Form 941me - Employer'S Return Of Maine Income Tax Withholding

Form 941me - Employer'S Return Of Maine Income Tax Withholding - 2009 Page 2

SCHEDULE 1 (FORM 941ME) 2009

Name:

Withholding

Account No.:

*0906224*

Period Covered:

Schedule 1

ing

Reconciliation of 900ME Voucher Payments or Electronic Payments of Income Tax Withhold

For employers or non-payroll ﬁ liers required to remit withholding taxes on a semiweekly basis.

Date Wages

or Non-wages

Witholding

Payment

or Non-wages

Witholding

Payment

or Non-wages

Witholding

Payment

Paid

Amount

Paid

Amount

Paid

Amount

Subtotal A

Subtotal B

Subtotal C

Withholding Amount

6. Payment Amount

Subtotal A................................. $

Subtotal A .................................$

Subtotal B ................................ $

Subtotal B ................................$

Subtotal C ................................ $

Subtotal C ................................$

Total (Enter on Form 941ME,

line 1) ....................................... $

line 2) .......................................$

Form 941me - Employer'S Return Of Maine Income Tax Withholding - 2009 Page 2