Form W-1 - Employer'S Return Of Tax Withheld For 2014 Page 2

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Form W-1 - Employer s Return of Tax Withheld for 2
Fairfield Income Tax Division 513.867.5327
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er of
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JAN 3 , 201
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OCT-NOV-DEC 201
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Change of Address:
__________________________________
__________________________________
Form W-1 - Employer s Return of Tax Withheld for 2
Fairfield Income Tax Division 513.867.5327
er of
o ees
________
edera
:
e:
_________________
a ro s
e
o a
_______________
on h Q ar er:
a
a
_______________
A o n
e
ed
____________ Che
: ____________
a
hhe d fro
ages
_______________
a e he s a a e o: Fairfield Income Tax
__________________________________
gna re
a e
e
o:
__________________________________
A
C
A
hone
er
C
A
-
Change of Address:
__________________________________
__________________________________
Form W-1 - Employer s Return of Tax Withheld for 2
Fairfield Income Tax Division 513.867.5327
er of
o ees
________
edera
:
e:
_________________
a ro s
e
o a
_______________
on h Q ar er:
a
a
_______________
A o n
e
ed
____________ Che
: ____________
a
hhe d fro
ages
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a e he s a a e o: Fairfield Income Tax
__________________________________
gna re
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o:
__________________________________
A
C
A
hone
er
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A
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Change of Address:
__________________________________
__________________________________

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