Form-W1 - Statement Of Employer'S Tax Withheld 2015

ADVERTISEMENT

CITY OF MORAINE: STATEMENT OF EMPLOYER’S TAX WITHHELD
______________ 2015
QUARTERLY
__________
FEDERAL ID:
PLEASE REMIT TO:
CITY OF MORAINE
INCOME TAX DEPARTMENT
LIABILITY
COURTESY
4200 DRYDEN RD.
MORAINE, OH 45439
1. GROSS WAGES THIS PERIOD
$_____________
$____________
(937) 535-1026
2. INCOME TAX WITHHELD
(2.5% OF GROSS PAYROLL)
$_____________
$____________
I HAVE EXAMINED THIS RETURN AND TO THE BEST OF MY
KNOWLEDGE IT IS CORRECT.
3. PREVIOUS PERIOD ADJUSTMENT
(ATTACH STATEMENT)
$_____________
$____________
________________________________________________________________
SIGNATURE
TITLE
DATE
4. AMOUNT DUE AND PAYABLE $______________________________
________________________________________________________________
PRINT NAME
PRINT TITLE
PHONE
CHECK HERE TO INACTIVATE THIS ACCOUNT:
___________________________________
INACTIVE DATE___________________EXPLANATION:___________________________
COMPANY NAME
___________________________________________________________________________________________________________
________________________________________________
MAILING ADDRESS
th
DATE DUE: _____________15
FORM-W1
CITY OF MORAINE: STATEMENT OF EMPLOYER’S TAX WITHHELD
______________ 2015
QUARTERLY
__________
FEDERAL ID:
PLEASE REMIT TO:
CITY OF MORAINE
INCOME TAX DEPARTMENT
LIABILITY
COURTESY
4200 DRYDEN RD.
MORAINE, OH 45439
1. GROSS WAGES THIS PERIOD
$_____________
$____________
(937) 535-1026
2. INCOME TAX WITHHELD
(2.5% OF GROSS PAYROLL)
$_____________
$____________
I HAVE EXAMINED THIS RETURN AND TO THE BEST OF MY
KNOWLEDGE IT IS CORRECT.
3. PREVIOUS PERIOD ADJUSTMENT
(ATTACH STATEMENT)
$_____________
$____________
________________________________________________________________
SIGNATURE
TITLE
DATE
4. AMOUNT DUE AND PAYABLE $______________________________
________________________________________________________________
PRINT NAME
PRINT TITLE
PHONE
CHECK HERE TO INACTIVATE THIS ACCOUNT:
___________________________________
INACTIVE DATE___________________EXPLANATION:___________________________
COMPANY NAME
___________________________________________________________________________________________________________
________________________________________________
MAILING ADDRESS
th
DATE DUE: _____________15
FORM-W1
CITY OF MORAINE: STATEMENT OF EMPLOYER’S TAX WITHHELD
______________ 2015
QUARTERLY
__________
FEDERAL ID:
PLEASE REMIT TO:
CITY OF MORAINE
INCOME TAX DEPARTMENT
LIABILITY
COURTESY
4200 DRYDEN RD.
MORAINE, OH 45439
1. GROSS WAGES THIS PERIOD
$_____________
$____________
(937) 535-1026
2. INCOME TAX WITHHELD
(2.5% OF GROSS PAYROLL)
$_____________
$____________
I HAVE EXAMINED THIS RETURN AND TO THE BEST OF MY
KNOWLEDGE IT IS CORRECT.
3. PREVIOUS PERIOD ADJUSTMENT
(ATTACH STATEMENT)
$_____________
$____________
________________________________________________________________
SIGNATURE
TITLE
DATE
4. AMOUNT DUE AND PAYABLE $______________________________
________________________________________________________________
PRINT NAME
PRINT TITLE
PHONE
CHECK HERE TO INACTIVATE THIS ACCOUNT:
___________________________________
INACTIVE DATE___________________EXPLANATION:___________________________
COMPANY NAME
___________________________________________________________________________________________________________
________________________________________________
MAILING ADDRESS
th
DATE DUE: _____________15
FORM-W1

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form J 941-501 - Jackson Income Tax Withheld - 2015 Form J 941-501 - Jackson Income Tax Withheld - 2015 Financial
Form 83 - Idaho Small Employer Investment Tax Credit - 2015 Form 83 - Idaho Small Employer Investment Tax Credit - 2015 Financial
Form 8938 - Statement Of Specified Foreign Financial Assets - 2015 Form 8938 - Statement Of Specified Foreign Financial Assets - 2015 Financial
Form Ar1100bic - Schedule Of Business Incentive Tax Credits - 2015 Form Ar1100bic - Schedule Of Business Incentive Tax Credits - 2015 Financial
Form Hw-2 - Statement Of Hawaii Income Tax Withheld And Wages Paid - 2015 Form Hw-2 - Statement Of Hawaii Income Tax Withheld And Wages Paid - 2015 Financial
Form W1 1107 - Monthly Employer's Withholding - 2005 Form W1 1107 - Monthly Employer's Withholding - 2005 Financial
Form 14n-2006 - Statement Of Nebraska Income Tax Withheld For Nonresident Individual Form Form 14n-2006 - Statement Of Nebraska Income Tax Withheld For Nonresident Individual Form Financial
Form Pt-wh - Statement Of Montana Income Tax Withheld For Nonresident Individual Form Pt-wh - Statement Of Montana Income Tax Withheld For Nonresident Individual Financial
Form Hw-2 - Statement Of Hawaii Income Tax Withheld And Wages Paid - 2011 Form Hw-2 - Statement Of Hawaii Income Tax Withheld And Wages Paid - 2011 Financial
Form Hw-2 - Statement Of Hawaii Income Tax Withheld And Wages Paid - 2012 Form Hw-2 - Statement Of Hawaii Income Tax Withheld And Wages Paid - 2012 Financial

Related Categories

Parent category: Financial
Download
Go