Wisconsin Department of Revenue 12345200610161234567 2006-10-17T12:55:59 12345 T 2004-10-25T15:30:00 2005-01-31 12341234 StateWH Original FEIN 123456789 WithholdingAccountNo 123456-8 Scott's Tool Shop Scott H Mueller 123456789 6082668518 smuelle1@dor.state.wius Scott H Mueller 6062668518 scott.mueller@revenue.wi.gov 6085551212 2004-10-28 Scott H Mueller 6082668518 6082649923 scott.mueller@revenue.wi.gov scott.mueller@revenue.wi.gov 2004 3 12 430554.16 25839.89 100.64 25739.25 7563.24 5931.54 6891.55 5453.56 2004-10-25T15:30:00 2005-01-31 12341234 StateWH Original FEIN 123456789 WithholdingAccountNo 123456-8 Scott's Tool Shop Scott H Mueller 123456789 6082668518 scott.mueller@revenue.wi.gov Scott H Mueller 6062668518 scott.mueller@revenue.wi.gov 6085551212 2004-10-28 Scott H Mueller 6082668518 6082649923 scott.mueller@revenue.wi.gov scott.mueller@revenue.wi.gov 2004 3 12 430554.16 25839.89 100.64 25739.25 7563.24 5931.54 6891.55 5453.56 DBT 123456789 Bank Name Here 12345678901234567 1 1 Account Holder Name Here 100.64 2004-12-31 2004-10-25T15:30:00 2005-01-31 12341234 StateWH Original FEIN 123456789 WithholdingAccountNo 123456-8 Scott's Tool Shop Scott H Mueller 123456789 6082668518 scott.mueller@revenue.wi.gov Scott H Mueller 6062668518 scott.mueller@revenue.wi.gov 6085551212 2004-10-28 Scott H Mueller 6082668518 6082649923 scott.mueller@revenue.wi.gov scott.mueller@revenue.wi.gov 2004 3 10 430554.16 25839.89 0 25839.89 7563.24 5931.54 6891.55 5453.56 2004-10-25T15:30:00 2005-01-31 12341234 StateWH Original FEIN 123456789 WithholdingAccountNo 123456-8 Scott's Tool Shop Scott H Mueller 123456789 6082668518 scott.mueller@revenue.wi.gov Scott H Mueller 6062668518 scott.mueller@revenue.wi.gov 6085551212 2004-10-28 Scott H Mueller 6082668518 6082649923 scott.mueller@revenue.wi.gov scott.mueller@revenue.wi.gov 2004 3 12 430554.16 25839.89 683.36 X 26523.25 7563.24 5931.54 6891.55 5453.56