Form It-941 - Employer'S Annual Reconcilation Of Ohio Tax Withheld Page 2
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1
2Indicate Changes or Additions Here
1. Out of Business
Effective Date:
2. Merged
Effective Date:
Survivor's name
Survivor's Ohio Withholding Acct. #
Record of Ohio Withholding Tax Account Payments
Month
Liability
Payment Date
Payment
Credit from prior year
Jan
Back of Internet IT-941
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total Payments (Enter on Line 3)
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This is a two-part form. Be sure to complete and attach the first page of this
form.
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Parent category: Financial