Form L941 - City Of Lapeer Income Tax Withheld - 2009

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Mail remittance
CITY OF LAPEER
2009 L941 - CITY OF LAPEER INCOME TAX WITHHELD
and form to:
INCOME TAX DEPT
576 LIBERTY PARK
2009 1ST QTR
DUE ON
FEDERAL EMPLOYER ID #
LAPEER MI 48446
1-1-09 TO 3-31-09
4/30/2009
Business Name & Address:
FINAL PAYMENT-SEE BACK
Tax Withheld This Quarter
$
Prior Tax Paid This Quarter
$
Total Tax Amount Due
$
Signature
Title
Date
Phone Number
Mail remittance
CITY OF LAPEER
2009 L941 - CITY OF LAPEER INCOME TAX WITHHELD
and form to:
INCOME TAX DEPT
576 LIBERTY PARK
2009 2ND QTR
DUE ON
FEDERAL EMPLOYER ID #
LAPEER MI 48446
4-1-09 TO 6-30-09
7/31/2009
Business Name & Address:
FINAL PAYMENT-SEE BACK
Tax Withheld This Quarter
$
Prior Tax Paid This Quarter
$
Total Tax Amount Due
$
Signature
Title
Date
Phone Number
Mail remittance
CITY OF LAPEER
2009 L941 - CITY OF LAPEER INCOME TAX WITHHELD
and form to:
INCOME TAX DEPT
576 LIBERTY PARK
2009 3RD QTR
DUE ON
FEDERAL EMPLOYER ID #
LAPEER MI 48446
7-1-09 TO 9-30-09
11/2/2009
Business Name & Address:
FINAL PAYMENT-SEE BACK
Tax Withheld This Quarter
$
Prior Tax Paid This Quarter
$
Total Tax Amount Due
$
Signature
Title
Date
Phone Number
Mail remittance
CITY OF LAPEER
2009 L941 - CITY OF LAPEER INCOME TAX WITHHELD
and form to:
INCOME TAX DEPT
576 LIBERTY PARK
2009 4TH QTR
DUE ON
FEDERAL EMPLOYER ID #
LAPEER MI 48446
10-1-09 TO 12-31-09
2/1/2010
Business Name & Address:
FINAL PAYMENT-SEE BACK
Tax Withheld This Quarter
$
Prior Tax Paid This Quarter
$
Total Tax Amount Due
$
Signature
Title
Date
Phone Number

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