Form 910 - Idaho Withholding Payment Voucher - 2004

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R0910T
12/11/2003
FORM 910
IDAHO WITHHOLDING PAYMENT VOUCHER
Mailing Address Change
Cancel Account
ACCOUNT NO.
FROM
TO
002566412
01/01/2004
01/31/2004
TAX DUE ON OR BEFORE
2/20/2004
REVENUE OPERATIONS QUALITY CONTROL
In the box below, enter the amount of Idaho income tax withheld from
PO BOX 36
your employees’ paychecks for the period shown on this voucher. You
BOISE ID 83722-0036
must file this form even if no tax is withheld for this period.
Payment Amount
▪
00
Mail to: State Tax Commission, PO Box 76, Boise, Idaho 83707-0076
I do hereby swear or affirm that this information is true and correct to the best of my knowledge.
Authorized Signature
Date
290500056 002566412 REVE 09 0104 M 95 7
290500056 002566412 REVE 09 0104 M 95 7
290500056 002566412 REVE 09 0104 M 95 7
290500056 002566412 REVE 09 0104 M 95 7
R0910T
12/11/2003
FORM 910
IDAHO WITHHOLDING PAYMENT VOUCHER
Mailing Address Change
Cancel Account
ACCOUNT NO.
FROM
TO
002566412
01/01/2004
01/31/2004
TAX DUE ON OR BEFORE
2/20/2004
REVENUE OPERATIONS QUALITY CONTROL
In the box below, enter the amount of Idaho income tax withheld from
PO BOX 36
your employees’ paychecks for the period shown on this voucher. You
BOISE ID 83722-0036
must file this form even if no tax is withheld for this period.
Payment Amount
▪
00
Mail to: State Tax Commission, PO Box 76, Boise, Idaho 83707-0076
I do hereby swear or affirm that this information is true and correct to the best of my knowledge.
Authorized Signature
Date
290500056 002566412 REVE 09 0204 M 95 7
290500056 002566412 REVE 09 0204 M 95 7
290500056 002566412 REVE 09 0204 M 95 7
290500056 002566412 REVE 09 0204 M 95 7
R0910T
12/11/2003
FORM 910
IDAHO WITHHOLDING PAYMENT VOUCHER
Mailing Address Change
Cancel Account
ACCOUNT NO.
FROM
TO
002566412
01/01/2004
01/31/2004
TAX DUE ON OR BEFORE
2/20/2004
REVENUE OPERATIONS QUALITY CONTROL
In the box below, enter the amount of Idaho income tax withheld from
PO BOX 36
your employees’ paychecks for the period shown on this voucher. You
BOISE ID 83722-0036
must file this form even if no tax is withheld for this period.
Payment Amount
▪
00
Mail to: State Tax Commission, PO Box 76, Boise, Idaho 83707-0076
I do hereby swear or affirm that this information is true and correct to the best of my knowledge.
Authorized Signature
Date
290500056 002566412 REVE 09 0304 M 95 7
290500056 002566412 REVE 09 0304 M 95 7
290500056 002566412 REVE 09 0304 M 95 7
290500056 002566412 REVE 09 0304 M 95 7

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