Form Br-501/941 - Employer'S Monthly/quarterly Deposit Of Income Tax Withheld - 2001 Page 2

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BIG RAPIDS INCOME TAX DEPARTMENT
BR-501
BR-501
EMPLOYER’S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2001
941
4M
1. IDENTIFICATION NUMBER
3. DUE ON OR BEFORE
DO NOT
2. DEPOSIT PERIOD
4. WITHHOLDING TAX DEPOSIT
WRITE IN
APRIL 2001
5/31/2001
SPACE BELOW
MONTHLY DEPOSIT OF INCOME TAX
TAXPAYER
IS REQUIRED IF TAX WITHHELD IN FIRST
OR SECOND MONTH OF A QUARTER
EXCEEDS $100.
MAKE REMITTANCE PAYABLE TO:
BIG RAPIDS CITY TREASURER
MAIL THIS FORM AND PAYMENT TO:
SIGNATURE
TITLE
DATE
BIG RAPIDS TREASURER’S OFFICE
226 N. MICHIGAN AVENUE
BIG RAPIDS, MI 49307
PRINTED NAME OF SIGNER
BIG RAPIDS INCOME TAX DEPARTMENT
BR-501
BR-501
EMPLOYER’S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2001
941
5M
DO NOT
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
4. WITHHOLDING TAX DEPOSIT
WRITE IN
6/30/2001
MAY 2001
SPACE BELOW
TAXPAYER
MONTHLY DEPOSIT OF INCOME TAX
IS REQUIRED IF TAX WITHHELD IN FIRST
OR SECOND MONTH OF A QUARTER
EXCEEDS $100.
MAKE REMITTANCE PAYABLE TO:
BIG RAPIDS CITY TREASURER
MAIL THIS FORM AND PAYMENT TO:
SIGNATURE
TITLE
DATE
BIG RAPIDS TREASURER’S OFFICE
226 N. MICHIGAN AVENUE
BIG RAPIDS, MI 49307
PRINTED NAME OF SIGNER
BIG RAPIDS INCOME TAX DEPARTMENT
BR-941
BR-941
EMPLOYER’S QUARTERLY RETURN OF INCOME TAX WITHHELD
2001
941
2Q
1. IDENTIFICATION NUMBER
DO NOT
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
JUNE
WRITE IN
TAX REMITTED
7/31/2001
ND
SPACE BELOW
2
QUARTER 2001
TAXPAYER
April
May
June
TOTAL
SIGNATURE
TITLE
DATE
BIG RAPIDS CITY TREASURER
PAY TO:
BIG RAPIDS TREASURER’S OFFICE
MAIL TO:
If final return, check here and complete Notice
226 N. MICHIGAN AVENUE
of Change or Discontinuance in return booklet.
BIG RAPIDS, MI 49307
PRINTED NAME OF SIGNER

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