Form M01 - Employer Monthly Return Of Withholding Tax 2010 Page 14

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Q02
EMPLOYER QUARTERLY RETURN OF WITHHOLDING TAX
Sylvania Income Tax Division
2010
PO Box 510
Name and Address
Please make necessary corrections
Sylvania, OH 43560
Prepared via Tax Tool
Account #
Federal ID #
Quarter ending: June 30, 2010
Due date: July 31, 2010
Payment amount: $
Signature
Title
Phone

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