M-10
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: OCTOBER 31, 2003
DUE DATE: NOVEMBER 15, 2003
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-11
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: NOVEMBER 30, 2003
DUE DATE: DECEMBER 15, 2003
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-12
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: DECEMBER 31, 2003
DUE DATE: JANUARY 15, 2004
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________