -
 Form D1-B DAYTON BUSINESS DECLARATION OF ESTIMATED TAX 
 
 Tax year           ending DECEMBER or                           
 
 1. Total Estimated Income subject to Dayton tax          $                                 
 
 2. Dayton tax due @ 2.5%                                 $                                 
 
 3. Total estimated tax due                               $                                 
 
 4. Credit from prior year tax return                     $                                 
 
 5. Net estimated tax due         (line 3 – line 4) $     $                                  
 
 For fiscal years ending December 31, D1 filing is due by April 15 and quarterly estimated payments are due June 15,September 15, 
 of the year the income is earned and January 15 following the year the income is earned.  For fiscal years other than a calendar year, 
                                      th
 D1 filing is due by the fifteenth (15 ) day of the fourth (4th) month and quarterly estimated payments are due the fifteenth (15th) 
 day of the sixth (6th) and ninth (9th) months  of the year the income is earned and first (1st) month following the year the income 
 is earned. 
 Make Checks Payable to The City of Dayton, and mail to City of Dayton, PO Box 643700, Cincinnati, OH  45264-3700. 
 
 Signature                                         Date                Phone#                        
 
 Business Name                                            Federal ID# (Account #)                                   
 
 Address                                                  City, State, Zip                                           
 
 ,                                                        22.5% of Line 5 Paid $                                    
                                                                cut here 
 QUARTERLY ESTIMATED TAX PAYMENTS 
 You are required to make estimated quarterly income tax payments for the current tax year if you expect to owe $200.00 or more 
 when you file your next Dayton tax return. If 90% of your final tax is not paid on time, in four (4) scheduled quarterly estimated 
 payments (April, June, September, and January), you will be assessed an additional underpayment penalty when you file your next 
 return. 
 
 IMPORTANT REMINDERS:          Failure to file a D1 estimated tax return and pay an amount equal to at least 90% of the tax due on 
 your annual return in scheduled quarterly installments can result in an additional underpayment penalty being assessed at the time your 
 annual return is filed. A $25.00 non-filing penalty will also be applied. Income tax payments are due quarterly, not when the return is 
 filed. More tax information is available at www.daytonohio.gov, including tax forms and important changes in the revised City of 
 Dayton income tax ordinance. 
 
 PENALTIES: Dayton Income Tax Ordinance: 36.109(C)(3): Where the taxpayer has failed to file a city income tax return by the 
 due date or the date resulting from extension, twenty-five dollars ($25) per month or fraction thereof that the Dayton city income tax is 
 not filed, with the penalty not to exceed one hundred fifty dollars ($150). The penalty in this section 36.109(C) shall be imposed 
 regardless of cause.  
  
 Dayton Income Tax Ordinance: 36.111: Any person shall be guilty of a separate misdemeanor of the first degree if he shall: Fail, 
 neglect or refuse to make any return or declaration required by this chapter; or Knowingly make an incomplete, false or fraudulent 
 return; or Willfully fail, neglect or refuse to pay the tax, penalties or interest imposed by this chapter; or Attempt to do anything 
 whatever to avoid the payment of the whole or any part of the tax, penalties or interest imposed by this chapter. 
                                                                                                                     (Rev 1/2018) 



- 2 -
 DAYTON DCM 2nd ESTIMATED BUSINESS TAX PAYMENT 
 Tax year   ending DECEMBER or                       
 
 2nd estimated tax payment due June 15 or 15th day of the 6th month of the year the income is earned.  
 Estimated full year TAX DUE (from declaration) $          
                Check here if amended 
 
 Business Name                                     Federal ID#(Account #)                                                                                                   
 
 Address                                           City, State, Zip                                                                                                         
 
                                                   22.5% due June 15, Paid $                                                                                                
  
 Make Checks Payable To The City Of Dayton, and Mail to City of Dayton, PO Box 643700, Cincinnati, Oh 45264-3700. 
 In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check 
 
                                                    cut here 

            rd 
 DAYTON DCM 3 ESTIMATED BUSINESS TAX PAYMENT 
 Tax year   ending DECEMBER or                      
 
 3rd estimated tax payment due September 15 or 15th day of the 9th month of the year the income is earned. 
 Estimated full year TAX DUE (from declaration) $         
                Check here if amended 
  
 Business Name                                     Federal ID#(Account #)                                                                                                   
 
 Address                                           City, State, Zip                                                                                                         
 
                                                   22.5% due September 15, Paid $                                                                                           
 
 Make Checks Payable To The City Of Dayton, and Mail to City of Dayton, PO Box 643700, Cincinnati, Oh 45264-3700. 
 In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check 
 
                                                    cut here 

            th 
 DAYTON DCM 4 ESTIMATED BUSINESS TAX PAYMENT 
 Tax year   ending DECEMBER or                       
 
 4th estimated tax payment due January 15 or 15th day of the 1st month of the following year the income is earned. 
 Estimated full year TAX DUE (from declaration) $         
                Check here if amended 
 
 Business Name                                     Federal ID#(Account #)                                                                                                
 
 Address                                           City, State, Zip                                                                                                       
 
                                                   22.5% due January 15, Paid $                                                                                            
 
 Make Checks Payable To The City Of Dayton, and Mail to City of Dayton, PO Box 643700, Cincinnati, Oh 45264-3700. 
 In the event your check is returned unpaid for insufficient funds or uncollected funds, we may electronically debit your account for the principal amount of the check 

                                                                                                                                                                            (Rev 1/2018) 






PDF file checksum: 4230099401

(Plugin #1/8.13/12.0)