Form It-11 - Employer'S Quarterly Return Of City Tax Withheld

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IT-11
EMPLOYER’S QUARTERLY RETURN OF CITY TAX WITHHELD
Should this account be inactivated?
YES
NO
SEE INSTRUCTIONS TO DETERMINE IF YOU ARE REQUIRED TO MAKE
MONTHLY OR SEMI-MONTHLY PAYMENTS OF CITY TAX WITHHELD
YES
If
, please explain
Effective date
/
/
TAX
PENALTY DUE
TOTAL
LESS PRIOR
NET DUE
TOTAL TAXABLE
INTEREST DUE
LATE CHARGE
CITIES
TAX DUE
EARNINGS
RATE
(See Inst.)
(See Inst.)
(See Inst.)
DUE
PAYMENT
2.0%
$0.00
01 COLUMBUS
$0.00
$0.00
$0.00
$0.00
$0.00
06 GROVE CITY
2.0%
$0.00
$0.00
$0.00
2.0%
09 GROVEPORT
$0.00
$0.00
2.0%
$0.00
10 OBETZ
$0.00
$0.00
$0.00
11 CANAL WINCHESTER
2.0%
$0.00
$0.00
$0.00
2.0%
13 MARBLE CLIFF
$0.00
$0.00
1.0%
$0.00
14 BRICE
$0.00
1.0%
$0.00
15 LITHOPOLIS
$0.00
$0.00
$0.00
1.0%
16 HARRISBURG
$0.00
$0.00
88 ALT. COLUMBUS
$0.00
$0.00
$0.00
86 ALT. GROVE CITY
$0.00
$0.00
$0.00
89 ALT. GROVEPORT
$0.00
90 ALT. OBETZ
$0.00
91 ALT. CANAL WIN.
$0.00
$0.00
$0.00
93 ALT. MARBLE CLIFF
$0.00
TOTAL
$0.00 $0.00
$0.00
Make checks payable to: CITY TREASURER
Mail to:
CITY TREASURER - INCOME TAX
Please do not remit amounts less than $1.00
DEPT 448
DUE ON OR BEFORE
QUARTER ENDING
COLUMBUS, OH 43265-0448
FEDERAL I.D.
NAME (Please Print)
TITLE
SIGNATURE
OFFICE USE ONLY
This return must be filed even though no wages were paid or a tax liability
incurred during the quarter.
THIS FORM MUST ACCOMPANY YOUR TAX PAYMENT
Form IT-11 (W-1) Rev. 07/02

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