Form Sf- 941 - Employer'S Return Of Income Tax Withheld Page 4

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SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
withheld for
withheld for
1st Quarter 2014
April 30, 2014
*Amount
*Amount
Total
Signature
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774
SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
withheld for
withheld for
2nd Quarter 2014
July 31, 2014
*Amount
*Amount
Total
Signature
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774
SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
withheld for
withheld for
3rd Quarter 2014
October 31, 2014
*Amount
*Amount
Total
Signature
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774
SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
withheld for
withheld for
4th Quarter 2014
January 31, 2015
*Amount
*Amount
Total
Signature
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774

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