Form Gr-941 - Employers Return Of Income Tax Withheld - City Of Grayling - Form

ADVERTISEMENT

CITY OF GRAYLING - ADMINISTRATOR - INCOME TAX DIVISION
Reconciliation of Grayling Income Tax Withheld
GRW-3
1. TOTAL GRAYLING TAX WITHHELD DURING YEAR AS SHOWN ON FORMS GRW-2 OR W-2 ENCLOSED (A)
$
DO NOT STAPLE
2. TOTAL NUMBER OF WITHHOLDING TAX STATEMENTS (FORMS GR-2 OR W-2) TRANSMITTED HEREWITH
QUARTER ENDED
3. TOTAL GRAYLING TAX WITHHELD AS SHOWN ON FORMS GR-941
$
MARCH 31
(Use other side if forms GR-941 were filed monthly)
QUARTER ENDED
JUNE 30
THE NAME, ADDRESS AND IDENTIFICATION NUMBER ON THIS FORM MUST BE THE SAME
QUARTER ENDED
AS USED ON FORMS GR-941 AND GRW-2 OR W-2 IF NOT CORRECT, PLEASE CORRECT
SEPTEMBER 30
DUE ON
QUARTER ENDED
OR BEFORE
DECEMBER 31
$
FEB. 28
TOTAL (8)
EMPLOYER IDENTIFICATION NUMBER
NOTE:
ANY DIFFERENCE BETWEEN THE AMOUNTS
SHOWN ON LINES (A) AND (B) ABOVE MUST BE
FULLY EXPLAINED IN AN ATTACHED STMT
Mail this form together with Forms GRW-2 or W-2 and Adding-Machine Tape or Accounting Machine Listing, show-
GRW-2
FOR CITY
ing the total income Tax withheld on Forms GRW-2 or W-2 to:
USE ONLY
CITY OF GRAYLING - INCOME TAX DIvISION
COMPARED
P.O. BOX 549, 1020 CITY BLvD., GRAYLING, MI 49738
GR-941
IDENTIFICATION NUMBER
REFERENCE NO.
AMOUNT - LINE A
TOTAL - LINE 2
NAME
YEAR
1-12
30-36
38-46
52-56
73-80
48-49
Cut at Line
GR 941
GR 941
CITY OF GRAYLING INCOME TAX DEPARTMENT
EMPLOYERS RETURN OF INCOME TAX WITHHELD
1. EMPLOYER I.D. NO.
2. RETURN PERIOD
3. DUE DATE (DUE ON OR BEFORE)
1. EMPLOYER I.D. NO.
2ND qUARTER 2015
JULY 31, 2015
4. EMPLOYER NAME & ADDRESS
6. TAX WITHHELD
7. ADJUSTMENTS
8. TOTAL TAX (Total of boxes 6 & 7)
9. PENALTY & INTEREST
5. SIGNATURE OF AUTHORIZED AGENT & PHONE #
10. TOTAL DUE (Total of Boxes 8 & 9)
YEAR
MON/qTR
Q2
Instructions for completing Form GR-941 are on the inside back cover of the forms booklet.
2015
Make remittance payable to: CITY OF GRAYLING
Mail remittance with return to: Income Tax Department, P.O. 549, 1020 City Blvd., Grayling, MI 49738
Cut at Line
GR 941
GR 941
CITY OF GRAYLING INCOME TAX DEPARTMENT
EMPLOYERS RETURN OF INCOME TAX WITHHELD
1. EMPLOYER I.D. NO.
2. RETURN PERIOD
3. DUE DATE (DUE ON OR BEFORE)
1. EMPLOYER I.D. NO.
1ST qUARTER 2015
APRIL 30, 2015
4. EMPLOYER NAME & ADDRESS
6. TAX WITHHELD
7. ADJUSTMENTS
8. TOTAL TAX (Total of boxes 6 & 7)
9. PENALTY & INTEREST
5. SIGNATURE OF AUTHORIZED AGENT & PHONE #
10. TOTAL DUE (Total of Boxes 8 & 9)
YEAR
MON/qTR
Instructions for completing Form GR-941 are on the inside back cover of the forms booklet.
Q1
2015
Make remittance payable to: CITY OF GRAYLING
Mail remittance with return to: Income Tax Department, P.O. 549, 1020 City Blvd., Grayling, MI 49738

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 4