FORM W1
EMPLOYER’S WITHHOLDING
20____
Tax Year
1
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .
I hereby certify that the information and statements contained here
in and in any schedules or exhibits attached are true and correct.
2. Total Salaries, Wages, Commissions and other
2
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .
Signed
Title
Date
3
3. Taxable Earnings (from line 2). . . . . . . . . . . . . . . . . . . . . . . . . .
Phone #
4. Actual Tax Withheld at 1.700 %. . . . . . . . . . . . . . . . . . . . . . . . .
4
THIS RETURN MUST BE FILED ON
5
5. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .
OR BEFORE
6
6. Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
MAKE CHECK OR MONEY ORDER TO:
7. Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
VILLAGE OF GOLF MANOR INCOME TAX
8
8. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .
6450 WIEHE ROAD
CINCINNATI, OHIO 45237
Name:________________________________________________________
Voice 513-531-5155
Fax 513-531-4404
Address:______________________________________________________
Period
Ending:_________________________
City/State/ZIP:__________________________________________________
TAX ID: _________________________________
FID/SSN: _______________________________
EMPLOYER’S WITHHOLDING
FORM W1
20____
Tax Year
1
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .
I hereby certify that the information and statements contained here
in and in any schedules or exhibits attached are true and correct.
2. Total Salaries, Wages, Commissions and other
2
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .
Signed
Title
Date
3
3. Taxable Earnings (from line 2). . . . . . . . . . . . . . . . . . . . . . . . . .
Phone #
4. Actual Tax Withheld at 1.700 %. . . . . . . . . . . . . . . . . . . . . . . . .
4
THIS RETURN MUST BE FILED ON
5
5. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .
OR BEFORE
6
6. Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
MAKE CHECK OR MONEY ORDER TO:
7. Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
VILLAGE OF GOLF MANOR INCOME TAX
8. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .
6450 WIEHE ROAD
CINCINNATI, OHIO 45237
Name:________________________________________________________
Voice 513-531-5155
Fax 513-531-4404
Address:______________________________________________________
Period
Ending:_________________________
City/State/ZIP:__________________________________________________
TAX ID: _________________________________
FID/SSN: _______________________________
EMPLOYER’S WITHHOLDING
FORM W1
20____
Tax Year
1
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .
I hereby certify that the information and statements contained here
in and in any schedules or exhibits attached are true and correct.
2. Total Salaries, Wages, Commissions and other
2
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .
Signed
Title
Date
3
3. Taxable Earnings (from line 2). . . . . . . . . . . . . . . . . . . . . . . . . .
Phone #
4. Actual Tax Withheld at 1.700 %. . . . . . . . . . . . . . . . . . . . . . . . .
4
THIS RETURN MUST BE FILED ON
5
5. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .
OR BEFORE
6
6. Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
MAKE CHECK OR MONEY ORDER TO:
7. Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
VILLAGE OF GOLF MANOR INCOME TAX
8
8. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .
6450 WIEHE ROAD
CINCINNATI, OHIO 45237
Name:________________________________________________________
Voice 513-531-5155
Fax 513-531-4404
Address:______________________________________________________
Period
Ending:_________________________
City/State/ZIP:__________________________________________________
TAX ID: _________________________________
FID/SSN: _______________________________