M-1
EMPLOYER MONTHLY RETURN OF WITHHOLDING TAX
CINCINNATI INCOME TAX BUREAU
2005
P O BOX 640770
CINCINNATI OH 45264-0770
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
SSN#:
TAX RATE: 2.1%
MONTH ENDING: JANUARY 31, 2005
DUE DATE: FEBRUARY 15, 2005
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-2
EMPLOYER MONTHLY RETURN OF WITHHOLDING TAX
CINCINNATI INCOME TAX BUREAU
2005
P O BOX 640770
CINCINNATI OH 45264-0070
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
SSN#:
TAX RATE: 2.1%
MONTH ENDING: FEBRUARY 28, 2005
DUE DATE: MARCH 15, 2005
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________
------------------------------------------------------------------------------------------------------------------------------------------------
M-3
EMPLOYER MONTHLY RETURN OF WITHHOLDING TAX
CINCINNATI INCOME TAX BUREAU
2005
P O BOX 634580
CINCINNATI OH 45263-4580
FOR OFFICIAL USE ONLY
ACCOUNT #:
FED ID#:
SSN#:
TAX RATE: 2.1%
MONTH ENDING: MARCH 31, 2005
DUE DATE: APRIL 15, 2005
AMOUNT DUE: $____________________
DATE
PHONE (
)_________________SIGNATURE______________________TITLE____________