Form W-1 - Employer'S Return Of Taxes Withheld

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Form W-1
CITY OF BLUE ASH
CITY OF BLUE ASH
Income Tax Dept.
EMPLOYER’S RETURN OF TAXES WITHHELD
INCOME TAX OFFICE
(513) 745-8516
4343 COOPER ROAD
BLUE ASH, OH 45242-5699
This form must be submitted each period even if no tax is due.
1.25% tax withheld from employees' wages = $
for period checked.
o Jan. thru March,
FID#
ACCT #
20___
Due 4/30
o April thru June,
20___
Due 7/31
o July thru Sept.,
NAME AND ADDRESS
20___
Due 10/31
o Oct. thru Dec.,
20___
Due 1/31
o Month of
Due the 15th of the next month
PHONE NUMBER
DATE
SIGNATURE
Form W-1
CITY OF BLUE ASH
CITY OF BLUE ASH
Income Tax Dept.
EMPLOYER’S RETURN OF TAXES WITHHELD
INCOME TAX OFFICE
(513) 745-8516
4343 COOPER ROAD
BLUE ASH, OH 45242-5699
This form must be submitted each period even if no tax is due.
1.25% tax withheld from employees' wages = $
for period checked.
o Jan. thru March,
FID#
ACCT #
20___
Due 4/30
o April thru June,
20___
Due 7/31
o July thru Sept.,
NAME AND ADDRESS
20___
Due 10/31
o Oct. thru Dec.,
20___
Due 1/31
o Month of
Due the 15th of the next month
PHONE NUMBER
DATE
SIGNATURE
Form W-1
CITY OF BLUE ASH
CITY OF BLUE ASH
Income Tax Dept.
EMPLOYER’S RETURN OF TAXES WITHHELD
INCOME TAX OFFICE
(513) 745-8516
4343 COOPER ROAD
BLUE ASH, OH 45242-5699
This form must be submitted each period even if no tax is due.
1.25% tax withheld from employees' wages = $
for period checked.
o Jan. thru March,
FID#
ACCT #
20___
Due 4/30
o April thru June,
20___
Due 7/31
o July thru Sept.,
NAME AND ADDRESS
20___
Due 10/31
o Oct. thru Dec.,
20___
Due 1/31
o Month of
Due the 15th of the next month
PHONE NUMBER
DATE
SIGNATURE
01-2017

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