Form Gr-941 - Employers Return Of Income Tax Withheld - City Of Grayling - Form Page 3

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Notes:
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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.
JANUARY 31, 2016
4TH qUARTER 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.
2015
Q4
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.
3RD qUARTER 2015
OCTOBER 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
Instructions for completing Form GR-941 are on the inside back cover of the forms booklet.
Q3
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

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