Return Of Income Tax Withheld Form - Income Tax Department - City Of Massillon

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City of Massillon
If you do not have employees this period please
state so and return this form.
Income Tax Department
Total Salaries and Wages
P.O. Box 910
Massillon, Ohio 44648
1.Subject to Massillon Tax
Return of Income Tax Withheld
2.Total Tax Withheld This Period
For Period From:
To:
3.Adjustments To Prior Records
4.Penalty 5% Per Month
Tax Rate: (If other than 1.8%):
5.Amount Paid Herewith
Federal ID:
Avoid penalty - File and pay promptly
Signature
Date
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Title
Phone

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