Form M-1 - Employer Monthly Return Of Withholding Tax (2003) - Cincinnati Income Tax Bureau - Ohio Page 4
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4M-10
EMPLOYER MONTHLY RETURN OF WITHHOLDING TAX
2003
CINCINNATI INCOME TAX BUREAU
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter you name and address here
SSN#:
TAX RATE:
MONTH ENDING: OCTOBER 31, 2003
DUE DATE: NOVEMBER 15, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-11
EMPLOYER MONTHLY RETURN OF WITHHOLDING TAX
CINCINNATI INCOME TAX BUREAU
2003
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter you name and address here
SSN#:
TAX RATE:
MONTH ENDING: NOVEMBER 30, 2003
DUE DATE: DECEMBER 15, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-12
EMPLOYER MONTHLY RETURN OF WITHHOLDING TAX
CINCINNATI INCOME TAX BUREAU
2003
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter you name and address here
SSN#:
TAX RATE:
MONTH ENDING: DECEMBER 31, 2003
DUE DATE: JANUARY 15, 2004
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
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