Withholding Tax Worksheet 2004 Page 4
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5Withholding Tax Worksheet
(Keep for Your Records)
W/H Amount
Month
Due Date
Check #
Date
Remitted
January
February
20,
2004
/
/
$
February
March
20,
2004
/
/
$
March
April
20,
2004
/
/
$
April
May
20,
2004
/
/
$
May
June
20,
2004
/
/
$
June
July
20,
2004
/
/
$
July
August
20,
2004
/
/
$
August
September
20,
2004
/
/
$
September
October
20,
2004
/
/
$
October
November
20,
2004
/
/
$
November
December
20,
2004
/
/
$
December
January
20,
2005
/
/
$
Total
$
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