Return Form Of Income Tax Withheld - Canton City Income Tax

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Kim R. Perez, City Treasurer
If you do not have employees this period please
Canton City Income Tax
state so and return this form.
Total Salaries and Wages
Total Salaries and Wages
P.O. Box 9940
Canton, Ohio 44711-9940
1. Subject to Canton Tax
1. Subject to Canton Tax
Return of Income Tax Withheld
2. Total Tax Withheld This Period
2. Total Tax Withheld This Period
3. Adjustments To Prior Records
For Period From:
To:
3. Adjustments To Prior Records
4. Interest 0.42% Per Month
Tax Rate: (If other than 2%):
5. Late Filing Penalty
Account #:
4. Penalty 6% Per Month
6. Late Payment Penalty
Federal ID:
5. Amount Paid Herewith
7. Amount Paid Herewith
Avoid penalty - File and pay promptly
Signature
Date
(
)
Title
Phone
Kim R. Perez, City Treasurer

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