Wage Tax - Final Form - City Of Wapakoneta

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FINAL FORM
(Please Print All Information)
REASON FOR FINAL REPORT
Wage Tax
BUSINESS CLOSED
NO LONGER HAVE EMPLOYEES
SUBJECT TO WAPAKONETA WAGE TAX.
CITY OF WAPAKONETA
SOLD – DATE:
701 PARLETTE COURT
OTHER
P O BOX 269
IF SOLD, NEW OWNER’S
WAPAKONETA, OH 45895
(419) 738-7342
NAME:
DATE OF LAST PAYROLL
MONTH
YEAR
ADDRESS:
CONTACT PERSON:
PHONE #:

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