Form Gr-501 - Employer'S Monthly Deposit Of Income Tax Withheld - 2014 Page 3
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4GRAND RAPIDS INCOME TAX DEPARTMENT
GR-501
GR-501
EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2014 941
07M
DO NOT
4. WITHHOLDING TAX DEPOSIT
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
WRITE IN
JULY 2014
09/02/2014
«acct_»
SPACE BELOW
MONTHLY DEPOSIT OF INCOME TAX
TAXPAYER
IS REQUIRED IF TAX WITHHELD IN FIRST
OR SECOND MONTH OF A QUARTER
EXCEEDS $100.
«name»
IMPORTANT
«address»
MONTH
YEAR
5.
IF DEPOSIT IS FOR A
«city_state_zip»
PERIOD OTHER THAN
BOX 2, ENTER THE
CORRECT PERIOD.
MAKE REMITTANCE PAYABLE TO:
GRAND RAPIDS CITY TREASURER
SIGNATURE
TITLE
DATE
MAIL THIS FORM AND PAYMENT TO:
GRAND RAPIDS INCOME TAX DEPT.
PRINTED NAME OF SIGNER
P.O. BOX 347
GRAND RAPIDS, MI 49501-0347
«acct_» 2014 941 07M
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT ON DOTTED LINE
GRAND RAPIDS INCOME TAX DEPARTMENT
GR-501
GR-501
EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2014
941
08M
DO NOT
4. WITHHOLDING TAX DEPOSIT
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
«acct_»
WRITE IN
AUGUST 2014
09/30/2014
SPACE BELOW
MONTHLY DEPOSIT OF INCOME TAX
TAXPAYER
IS REQUIRED IF TAX WITHHELD IN FIRST
OR SECOND MONTH OF A QUARTER
EXCEEDS $100.
«name»
IMPORTANT
«address»
MONTH
YEAR
5.
IF DEPOSIT IS FOR A
«city_state_zip»
PERIOD OTHER THAN
BOX 2, ENTER THE
CORRECT PERIOD.
MAKE REMITTANCE PAYABLE TO:
SIGNATURE
TITLE
DATE
GRAND RAPIDS CITY TREASURER
MAIL THIS FORM AND PAYMENT TO:
PRINTED NAME OF SIGNER
GRAND RAPIDS INCOME TAX DEPT.
«acct_» 2014 941 08M
P.O. BOX 347
GRAND RAPIDS, MI 49501-0347
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT ON DOTTED LINE
GR-941
GRAND RAPIDS INCOME TAX DEPARTMENT
GR-941
EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD
2014
941
03Q
4. TAX WITHHELD THIS QUARTER
DO NOT WRITE IN SPACE BELOW
1. IDENTIFICATION NUMBER
2. RETURN PERIOD
3. DUE ON OR BEFORE
«acct_»
RD
10/31/2014
3
QUARTER 2014
5. ADJUSTMENTS
TAXPAYER
6. ADJUSTED TAX WITHHELD
«name»
«address»
7a. TAX PAID FIRST
«city_state_zip»
MONTH OF QUARTER
7b. TAX PAID SECOND
MONTH OF QUARTER
8. AMOUNT DUE
(Line 6 less lines 7a and 7b)
SIGNATURE
TITLE
DATE
PAY THIS AMOUNT
PAY TO:
GRAND RAPIDS CITY TREASURER
MAIL TO:
GRAND RAPIDS INCOME TAX DEPT.
If final return, check here and
P.O. BOX 347
PRINTED NAME OF SIGNER
complete Notice of Change or
GRAND RAPIDS, MI 49501-0347
Discontinuance in return booklet.
….
«acct_» 2014 941 03Q
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