Form W-1 - Employer'S Return Of Taxes Withheld - City Of Blue Ash

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Form W-1
CITY OF BLUE ASH
CITY OF BLUE ASH
Income Tax Dept.
INCOME TAX OFFICE
EMPLOYER’S RETURN OF TAXES WITHHELD
(513) 745-8516
4343 COOPER ROAD
BLUE ASH, OH 45242-5699
This form must be submitted each period even if no tax is due.
1.25%
tax withheld from employees' wages = $__________________ for period checked.
FID # ________________
ACCT. NO. ________________
Jan. thru March,
20___
Due
4/30
NAME AND ADDRESS
April thru June,
20___
Due
7/31
July thru Sept.,
20___
Due
10/31
Oct. thru Dec.,
20___
Due
1/31
Month of ___________________________
_____________________________________
SIGNATURE
_____________________________________
PHONE NUMBER
DATE

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