Q-1
EMPLOYER QUARTERLY 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 your name and address here
SSN#:
TAX RATE:
QUARTER ENDING: MARCH 31, 2003
DUE DATE: APRIL 30, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
Q-2
EMPLOYER QUARTERLY 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 your name and address here
SSN#:
TAX RATE:
QUARTER ENDING: JUNE 30, 2003
DUE DATE: JULY 31, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
Q-3
EMPLOYER QUARTERLY 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 your name and address here
SSN#:
TAX RATE:
QUARTER ENDING: SEPTEMBER 30, 2003
DUE DATE: OCTOBER 31, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________