Form W1 - Employer'S Return Of Tax Withheld printable pdf download

Form W1 - Employer'S Return Of Tax Withheld

EMPLOYER’S RETURN OF TAX WITHHELD – VANDALIA – ENGLEWOOD – BROOKVILLE

Return with Payment

CITY OF

VANDALIA

ENGLEWOOD

BROOKVILLE

I hereby certify that the information and statements

contained herein are true and correct.

1. Payroll this period

2. Tax (1.75%)

(Signed)

3. Adjustment*

(Official Title)

4. Amount Remitted (each city)

Date

Federal ID no.

TOTAL REMITTANCE $

THIS RETURN MUST BE FILED

Is this a courtesy withholding

YES

Is this a final return

YES

ON OR BEFORE THE DUE DATE SHOWN BELOW

* If adjusted, provide explanation

If yes, attach explanation

MAKE CHECK OR MONEY ORDER PAYABLE TO:

NAME AND ADDRESS

CITY OF VANDALIA

FOR THE PERIOD ENDING

MAIL TO:

VANDALIA TAX OFFICE

DUE ON OR BEFORE

P.O. BOX 727

VANDALIA, OHIO 45377-0727

TELEPHONE (937) 415-2240

If receipt is desired, submit additional copy

and enclose self-addressed, stamped envelope.

Notify the Division of Taxation promptly of any change in ownership or name and address shown above.

AMENDED (Attach Explanation)

FORM W1

Form W1 - Employer'S Return Of Tax Withheld