Form Fr-900m - Employer'S/payor'S Withholding Tax Booklet - 2012 Page 21

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2012
Government of the
Withholding Tax
onthly Return
District of Columbia
*129000310000*
05/31/2012
Fill in
if Final return
Business name
Account Number
06/20/2012
Due date:
Business mailing address 1
.
1. DC income tax
$
.
Business mailing address 2
.
$
previous month
.
of this year. Fill
City
Zip Code + 4
in circle if a minus.
.
$
.
Telephone number of person to contact
2012 FR-900M

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