Q-1
EMPLOYER QUARTERLY RETURN OF WITHHOLDING TAX
Click on the fields below and type in your
information. Then print the form and mail it to
CINCINNATI INCOME TAX BUREAU
our office.
2003
2004
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter your name and address here
SSN#:
2.10%
TAX RATE:
2004
QUARTER ENDING: MARCH 31, 2003
2004
DUE DATE: APRIL 30, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
Q-2
EMPLOYER QUARTERLY RETURN OF WITHHOLDING TAX
CINCINNATI INCOME TAX BUREAU
2004
2003
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter your name and address here
SSN#:
2.10%
TAX RATE:
2004
QUARTER ENDING: JUNE 30, 2003
2004
DUE DATE: JULY 31, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
Q-3
EMPLOYER QUARTERLY RETURN OF WITHHOLDING TAX
CINCINNATI INCOME TAX BUREAU
2004
2003
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
Enter your name and address here
SSN#:
2.10%
TAX RATE:
2004
QUARTER ENDING: SEPTEMBER 30, 2003
2004
DUE DATE: OCTOBER 31, 2003
AMOUNT DUE: $
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________