Employer'S Return Of Tax Withheld Form - City Of Canfield, Ohio

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CITY OF CANFIELD, OHIO
FORM EQR
EMPLOYER’S RETURN OF TAX WITHHELD
1%
I hereby certify that the information and statements
DOLLARS
CENTS
1
Number of taxable employees
contained herein are true and correct.
Gross earnings paid all employees subject to
X
2.
Canfield, Ohio, City Income Tax
$
Less wages of employees under 18
Signed
Date
(exempt
3.
from Canfield, Ohio, City Income Tax)
$
TAXABLE EARNINGS paid all employees
0.00
4.
subject to Canfield, Ohio, City Income Tax
$
Actual tax withheld for Canfield, Ohio, City
(Title)
Phone
5.
Income Tax
$
6.
Less adjustment for prior withholding paid
$ -
MAKE CHECK OR MONEY ORDER PAYABLE TO:
TOTAL AMOUNT DUE Canfield, Ohio, City
City of Canfield Income Tax
0.00
7.
Income Tax
$
104 Lisbon St.
Canfield, Ohio 44406
Account No.
_____________________
Name
________________________________________
_____________________
Fo
r Months of
Address
________________________________________
________________________________________
Due on or Before
_____________________
City, State, Zip
________________________________________
.
Notify Income Tax Department promptly of any changes in ownership or name and address shown above
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
FORM EQR
CITY OF CANFIELD, OHIO
EMPLOYER’S RETURN OF TAX WITHHELD
1%
I hereby certify that the information and statements
DOLLARS
CENTS
1.
Number of taxable employees
contained herein are true and correct.
Gross earnings paid all employees subject to
X
2.
Canfield, Ohio, City Income Tax
$
Less wages of employees under 18
Signed
Date
(exempt
3.
from Canfield, Ohio, City Income Tax)
$
TAXABLE EARNINGS paid all employees
0.00
4.
subject to Canfield, Ohio, City Income Tax
$
Actual tax withheld for Canfield, Ohio, City
(Title)
Phone
5.
Income Tax
$
6.
Less adjustment for prior withholding paid
$ -
MAKE CHECK OR MONEY ORDER PAYABLE TO:
TOTAL AMOUNT DUE Canfield, Ohio, City
City of Canfield Income Tax
0.00
7.
Income Tax
$
104 Lisbon St.
Canfield, Ohio 44406
Account No.
_____________________
Name
________________________________________
Fo
_____________________
r Months of
Address
________________________________________
_____________________
________________________________________
Due on or Before
City, State, Zip
________________________________________
.
Notify Income Tax Department promptly of any changes in ownership or name and address shown above

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