1786 2021 employer monthly or quarterly return pdf tax department forms 1608565431 0a7db798e77fd643d24f4d251161e7b3 22603bc8235911184e7bff8da55e72d47be5a63cac2e8e6e596a04fe7bc81eaf 236×300 _gnsonazna8tv thumb jpg 2020 12 21 10 43 51 0 1000 01 pdf application employer s return of taxes withheld for the city wilmington ohio attached is our check made payable to in sum ___________________ 2021 payment month quarter checked account no st ein ___________________________ 1 jan feb mar nd name 2 apr may jun rd address 3 jul aug sep th ____________________________ 4 oct nov dec penalties and interest non filing penalty 25 00 per late 50 unpaid tax mail income bureau p o box 786 oh 45177 5 year or 42 page_text extracted_title num_pages analyze pdf_pages pdf_2text timings