Form W1 - Employer'S Withholding - 2013 printable pdf download

Form W1 - Employer'S Withholding - 2013

Please change tax year if necessary

FORM W1

EMPLOYER’S WITHHOLDING

2013

Tax Year

1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . .

I hereby certify that the information and statements contained here

2. Total Salaries, Wages, Commissions and other

in and in any schedules or exhibits attached are true and correct.

Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . .

Signed

Title

Date

3. Taxable Earnings (from line 2). . . . . . . . . . . . . . . . . . . . . . . . . .

Phone #

THIS RETURN MUST BE FILED ON

4. Actual Tax Withheld at 3.000 %. . . . . . . . . . . . . . . . . . . . . . . . .

OR BEFORE

5. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . .

6. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . .

MAKE CHECK OR MONEY ORDER TO:

CITY OF PARMA HEIGHTS

INCOME TAX DEPARTMENT

6281 PEARL ROAD

PARMA HEIGHTS, OH 44130

Name

Voice 440-888-6440

Fax 440-885-8228

And

Please select period below

Period Ending

Address

TAX ID

Form W1 - Employer'S Withholding - 2013