Employer'S Quarterly Return Of Tax Withheld - City Of Ontario, Ohio Income Tax Department
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2EMPLOYER’S QUARTERLY RETURN OF TAX WITHHELD
CITY OF ONTARIO, OHIO
DOLLARS
CENTS
Income Tax Rate:
I hereby certify that the information and statements
contained herein are true and correct.
1. Taxable Earnings paid all Employees subject to
Ontario, Ohio City Income Tax........................................................... $
(Signed) ____________________________________________________
Exclude under 18’s.
2. Actual Tax Withheld this Quarter for City Income Tax........................ $
(Title) _______________________________________________________
3. Resident/Courtesy Withholding Tax................................................... $
Date
(Phone) _____________________________________________________
4. Interest .............................................................................................. $
5. Penalty............................................................................................... $
THIS RETURN MUST BE FILED
ON OR BEFORE THE DUE DATE SHOWN BELOW
6. TOTAL ............................................................................................... $
MAKE CHECK OR MONEY ORDER PAYABLE TO
CITY OF ONTARIO, OHIO - INCOME TAX
If no wages were paid this month, mark “NONE” and return this form with explanation.
Federal ID No.
YEAR
CITY OF ONTARIO, OHIO
MAIL TO:
INCOME TAX DEPT.
Name & Address
1ST QUARTER
555 STUMBO ROAD
ONTARIO, OHIO 44906
JAN, FEB, MAR
DUE ON OR BEFORE
APRIL 30
Notify Income Tax Division promptly of any change in ownership or name and address
CHECK MUST ACCOMPANY FORM AND BE
shown above.
RECEIVED BY DUE DATE TO AVOID PENALTY.
EMPLOYER’S QUARTERLY RETURN OF TAX WITHHELD
CITY OF ONTARIO, OHIO
DOLLARS
CENTS
Income Tax Rate:
I hereby certify that the information and statements
contained herein are true and correct.
1. Taxable Earnings paid all Employees subject to
Ontario, Ohio City Income Tax........................................................... $
(Signed) ____________________________________________________
Exclude under 18’s.
2. Actual Tax Withheld this Quarter for City Income Tax........................ $
(Title) _______________________________________________________
3. Resident/Courtesy Withholding Tax................................................... $
Date
(Phone) _____________________________________________________
4. Interest .............................................................................................. $
5. Penalty............................................................................................... $
THIS RETURN MUST BE FILED
ON OR BEFORE THE DUE DATE SHOWN BELOW
6. TOTAL ............................................................................................... $
MAKE CHECK OR MONEY ORDER PAYABLE TO
CITY OF ONTARIO, OHIO - INCOME TAX
If no wages were paid this month, mark “NONE” and return this form with explanation.
YEAR
Federal ID No.
CITY OF ONTARIO, OHIO
MAIL TO:
INCOME TAX DEPT.
Name & Address
2ND QUARTER
555 STUMBO ROAD
ONTARIO, OHIO 44906
APR, MAY, JUN
DUE ON OR BEFORE
JULY 31
Notify Income Tax Division promptly of any change in ownership or name and address
CHECK MUST ACCOMPANY FORM AND BE
shown above.
RECEIVED BY DUE DATE TO AVOID PENALTY.
EMPLOYER’S QUARTERLY RETURN OF TAX WITHHELD
CITY OF ONTARIO, OHIO
DOLLARS
CENTS
Income Tax Rate:
I hereby certify that the information and statements
contained herein are true and correct.
1. Taxable Earnings paid all Employees subject to
Ontario, Ohio City Income Tax........................................................... $
(Signed) ____________________________________________________
Exclude under 18’s.
2. Actual Tax Withheld this Quarter for City Income Tax........................ $
(Title) _______________________________________________________
3. Resident/Courtesy Withholding Tax................................................... $
Date
(Phone) _____________________________________________________
4. Interest .............................................................................................. $
5. Penalty............................................................................................... $
THIS RETURN MUST BE FILED
ON OR BEFORE THE DUE DATE SHOWN BELOW
6. TOTAL ............................................................................................... $
MAKE CHECK OR MONEY ORDER PAYABLE TO
CITY OF ONTARIO, OHIO - INCOME TAX
If no wages were paid this month, mark “NONE” and return this form with explanation.
YEAR
Federal ID No.
CITY OF ONTARIO, OHIO
MAIL TO:
INCOME TAX DEPT.
Name & Address
3RD QUARTER
555 STUMBO ROAD
ONTARIO, OHIO 44906
JUL, AUG, SEP
DUE ON OR BEFORE
OCTOBER 31
Notify Income Tax Division promptly of any change in ownership or name and address
CHECK MUST ACCOMPANY FORM AND BE
shown above.
RECEIVED BY DUE DATE TO AVOID PENALTY.
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