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FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Total Salaries, Wages, Commissions and other Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . . I hereby certify that the information and statements contained here
2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . . 4 Title Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . . 5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . . 6 THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 OR BEFORE FEBRUARY 20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . . 9
CITY OF HUBBARD TAX DEPARTMENT
P O BOX 307
Name HUBBARD OH 44425-0307
And Voice 330-534-6299 Ext Fax 330-534-6282
Address Period Ending JANUARY
TAX ID
NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.
FORM W1 1172 EMPLOYER'S WITHHOLDING - MONTHLY
1. Number of Taxable Employees. . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Total Salaries, Wages, Commissions and other Tax Year 2018
Compensation paid all employees. . . . . . . . . . . . . . . . . . . . . . . . . I hereby certify that the information and statements contained here
2 in and in any schedules or exhibits attached are true and correct.
3. Courtesy withholding for resident. . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Signed
4. Taxable Earnings (line 2 minus 3). . . . . . . . . . . . . . . . . . . . . . . 4 Title Date
5. Actual Tax Withheld at 1.500 %. . . . . . . . . . . . . . . . . . . . . . . . . 5 Phone #
6. Adjustments of Tax for Prior Period. . . . . . . . . . . . . . . . . . . . . . 6 THIS RETURN MUST BE FILED ON
7. 0.50 per month. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 OR BEFORE MARCH 20, 2018
8. 50%. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
MAKE CHECK OR MONEY ORDER TO:
9. Total (Include Interest and Penalty if Due). . . . . . . . . . . . . . . . . 9
CITY OF HUBBARD TAX DEPARTMENT
P O BOX 307
Name HUBBARD OH 44425-0307
And Voice 330-534-6299 Ext Fax 330-534-6282
Address Period Ending FEBRUARY
TAX ID
NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY CHANGE IN OWNERSHIP OR NAME AND ADDRESS.
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