Name (not your trade name)Please scroll down for the form at the bottom of this page. Review the form for accuracy.
Case File
efta-efta01219701DOJ Data Set 9OtherCa Along tut Dented Line
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01219701
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Ca Along tut Dented Line
Massachusetts Department of Revenue
M-94 I • Employer's Return of Income Taxes Withheld.
File this return online at mass.govimasstaxconneet.
Account II>tomb«
Number& employee. from
whom wet Lute attack,
Tan Ming petiod
1 An:0ga withheld
2 Previous payments made
Buainem name
S. Credit carry asand from previous period.
4 Total may mems ad credits Add Imes 2 and 3.
Rumness san..
S. Total tax due. Bultram Line 4 :tom line I
C it, fro* n
State
Zip
6 Penalties
Phone number
Embed address
7 Interest
S Total amount due. Add lines S through 7.
K
Check if amended moan (see "Amended Return" in IMIIIKI10111)
K
Choi k if final mum and you with In e Sae >mar withlwang um account
9 Antos* overpaid m be credited [oust period.
See inemu eons for Oie dales Mad an tdassachnuas BOR. PO Box 419255. Renton. MA
02241.9255.
1 declare under the penalties of perjury that tes renan I includins an> am ~puny ins une duks
and statements> has been esanameal by me ial to the best of my knowledge and belief ti a
true. carom and con:Mete return.
10 Amount overpead to be refunded
Agnarme
Tide
Date
EFTA01219701
Technical Artifacts (1)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
241.9255Forum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.