GR-501
GRAND RAPIDS INCOME TAX DEPARTMENT
GR-501
EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2014 941
01M
DO NOT
4. WITHHOLDING TAX DEPOSIT
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
WRITE IN
«acct_»
JANUARY 2014
2/28/2014
SPACE BELOW
MONTHLY DEPOSIT OF INCOME TAX
TAXPAYER
IS REQUIRED IF TAX WITHHELD IN FIRST
OR SECOND MONTH OF A QUARTER
EXCEEDS $100.
«name»
IMPORTANT
«address»
MONTH
YEAR
5.
IF DEPOSIT IS FOR A
«city_state_zip»
PERIOD OTHER
THAN BOX 2, ENTER
THE CORRECT
PERIOD.
MAKE REMITTANCE PAYABLE TO:
SIGNATURE
TITLE
DATE
GRAND RAPIDS CITY TREASURER
MAIL THIS FORM AND PAYMENT TO:
PRINTED NAME OF SIGNER
GRAND RAPIDS INCOME TAX DEPT.
P.O. BOX 347
«acct_» 2014 941 01M
GRAND RAPIDS, MI 49501-0347
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT ON DOTTED LINE
GRAND RAPIDS INCOME TAX DEPARTMENT
GR-501
GR-501
EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD
2014
941
02M
4. WITHHOLDING TAX DEPOSIT
DO NOT
1. IDENTIFICATION NUMBER
2. DEPOSIT PERIOD
3. DUE ON OR BEFORE
«acct_»
WRITE IN
FEBRUARY 2014
03/31/2014
SPACE BELOW
MONTHLY DEPOSIT OF INCOME TAX
TAXPAYER
IS REQUIRED IF TAX WITHHELD IN FIRST
OR SECOND MONTH OF A QUARTER
EXCEEDS $100.
«name»
IMPORTANT
5.
IF DEPOSIT IS FOR A
MONTH
YEAR
«address»
PERIOD OTHER THAN
«city_state_zip»
BOX 2, ENTER THE
CORRECT PERIOD.
MAKE REMITTANCE PAYABLE TO:
GRAND RAPIDS CITY TREASURER
SIGNATURE
TITLE
DATE
MAIL THIS FORM AND PAYMENT TO:
GRAND RAPIDS INCOME TAX DEPT.
P.O. BOX 347
GRAND RAPIDS, MI 49501-0347
«acct_» 2014 941 02M
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
CUT ON DOTTED LINE
GRAND RAPIDS INCOME TAX DEPARTMENT
GR-941
GR-941
EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD
2014
941
01Q
DO NOT WRITE IN SPACE
4. TAX WITHHELD THIS QUARTER
1. IDENTIFICATION NUMBER
2. RETURN PERIOD
3. DUE ON OR BEFORE
BELOW
«acct_»
ST
04/30/2014
1
QUARTER 2014
«acct_»
5. ADJUSTMENTS
TAXPAYER
6. ADJUSTED TAX WITHHELD
«name»
«address»
7a. TAX PAID FIRST
«city_state_zip»
MONTH OF QUARTER
7b. TAX PAID SECOND
MONTH OF QUARTER
8. AMOUNT DUE
(Line 6 less lines 7a and 7b)
PAY THIS AMOUNT
SIGNATURE
TITLE
DATE
PAY TO:
GRAND RAPIDS CITY TREASURER
MAIL TO:
GRAND RAPIDS INCOME TAX DEPT
If final return, check here and
.
INTED NAME OF SIGNER
complete Notice of Change or
P.O. BOX 347
Discontinuance in return booklet.
GRAND RAPIDS, MI 49501-0347
«acct_» 2014 941 01Q