Form 941/c1-Me - Combined Filing For Income Tax Withholding And Unemployment Contributions - 2007 Page 3

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SCHEDULE 2/C1 (FORM 941/C1- ME Loose) 2007
Name:
00
*0708522*
Withholding
UC Employer
Account No.:
-
Account No:
Period Covered:
-
-
to
-
-
MM
DD
YY
MM
DD
YY
Quarterly Income Tax Withholding and Unemployment Compensation Wages Listing
All employers designated SEASONAL by Department
INCOME TAX
of Labor (see instructions).
WITHHOLDING
Maine Income Tax
14. Payee Name (Last, First, MI)
15. Social Security Number
16. UC Gross Wages Paid
17. Withheld in the Quarter
-
-
,
.
,
. .
a.
______________________________
$
$
-
-
,
.
,
.
b.
______________________________
$
$
-
-
,
.
,
.
c.
______________________________
$
$
-
-
,
.
,
.
d.
______________________________
$
$
-
-
,
.
,
.
e.
______________________________
$
$
-
-
,
.
,
.
f.
______________________________
$
$
-
-
,
.
,
.
g.
______________________________
$
$
-
-
,
.
,
.
h.
______________________________
$
$
-
-
,
.
,
.
i.
______________________________
$
$
-
-
,
.
,
.
j.
______________________________
$
$
-
-
,
.
,
.
k.
______________________________
$
$
-
-
,
.
,
.
l.
______________________________
$
$
-
-
,
.
,
.
m. ______________________________
$
$
-
-
,
.
,
.
n.
______________________________
$
$
-
-
,
.
,
.
o.
______________________________
$
$
-
-
,
.
,
.
p.
______________________________
$
$
-
-
,
.
,
.
q.
______________________________
$
$
-
-
,
.
,
.
r.
______________________________
$
$
-
-
,
.
,
.
s.
______________________________
$
$
-
-
,
.
,
.
t.
______________________________
$
$
-
-
,
.
,
.
u.
______________________________
$
$
-
-
,
.
,
.
v.
______________________________
$
$
-
-
,
.
,
.
w.
______________________________
$
$
,
,
,
,
.
.
$
$
18. Total of columns 16 and 17 on this page ......................... 18a.
18b.
,
,
,
,
.
.
$
$
19. Total of columns 16 and 17 for ALL pages ...................... 19a.
19b.

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