Form W-1 - Employer'S Monthly Withholding - 2016 Page 4
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10Tax year 2016
fOrm w-1 880
EmPlOyEr’s wiThhOlDiNg - QUarTErly
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 ______________
Phone # __________________________________________
3
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 aPril 15, 2016
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 - JaN-fEB-mar
Address
TAX ID
NOTify iNCOmE Tax DEParTmENT PrOmPTly Of aNy ChaNgE iN OwNErshiP Or NamE aND aDDrEss
Tax year 2016
fOrm w-1 880
EmPlOyEr’s wiThhOlDiNg - QUarTErly
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 ______________
Phone # __________________________________________
3
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 JUly 15, 2016
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 - aPr-may-JUNE
Address
TAX ID
NOTify iNCOmE Tax DEParTmENT PrOmPTly Of aNy ChaNgE iN OwNErshiP Or NamE aND aDDrEss
Tax year 2016
fOrm w-1 880
EmPlOyEr’s wiThhOlDiNg - QUarTErly
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 ______________
Phone # __________________________________________
3
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
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 - JUly-aUg-sEPT
Address
TAX ID
NOTify iNCOmE Tax DEParTmENT PrOmPTly Of aNy ChaNgE iN OwNErshiP Or NamE aND aDDrEss
fOrm w-1 880
EmPlOyEr’s wiThhOlDiNg - QUarTErly
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 ______________
Phone # __________________________________________
3
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 - OCT-NOV-DEC
Address
TAX ID
NOTify iNCOmE Tax DEParTmENT PrOmPTly Of aNy ChaNgE iN OwNErshiP Or NamE aND aDDrEss
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