2010 Withholding Tax Packet - Indiana Department Of Revenue
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32010
Indiana Department of Revenue
W ithholding Forms
State Form 44468
Withholding Tax Packet (A-1)
Revised 8/09
This packet contains the Withholding Tax return (WH-1). Also included is a Change Form to report address changes in
your business location or mailing address. Your withholding tax return is due on the date printed on the form. Make sure the
information on this page is correct and complete. EFT taxpayers are required to file a WH-1 for each tax period.
Payments must be made with U.S. funds.
Please do not include check stubs when
COUPON:006
mailing your payments.
0000013357390
WH1
Report address changes on the Change Form.
*970000013357390*
For assistance call (317) 233-4016 or visit:
ATTICA PUBLIC LIBRARY
305 S PERRY ST
ATTICA,IN 47918-1441
/462278124374/
Taxpayer ID Number: 0002024365 001 5
Filing Status: MONTHLY
Corresp ID: 0000013357390
Indiana Department of Revenue
Withholding Tax Form (WH-1)
When a business location is closed, please complete Form BC-100 and attach appropriate documentation. You may request a
BC-100 by calling (317) 615-2581 or visit
Change Form
Who Should File:
A
return must be filed by the taxpayer even when no tax is due unless the account has been closed.
EFT taxpayers are required to file a WH-1 for each tax
period.
When To File:
please be advised that your filing frequency
status may have changed
Late Filings:
Taxpayer ID Number
Change Form
0002024365 001 5
(Please Print Clearly) This will change your Withholding Account only.
New Location Address
New Mailing Address
(
)
(
)
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