Holgate, OH · Henry County
Statement of Quarterly Estimated Municipal Tax Due
This statement lets taxpayers report quarterly estimated municipal tax, credits, and payment due to the city for a specified quarter and tax year.
What this form is
Use this statement to report estimated municipal tax for a quarter, including prior payments and credits, and calculate the balance and payment due. It identifies the quarter ending, fiscal or tax year, and due date; the remittance must be filed on or before that date. The form also explains how to amend an estimate at the end of a quarter.
Who needs it
Taxpayers reporting a quarterly estimated municipal tax payment to the city use this statement for the quarter and tax year shown.
How to submit it
Make the check payable to the city and mail this copy with payment to the Income Tax Department at the address shown above.
About notarization
This statement is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Statement
Download the quarterly estimated municipal tax statement PDF.
- 2
Complete The Statement
Enter the quarter ending, fiscal or tax year, due date, estimated tax, prior payments or credits, and balance due.
- 3
Prepare Payment
Make your check payable to the city for the payment remitted.
- 4
Mail The Statement
Return this copy with payment to the Income Tax Department at the address shown above, on or before the due date.
Frequently asked questions
- What does the quarterly estimated municipal tax statement report?
- It records estimated tax, prior payments and credits, the remaining balance, and payment due for the quarter and tax year shown.
- How do I submit the quarterly tax statement?
- Make a check payable to the city and mail this copy with payment to the Income Tax Department at the address shown above.
- Do I need a notary for the quarterly tax statement?
- No. This statement is signed without a notary; the signer just signs and dates it.
- Can I amend my estimated tax?
- Yes. The form says you may increase or decrease the estimated tax at the end of any quarter, then subtract previous estimated payments and prior-year credits to find the new balance due.