Form 941/c1-Me - Combined Filing For Income Tax Withholding And Unemployment Contributions - 2010 Page 3

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SCHEDULE 2/C1 (FORM 941/C1- ME) 2010
99
Name:
Withholding
UC Employer
*1008502*
-
Account No.:
Account No:
-
-
-
-
Period Covered:
-
Quarterly Income Tax Withholding and Unemployment Compensation Wages Listing
All employers designated SEASONAL by Department
INCOME TAX
of Labor, see instructions for column 16 on page 7.
WITHHOLDING
Maine Income Tax
14. Payee Name (Last, First, MI)
15. Social Security Number
16. UC Gross Wages Paid
17. Withheld in the Quarter
-
-
,
.
,
. .
a.
______________________________
$
$
-
-
,
.
,
.
b.
______________________________
$
$
-
-
,
.
,
.
c.
______________________________
$
$
-
-
,
.
,
.
d.
______________________________
$
$
-
-
,
.
,
.
e.
______________________________
$
$
-
-
,
.
,
.
f.
______________________________
$
$
-
-
,
.
,
.
g.
______________________________
$
$
-
-
,
.
,
.
h.
______________________________
$
$
-
-
,
.
,
.
i.
______________________________
$
$
-
-
,
.
,
.
j.
______________________________
$
$
-
-
,
.
,
.
k.
______________________________
$
$
-
-
,
.
,
.
l.
______________________________
$
$
-
-
,
.
,
.
m. ______________________________
$
$
-
-
,
.
,
.
n.
______________________________
$
$
-
-
,
.
,
.
o.
______________________________
$
$
-
-
,
.
,
.
p.
______________________________
$
$
-
-
,
.
,
.
q.
______________________________
$
$
-
-
,
.
,
.
r.
______________________________
$
$
-
-
,
.
,
.
s.
______________________________
$
$
-
-
,
.
,
.
t.
______________________________
$
$
-
-
,
.
,
.
u.
______________________________
$
$
-
-
,
.
,
.
v.
______________________________
$
$
-
-
,
.
,
.
w.
______________________________
$
$
,
,
,
,
.
.
$
$
18. Total of columns 16 and 17 on this page ......................... 18a.
18b.
,
,
,
,
.
.
$
$
19. Total of columns 16 and 17 for ALL pages....................... 19a.
19b.

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