Form Sf-941 - Employer'S Return Of Income Tax Withheld - Springfield Income Tax Department Page 2

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SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
May-2009
June 30, 2009
withheld for
withheld for
*Amount
*Amount
$
$
Total
Signature
Title
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774
SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
withheld for
withheld for
June-2009
July 31, 2009
*Amount
*Amount
$
$
Total
Signature
Title
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774
SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
August 31, 2009
withheld for
withheld for
July-2009
*Amount
*Amount
$
$
Total
Signature
Title
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774
SF-941
Employer's Return of Income Tax Withheld
Tax Period (Month/Quarter)
Due Date
FEIN
*Number of Residents
*Number of Non-Residents
withheld for
withheld for
August-2009
September 30, 2009
*Amount
*Amount
$
$
Total
Signature
Title
Date
Phone Number
This allocation is necessary due to the State of
Michigan reporting requirements
Return this voucher with check or money order payable to: City of Springfield
Mail to: Springfield Income Tax Department 601 Avenue A Springfield MI 49037-7774

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