Creator:Utah State tax Commission
Date Created:
Place Created:
Keywords:Tracy hall,income tax withholding
Context:employer's quarterly income tax withholding return form
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W 50153 1 72
FORM TC-96A
59139
STATE OF UTAH EMPLOYER'S QUARTERLY INCOME TAX WITHHOLDING RETURN
I certify that this return and any accompanying schedules and statements, are to the best of my knowledge true, correct, complete and in accordance with the law and regulations applicable thereto.
SIGNATURE
TITLE
1.	TOTAL AMOUNT WITHHELD THIS QUARTER
2.	LESS MONTHLY PAYMENTS:
DATE_ AMOUNT $ _
DATE _ AMOUNT $ _
TOTAL MONTHLY PAYMENTS . .
If preprinted information is incorrect, make any necessary changes
ACCOUNT NUMBER AND PERIOD	EMPLOYER'S NAME AND ADDRESS OF PRINCIPAL PLACE OF BUSINESS
Q W50153 JAN-MAR 1972 DO NOT FOLD OR TEAR THIS CARD	HALL H TRACY 1711 N LAMBERT LN PRUVO UTAH 84601 MA BX 533 UNI V STA PROVG UTAH 84601
3.	BALANCE .
4.	PENALTY .
5.	INTEREST
6.	TOTAL
MAKE CHECK OR MONEY ORDER PAYABLE TO THE
STATE TAX COMMISSION OF UTAH