Form Eqr - Employer'S Quarterly Return Of Payroll Tax Withheld - City Of Norton, Ohio Income Tax Division

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FORM EQR
CITY OF NORTON
TAX RATE 1 1/2 %
(Summit County, Ohio District #7711)
EMPLOYER'S QUARTERLY RETURN OF
PAYROLL TAX WITHHELD
If paid after due date add $15.00 late fee and 5 1/2% per month
or fraction thereof for interest & penalty.
Dollars
Cents
#1. Taxable Earnings paid all employees
subject to Norton, Ohio City Income Tax.
$
#2. Actual Tax Withheld in quarter for
City Income Tax.
$
#3. Adjustment of Tax for prior quarter.
$
TOTAL
$
FOR MONTH(S) OF
YEAR
Company Name
FEID #
Street Addess
City, State, Zip Code
I hereby certify that the information and statements contained herein are true and correct.
Signed
Title
Date
Please notify Income Tax Department promptly of any change in ownership, name, address etc.
THIS RETURN MUST BE FILED ON OR BEFORE THE DUE DATE SHOWN BELOW
Quarterly payments due:
First Quarter Due April 30th
Second Quarter Due July 31st
Third Quarter Due October 31st
Fourth Quarter Due January 31st
Monthly payments due at the end of the following month.
MAKE CHECK OR MONEY ORDER PAYABLE TO:
CITY OF NORTON, OHIO - INCOME TAX
MAIL PAYMENT TO:
City of Norton Income Tax Division
4060 Columbia Woods Drive
Norton Oh 44203
web site address:
Any questions please call 330-825-4511 Finance/Tax Division.
revised 12/20/2002

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