|
1. Estimated Taxable Earned Income & Net Profits |
$ |
|
2. Estimated Tax Due |
$ |
|
3. Penalty & Interest (1% per month or portion of a month that
payment remains unpaid after due date) |
$ |
|
4. TOTAL (Sum of Line 2 Plus Line 3) |
$ |
|
CHECK OR MONEY ORDER ONLY -
Payable to JTCA |
|
|
CANCELLED CHECK WILL BE YOUR
RECEIPT |
FOX CHAPEL
BOROUGH RESIDENT |
| |
|
Social Sec. No. _________-_________-_________ |
|
|
|
I declare under penalties provided by law that this return was
examined by me and is, to the best of my knowledge, a true,
correct and complete return. |
| |
|
|
|
SIGNATURE OF TAXPAYER |
|
DATE |
|
Mail To: JTCA,
1000 Gamma Dr., Suite 602, Pittsburgh, PA 15238 |
