Form: Os-3705 - Employer'S Quarterly Withholding Tax Return Page 2

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DIVISION OF REVENUE AND TAXATION
COMMONWEALTH GOVERNMENT OF THE NORTHERN MARIANA ISLANDS
EMPLOYER’S QUARTERLY WITHHOLDING TAX RETURN
Page
Of
(Please type or print in ink)
Form OS-3705 Attachment
A. Taxpayer’s Name
B. Taxpayer Identification Number
C. Quarter Ended
D.
E.
F.
G.
H.
EMPLOYEE’S
EMPLOYEE’S NAME
TOTAL
CHAPTER 2
CHAPTER 7
US SOCIAL
MIDDLE
WAGES and
TAXES
TAXES
SECURITY NO.
LAST
FIRST
INITIAL
SALARIES
WITHHELD
WITHHELD
TOTAL
Schedule: OS-3705A (Rev. 12/2001)
NOTE: This revision is effective 4th Quarter 2001.

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