Form W1 1229 - Employer'S Withholding - Monthly Form 2017 Page 7
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7FORM W1
1229
EMPLOYER'S WITHHOLDING - QUARTERLY
1
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .
Tax Year 2017
2. Total Salaries, Wages, Commissions and other
I hereby certify that the information and statements contained here
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .
2
in and in any schedules or exhibits attached are true and correct.
Signed
3. Taxable Earnings (from line 2). . . . . . . . . . . . . . . . . . . . . . . . . .
3
Title
Date
4
4. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .
Phone #
5
5. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .
THIS RETURN MUST BE FILED ON
6
6. Interest add .50% per month. . . . . . . . . . . . . . . . . . . . . . . . . . .
OR BEFORE
JULY
31, 2017
7
7. Penalty add 50% per month. . . . . . . . . . . . . . . . . . . . . . . . . . .
MAKE CHECK OR MONEY ORDER TO:
8
8. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .
CITY OF MONROE
INCOME TAX
Name
PO BOX 629
MONROE OH 45050
And
Voice 513-539-7374
Fax 513-539-6209
Address
Period Ending APR-MAY-JUN
TAX ID
NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.
FORM W1
1229
EMPLOYER'S WITHHOLDING - QUARTERLY
1
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .
Tax Year 2017
2. Total Salaries, Wages, Commissions and other
I hereby certify that the information and statements contained here
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .
2
in and in any schedules or exhibits attached are true and correct.
Signed
3. Taxable Earnings (from line 2). . . . . . . . . . . . . . . . . . . . . . . . . .
Title
Date
3
4
4. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .
Phone #
5
5. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .
THIS RETURN MUST BE FILED ON
6
6. Interest add .50% per month. . . . . . . . . . . . . . . . . . . . . . . . . . .
OR BEFORE
OCTOBER
31, 2017
7
7. Penalty add 50% per month. . . . . . . . . . . . . . . . . . . . . . . . . . .
MAKE CHECK OR MONEY ORDER TO:
8
8. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .
CITY OF MONROE
INCOME TAX
PO BOX 629
Name
MONROE OH 45050
And
Voice 513-539-7374
Fax 513-539-6209
Address
Period Ending JUL-AUG-SEP
TAX ID
NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.
FORM W1
1229
EMPLOYER'S WITHHOLDING - QUARTERLY
1
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .
Tax Year 2017
2. Total Salaries, Wages, Commissions and other
I hereby certify that the information and statements contained here
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .
2
in and in any schedules or exhibits attached are true and correct.
Signed
3. Taxable Earnings (from line 2). . . . . . . . . . . . . . . . . . . . . . . . . .
Title
Date
3
4
4. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . .
Phone #
5
5. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .
THIS RETURN MUST BE FILED ON
6
6. Interest add .50% per month. . . . . . . . . . . . . . . . . . . . . . . . . . .
OR BEFORE
JANUARY
31, 2018
7
7. Penalty add 50% per month. . . . . . . . . . . . . . . . . . . . . . . . . . .
MAKE CHECK OR MONEY ORDER TO:
8
8. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .
CITY OF MONROE
INCOME TAX
PO BOX 629
Name
MONROE OH 45050
And
Voice 513-539-7374
Fax 513-539-6209
Address
Period Ending OCT-NOV-DEC
TAX ID
NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.
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