Form L-941 - Monthly Deposit Voucher For Whithheld Income Tax Page 7

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L-941
LANSING INCOME TAX OFFICE
L-941
QUARTERLY DEPOSIT VOUCHER FOR WITHHELD INCOME TAX
2007
941
1Q
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
4. TAX WITHHELD THIS QUARTER
ST
QUARTER 2007
1
4/30/2007
TAXPAYER
5. ADJUSTMENTS
6. ADJUSTED TAX WITHHELD
7a. TAX PAID FIRST MONTH OF QUARTER
7B. TAX PAID SECOND MONTH OF QUARTER
8. AMOUNT DUE (Line 6 less line 7a and 7b)
____________________________________
_______________________
_________________
PAY THIS AMOUNT
SIGNATURE
TITLE
DATE
PAY TO: LANSING CITY TREASURER
MAIL TO: CITY OF LANSING INCOME TAX OFFICE
If final return, check here and complete Notice
P.O. BOX 19219
____________________________________
of Change or Discontinuance in return booklet.
LANSING, MI 48901
PRINTED NAME OF SIGNER
L-941
LANSING INCOME TAX OFFICE
L-941
QUARTERLY DEPOSIT VOUCHER FOR WITHHELD INCOME TAX
2007
941
2Q
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
4. TAX WITHHELD THIS QUARTER
ND
QUARTER 2007
2
7/31/2007
TAXPAYER
5. ADJUSTMENTS
6. ADJUSTED TAX WITHHELD
7a. TAX PAID FIRST MONTH OF QUARTER
7B. TAX PAID SECOND MONTH OF QUARTER
8. AMOUNT DUE (Line 6 less line 7a and 7b)
____________________________________
_______________________
_________________
PAY THIS AMOUNT
SIGNATURE
TITLE
DATE
PAY TO: LANSING CITY TREASURER
MAIL TO: CITY OF LANSING INCOME TAX OFFICE
If final return, check here and complete Notice
P.O. BOX 19219
____________________________________
of Change or Discontinuance in return booklet.
LANSING, MI 48901
PRINTED NAME OF SIGNER

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