Form C-1 - Return Of Income Tax Withheld - Village Of Covington
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2Village Form C-1
VILLAGE OF COVINGTON INCOME TAX
File With
RETURN OF INCOME TAX WITHHELD
DUPLICATE
Dept. of Taxation
On Salaries, Wages and Other Compensation
P.O. Box 156
For period from_________________to__________________
Covington, OH 45318
DUPLICATE RETURN: Do not file this copy with the
1. Total Tax withheld during period_ _ $________________
Administrator of Taxation
The original copy should be filed according to the instructions on the back hereof.
2. Adjustment to prior returns_ _ _ _ _ $________________
If no tax was withheld, please explain on the original of this return and forward to
3. Total payable herewith _ _ _ _ _ _ _ $________________
the:
Dept. Of Taxation
Make check or money-order payable to Village of Covington
P.O. Box 156
Tax Department. If No Tax Was Withheld Please Indicate
Covington, Ohio 45318
None and Return.
THIS COPY
Penalty $__________
Interest $__________
MUST BE KEPT
BY EMPLOYER
Total $__________
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