Form W-1 - Employer'S Monthly Withholding - 2016 Page 3
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10foRm w-1 880
EmPLoyER’s wIthhoLdIng - monthLy
tax year 2016
1
I hereby certify that the information and statements contained here
1. Number of Taxable Employees ...........................................
in and in any schedules or exhibits attached are true and correct.
2. Total Salaries, Wages, Commissions and other
2
Signed ___________________________________________
Compensation paid all employees ......................................
Title ___________________________ Date ______________
3
Phone # __________________________________________
3. Taxable Earnings (from line 2) .............................................
4
4. Actual Tax Withheld at 1.000 % ...........................................
thIs REtURn mUst BE fILEd on
5
5. Adjustments of Tax for Prior Period .....................................
oR BEfoRE oct. 15, 2016
6
6. 1% Interest ..........................................................................
mAKE chEcK oR monEy oRdER to
7
7. 1% Penalty ..........................................................................
8
8. Total (Include Interest and Penalty if Due) ..........................
VILLAgE of gREEnwIch tAx dEPt.
45 mAIn stREEt
gREEnwIch, oh 44837
Name
Phone 419-752-2441
fax 419-752-1903
And
Period Ending - sEPtEmBER
Address
TAX ID
notIfy IncomE tAx dEPARtmEnt PRomPtLy of Any chAngE In ownERshIP oR nAmE And AddREss
foRm w-1 880
EmPLoyER’s wIthhoLdIng - monthLy
tax year 2016
1
I hereby certify that the information and statements contained here
1. Number of Taxable Employees ...........................................
in and in any schedules or exhibits attached are true and correct.
2. Total Salaries, Wages, Commissions and other
2
Signed ___________________________________________
Compensation paid all employees ......................................
Title ___________________________ Date ______________
3
Phone # __________________________________________
3. Taxable Earnings (from line 2) .............................................
4
4. Actual Tax Withheld at 1.000 % ...........................................
thIs REtURn mUst BE fILEd on
5
5. Adjustments of Tax for Prior Period .....................................
oR BEfoRE noV. 15, 2016
6
6. 1% Interest ..........................................................................
mAKE chEcK oR monEy oRdER to
7
7. 1% Penalty ..........................................................................
8
8. Total (Include Interest and Penalty if Due) ..........................
VILLAgE of gREEnwIch tAx dEPt.
45 mAIn stREEt
gREEnwIch, oh 44837
Name
Phone 419-752-2441
fax 419-752-1903
And
Period Ending - octoBER
Address
TAX ID
notIfy IncomE tAx dEPARtmEnt PRomPtLy of Any chAngE In ownERshIP oR nAmE And AddREss
foRm w-1 880
EmPLoyER’s wIthhoLdIng - monthLy
tax year 2016
1
I hereby certify that the information and statements contained here
1. Number of Taxable Employees ...........................................
in and in any schedules or exhibits attached are true and correct.
2. Total Salaries, Wages, Commissions and other
2
Signed ___________________________________________
Compensation paid all employees ......................................
Title ___________________________ Date ______________
3
Phone # __________________________________________
3. Taxable Earnings (from line 2) .............................................
4
4. Actual Tax Withheld at 1.000 % ...........................................
thIs REtURn mUst BE fILEd on
5
5. Adjustments of Tax for Prior Period .....................................
oR BEfoRE dEc. 15, 2016
6
6. 1% Interest ..........................................................................
mAKE chEcK oR monEy oRdER to
7
7. 1% Penalty ..........................................................................
8
8. Total (Include Interest and Penalty if Due) ..........................
VILLAgE of gREEnwIch tAx dEPt.
45 mAIn stREEt
gREEnwIch, oh 44837
Name
Phone 419-752-2441
fax 419-752-1903
And
Period Ending - noVEmBER
Address
TAX ID
notIfy IncomE tAx dEPARtmEnt PRomPtLy of Any chAngE In ownERshIP oR nAmE And AddREss
foRm w-1 880
EmPLoyER’s wIthhoLdIng - monthLy
tax year 2016
1
I hereby certify that the information and statements contained here
1. Number of Taxable Employees ...........................................
in and in any schedules or exhibits attached are true and correct.
2. Total Salaries, Wages, Commissions and other
2
Signed ___________________________________________
Compensation paid all employees ......................................
Title ___________________________ Date ______________
3
Phone # __________________________________________
3. Taxable Earnings (from line 2) .............................................
4
4. Actual Tax Withheld at 1.000 % ...........................................
thIs REtURn mUst BE fILEd on
5
5. Adjustments of Tax for Prior Period .....................................
oR BEfoRE JAn. 15, 2017
6
6. 1% Interest ..........................................................................
mAKE chEcK oR monEy oRdER to
7
7. 1% Penalty ..........................................................................
8
VILLAgE of gREEnwIch tAx dEPt.
8. Total (Include Interest and Penalty if Due) ..........................
45 mAIn stREEt
gREEnwIch, oh 44837
Name
Phone 419-752-2441
fax 419-752-1903
And
Period Ending - dEcEmBER
Address
TAX ID
notIfy IncomE tAx dEPARtmEnt PRomPtLy of Any chAngE In ownERshIP oR nAmE And AddREss
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