Form Wh-1 - Withholding Tax
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1Withholding Tax
State Form 44468 (rps)
WH-1
0807
Total Indiana State and County
,
,
.
Taxes Withheld ...........................................
1.
,
,
.
X
Authorized
IN Advance EIC Payments ..........................
2.
W
Signature
I declare under penalties of perjury that this is a true, correct and complete voucher.
Date
Phone # (
)
Line 1 minus Line 2. If no tax is due enter (.00)
,
,
.
JACKS POT
on Line 3 ......................................................
3.
JACKS POT
Taxpayer ID Number
For Tax Period
0100277934 001 7
FEB 2008
If late, penalty is greater of $5 or 10% of Line
,
,
.
3, plus interest ..............................................
4.
Filing Status
Due on or Before
The 2008 annual interest rate is 7%
MONTHLY
MAR 31 2008
$
,
,
.
(0509108(
5.
Total Amount Due........................................
INDIANA DEPARTMENT OF REVENUE
P.O. BOX 7221
INDIANAPOLIS, IN 46207-7221
(462077221216(
04010027793400105005022920080331200803
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