Form M-1 - Employer Quarterly Return Of Withholding Tax - 2003 Page 2

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M-4
EMPLOYER QUARTERLY RETURN OF WITHHOLDING TAX
2003
CINCINNATI INCOME TAX BUREAU
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
SSN#:
TAX RATE: 2.1%
MONTH ENDING: APRIL 30, 2003
DUE DATE: MAY 15, 2003
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-5
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#:
SSN#:
TAX RATE: 2.1%
MONTH ENDING: MAY 31, 2003
DUE DATE: JUNE 15, 2003
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-6
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#:
SSN#:
TAX RATE: 2.1%
QUARTER ENDING: JUNE 30, 2003
DUE DATE: JULY 15, 2003
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________

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