Form Al-941 M - Employer'S Monthly Return Of Income Tax Withheld

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AL-941 M
ALBION INCOME TAX DIVISION
EMPLOYER'S MONTHLY RETURN OF INCOME TAX WITHHELD
4. AMOUNT DUE
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3.DUE ON OR BEFORE
MONTHLY DEPOSIT OF INCOME TAX
TAXPAYER NAME AND ADDRESS
IS REQUIRED IF TAX WITHHELD IN
THE FIRST QUARTER EXCEEDS $100
IMPORTANT
5. IF DEPOSIT IS FOR A
MONTH
YEAR
PERIOD OTHER THAN
BOX 2, ENTER THE
CORRECT PERIOD
MAKE REMITTANCE PAYABLE TO:
SIGNATURE
TITLE
DATE
CITY OF ALBION
MAIL THIS FORM AND PAYMENT TO:
CITY OF ALBION
PRINTED NAME OF SIGNER
IF FINAL RETURN, CHECK HERE AND COMPLETE
INCOME TAX DIVISION
NOTICE OF CHANGE OR DISCONTINUANCE IN
112 WEST CASS STREET
RETURN BOOKLET
ALBION, MI 49224-0900
AL-941 Q
ALBION INCOME TAX DIVISION
EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD
1. IDENTIFICATION NUMBER
2. RETURN PERIOD
3.DUE ON OR BEFORE
4. TAX WITHHELD THIS QUARTER
5. ADJUSTMENTS
TAXPAYER NAME AND ADDRESS
6. ADJUSTED TAX WITHHELD
7A. TAX PAID FIRST MONTH OF QUARTER
7B. TAX PAID SECOND MONTH OF QUARTER
8. AMOUNT DUE
(LINE 6 LESS LINES 7A AND 7B)
PAY THIS AMOUNT
MAKE REMITTANCE PAYABLE TO:
SIGNATURE
TITLE
DATE
CITY OF ALBION
MAIL THIS FORM AND PAYMENT TO:
CITY OF ALBION
PRINTED NAME OF SIGNER
IF FINAL RETURN, CHECK HERE AND COMPLETE
INCOME TAX DIVISION
NOTICE OF CHANGE OR DISCONTINUANCE IN
112 WEST CASS STREET
RETURN BOOKLET
ALBION, MI 49224-0900

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