Form Dw-1 - Return Of City Income Tax Withheld

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FORM - DW-1
TAXATION
TAXATION COPY
RETURN OF CITY INCOME TAX WITHHELD
DIVISION OF TAXATION
LIST YOUR WITHHOLDING SEPARATELY FOR EACH MUNICIPALITY.
P.O. BOX 630426, CINCINNATI, OH. 45263-0426
50
DAYTON
2.25% $
)
(
CHECK IF ADJUSTMENT TO PRIOR PERIOD IS INCLUDED IN THIS FILING.
LIST EXPLANATION
55
YELLOW SPRINGS
1.5%
$
CHECK IF YOU HAD NO EMPLOYEES THIS PERIOD AND RETURN THIS FORM.
ON BACK OF THIS
56
TROTWOOD
2.25% $
CHECK IF BUSINESS WAS SOLD, MERGED OR CLOSED. ATTACH EXPLANATION.
FORM.
IMPORTANT: FED. I.D. NO.
57
HUBER HEIGHTS
1.75% $
58
CEDARVILLE
1.0%
$
I DECLARE THIS TO BE A TRUE, CORRECT AND COMPLETE RETURN.
59
WEST MILTON
1.5%
$
60
ENGLEWOOD
1.75% $
SIGNED _________________________________________________________ TITLE __________________ DATE ____________
61
BROOKVILLE
1.75% $
NAME AND ADDRESS - IF INCORRECT PLEASE MAKE CHANGES.
ACCOUNT NUMBER
YEAR
PERIOD
63
PHILLIPSBURG
1.5%
$
64
FARMERSVILLE
1.0%
$
$
$
$
TOTAL

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