Form W-3 - Reconciliation Of Income Tax Withheld From Wages - 2016

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INSTRUCTIONS FOR TOLEDO FORM W-3
The original of this reconciliation form must be filed with the COMMISSIONER OF TAXATION, CITY OF TOLEDO, ONE
GOVERNMENT CTR STE 2070, TOLEDO OH 43604-2280 on or before February 28, 2017 unless written request for
extension has been made to and granted (in writing) by the Commissioner of Taxation. this form must be accompanied
by copies of the employee’s statement (Form W-2) showing: 1) name and address of employee; (2) social security
number; (3) gross earnings paid before any payroll deductions; and (4) amount of TOLEDO and OTHER CITY income tax
withheld. Income tax withheld for other cities must be included on each individual W-2 or attachment to the W-2.
If Line 5 indicates a balance due, the amount due should accompany this return: If Line 5 indicates an overpayment,
a refund request signed by the employer should be made.
If non-employee compensation of $600.00 or more per individual was paid for work performed in Toledo or by
Toledo residents, copies of 1099-Misc’s MUST be submitted on or before February 28, 2017.
cut here "
2016 CITY OF TOLEDO
FORM
MAIL TO:
W-3
RECONCILIATION OF INCOME TAX WITHHELD FROM WAGES
CITY OF TOLEDO
DIVISION OF TAXATION
DUE FEBRUARY 28, 2017
1 GOVERNMENT CTR, SUITE 2070
TOLEDO, OH 43604-2280
1. TOTAL NUMBER OF W-2 FORMS SUBMITTED HEREWITH
TOLEDO withholding payment remitted:
2. TOLEDO QUALIFYING WAGES PAID......................................
JANUARY…………………………………………….
2a. ADDITIONAL TOLEDO TAXES WITHHELD..............................
FEBRUARY….……………………………………….
MARCH (Qtr 1)….……………………………….
3. TOTAL TOLEDO INCOME TAX WITHHELD FROM WAGES
AS SHOWN BY EMPLOYEE'S STATEMENTS. (SHOULD
APRIL….………………………………………………
EQUAL 2-1/4% OF LINE 2, PLUS LINE 2A ABOVE...................
MAY………….………………………………………
FID# _______________________
JUNE (Qtr 2)……….………………………………
ACCOUNT NO. _______________________
JULY…….……………………………………………..
AUGUST……….……………………………………
SEPTEMBER (Qtr 3)…….………………………
NAME &
OCTOBER……………………………………………
ADDRESS
NOVEMBER….……………………………………
DECEMBER (Qtr 4)….…………………………
4. TOTAL REMITTED…….…………………………
SIGNED ___________________________________________________
5. BALANCE OF TAX DUE (Line 3 - Line 4)
6. OVERPAYMENT……….………………………
TITLE ____________________________________________________
o
REFUND AMOUNT ______________________
o
CARRY FORWARD AMOUNT ___________________
PHONE# ___________________________________________________

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