Creator:
Date Created:
Place Created:
Keywords:Tracy Hall,employer's income tax withholding
Context:Utah employer's quarterly income tax withholding return form
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W 50 153 2 72
form tc-96a
85291
STATE OF UTAH EMPLOYER'S QUARTERLY INCOME TAX WITHHOLDING RETURN
I certify that this return and any accompanying schedules and statements, are to (liefest of my knowledge true, correct, complete and in accordance with tie law and regulations applicable thereto.
Signature
ACCOUNT NUMBER AND PERIOD
■ Q W50153 APR-JUN 1972
DO NOT FOLD ■ OR TEAR THIS CARD I
I I
1.	TOTAL AMOUNT WITHHELD THIS QUARTER
2.	LESS MONTHLY IAYMENTS:
DATE_ AMOUNT S _
DATE___ AMOUNT S _
TOTAL MOffiHLY PAYMENTS
EMPLOYER'S NAME AND ADDRESS OF PRINCIPAL PLACE OF BUSINESS
HALL H TRACY	I I
1711 N LAMBERT LN _ PROVQ UTAH	I 84601
MA BX 533 UNI V STA PROVO UTAH	84601
If preprinted information is incorrect, moke any nactssary changes
3. BALANCE . 4 PENALTY .
5.	INTEREST .
6.	TOTAl.
make check or money order payable to the
STATE TAX COMMISSION OF UTAH