Form Gr-501 - Employer'S Monthly Deposit Of Income Tax Withheld - 2014 Page 4
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4GRAND RAPIDS INCOME TAX DEPARTMENT
GR-501
GR-501
EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2014
941
10M
DO NOT
4. WITHHOLDING TAX DEPOSIT
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
WRITE IN
OCTOBER 2014
12/01/2014
«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
MONTH
YEAR
5.
IF DEPOSIT IS FOR A
«address»
PERIOD OTHER THAN
«city_state_zip»
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 10M
P.O. BOX 347
GRAND RAPIDS, MI 49501-0347
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT ON DOTTED LINE
GRAND RAPIDS INCOME TAX DEPARTMENT
GR-501
GR-501
EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2014
941
11M
4. WITHHOLDING TAX DEPOSIT
DO NOT
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
WRITE IN
NOVEMBER 2014
12/31/2014
«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
5.
IF DEPOSIT IS FOR A
MONTH
YEAR
«address»
PERIOD OTHER THAN
«city_state_zip»
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.
P.O. BOX 347
«acct_» 2014 941 11M
GRAND RAPIDS, MI 49501-0347
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT ON DOTTED LINE
GRAND RAPIDS INCOME TAX DEPARTMENT
GR-941
GR-941
EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD
2014 941
04Q
4. TAX WITHHELD THIS QUARTER
DO NOT WRITE IN SPACE
1. IDENTIFICATION NUMBER
2. RETURN PERIOD
3. DUE ON OR BEFORE
BELOW
«acct_»
TH
02/02/2015
4
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)
PAY THIS AMOUNT
SIGNATURE
TITLE
DATE
PAY TO:
GRAND RAPIDS CITY TREASURER
MAIL TO:
GRAND RAPIDS INCOME TAX DEPT.
If final return, check here and
P.O. BOX 347
complete Notice of Change or
PRINTED NAME OF SIGNER
GRAND RAPIDS, MI 49501-0347
Discontinuance in return booklet.
«acct_» 2014 941 04Q
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