Form 5323 - City Of Detroit Income Tax Withholding Monthly/quarterly Return - 2017

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2017 City of Detroit Income Tax Withholding Monthly/Quarterly Return
See the monthly/quarterly return below, and instructions on the following page.
Reset Form
Michigan Department of Treasury - City Tax Administration
Make check payable to “State of Michigan - Detroit.” Write the FEIN and “2017 City WH” on the check.
5323 (Rev. 09-16)
Mail to: Michigan Department of Treasury, PO Box 30812, Lansing MI 48909.
2017 City of Detroit Income Tax Withholding Monthly/Quarterly Return
Issued under authority of Public Act 284 of 1964, as amended.
Taxpayer’s Business Name
Return is for the city of
City Code
Return Period Ending (MM-YYYY)
DETROIT
170
Street Address
1. Amount of income tax
withheld this return period ...... 1.
City
State
ZIP/Postal Code
2. Adjustments from prior
return period ........................
2.
Federal Employer Identification Number (FEIN)
3. Total tax due ........................
3.
Signature
Title
Date
+
0000 2017 702 01 27 2

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