Form Wwq - Withholding Questionnaire

CITY OF GREENVILLE, OHIO

INCOME TAX DEPARTMENT

Municipal Building

100 Public Square

Greenville OH 45331-1499

Phone: 937-548-5747 Fax: 937-548-3035

WITHHOLDING QUESTIONNAIRE

(FORM WWQ)

1. NAME OF COMPANY

2. BUSINESS ADDRESS

3. MAILING ADDRESS

(if different from line 2)

4. FEDERAL IDENTIFICATION NUMBER

5. TELEPHONE NUMBER

FAX NUMBER

6. EFFECTIVE DATE OF WITHHOLDING

7. NUMBER OF EMPLOYEES FOR WHICH TAX WILL BE DEDUCTED

8. WILL YOU REMIT WITHHOLDING: MONTHLY

QUARTERLY

9. NAME OF PAYROLL SERVICE IF ANY

10. STATUTORY AGENT

SSN

11. SIGNATURE

DATE

YOUR SIGNATURE CERTIFIES THAT THE ABOVE-NAMED COMPANY IS NOT DOING ANY

WORK IN GREENVILLE, BUT IS WITHHOLDING ON EMPLOYEES WHO ARE GREENVILLE

RESIDENTS.

0 votes

Parent category: Financial