Form Eqr - Employer'S Quarterly Return Of Tax Withheld - Village Of Woodsfield Income Tax Department

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EMPLOYER’S QUARTERLY RETURN OF TAX WITHHELD

VILLAGE OF WOODSFIELD

(740) 472-1685____________________________________________________________________________________________________________________

DOLLARS CENTS

I hereby certify that the information and statements contained

Taxable Earnings paid all employees subject to

herein are true and correct.

Woodsfield, Ohio, Village Income Tax

Actual Tax Withheld in quarter for Village Income Tax

(Signed)

Adjustments of Tax for prior quarter (see instructions)

(Official Title)

Date

TOTAL

THIS RETURN MUST BE FILED

ON OR BEFORE THE DUE DATE SHOWN BELOW

MAKE CHECK OR MONEY ORDER PAYABLE TO:

VILLAGE OF WOODSFIELD, OHIO – INCOME TAX

FOR MONTHS OF

MAIL TO:

VILLAGE OF WOODSFIELD

DUE ON OR BEFORE

INCOME TAX DEPARTMENT

221 SOUTH MAIN ST.

WOODSFIELD, OHIO 43793

Notify Income Tax Department promptly of any change in ownership or name and address shown above.

Form EQR

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