Form 941/c1-Me - Combined Filing For Income Tax Withholding And Unemployment Contributions - 2002 Page 2

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020854100
Form 941/C1-ME - Page 2
Reconciliation of 900ME Voucher Payments or EFT Payments of Income Tax Withholding
Schedule 1 (See Instructions) -
For employers required to remit withholding taxes on a semi-weekly basis.
Date Wages
Amount
Check
Date Wages
Amount
Check
Date Wages
Amount
Check
Paid
Withheld
Amount
Paid
Withheld
Amount
Paid
Withheld
Amount
12. Total withholding this quarter (enter here and on line 1)
13. Total semi-weekly payments this quarter (enter here and on line 2)
.
.
,
,
,
,
For Field Advisor Use:

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