Form 44-095 - Iowa Withholding Quarterly Tax Return
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1Iowa Withholding Quarterly Tax Return
https://tax.iowa.gov
Permit Number
Period (MMDDYY)
Name
Address
City
State
ZIP
1. Total Tax Withheld This Quarter.....................................
.00
2. Less Monthly Deposits ...................................................
.00
3. Less Credits
3a. New Jobs Credit ..................................................
.00
Certificate Number
3b. Supplemental Jobs Credit....................................
.00
Certificate Number
3c. Accelerated Career Education Credit ..................
.00
Certificate Number
3d. Targeted Jobs Credit ...........................................
.00
Certificate Number
Total Credits ...................................................................
.00
4. Balance Due ...................................................................
.00
5. Penalty ...........................................................................
.00
6. Interest ...........................................................................
.00
7. Total Amount Due ..........................................................
.00
Signature of Withholding Agent
Daytime Phone Number (
)
Date
44-095 (07/28/2016)
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Parent category: Financial