Q-1
Employer Quarterly Return of Withholding Tax
Click on the fields below and type in your
information. Then print the form and mail it to
CINCINNATI INCOME TAX DIVISION
our office.
2011
P O BOX 634580
CINCINNATI OH 45263-4580
FOR OFFICIAL USE ONLY
Account #:
Fed ID#:
SSN#:
Quarter Ending: March 31, 2011
Due Date: May 2, 2011
Amount Due: $ __________________
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Q-2
Employer Quarterly Return of Withholding Tax
CINCINNATI INCOME TAX DIVISION
2011
P O BOX 634580
CINCINNATI OH 45263-4580
FOR OFFICIAL USE ONLY
Account #:
Fed ID#:
SSN#:
Quarter Ending: June 30, 2011
Due Date: August 1, 2011
Amount Due: $ __________________
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Q-3
Employer Quarterly Return of Withholding Tax
CINCINNATI INCOME TAX DIVISION
2011
P O BOX 634580
CINCINNATI OH 45263-4580
FOR OFFICIAL USE ONLY
Account #:
Fed ID#:
SSN#:
Quarter Ending: September 30, 2011
Due Date: October 31, 2011
Amount Due: $ __________________
-----------------------------------------------------------------------------------------------------------------------------------------------
Q-4
Employer Quarterly Return of Withholding Tax
CINCINNATI INCOME TAX DIVISION
P O BOX 634580
2011
CINCINNATI OH 45263-4580
Account #:
FOR OFFICIAL USE ONLY
Fed ID#:
SSN#:
Quarter Ending: December 31, 2011
Due Date: January 31, 2012
Amount Due: $ __________________