2021 Schedule P Illinois Withholding Schedule

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*72012211W* Illinois Department of Revenue Filing period:

2021 Schedule P Illinois Withholding Schedule __________

Complete and attach to Form IL-941 and Form IL-941-X to verify Illinois income and withholding records. This form is required. Business name _____________________________________ FEIN ______________________________

Payee's/Employee's name

SSN (do not include dashes)

Income for Quarter

Withholding for Quarter

Printed by the authority of the State of Illinois - web only, 1 copy This form is authorized under the Income Tax Act. Disclosure of this information is required. Failure

to provide information may result in this form not being processed and may result in a penalty.

Schedule P (R-12/20)

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