Form W-3 - Reconciliation Of Income Tax/instructions
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1RECONCILIATION OF INCOME TAX
Ashland Municipal Income Tax
WITHHELD FROM WAGES
PART 1
218 Luther Street
Ashland, Ohio 44805-3128
Instructions on bottom panel
W-2's MUST ACCOMPANY THIS FORM
3. Total Ashland Income Tax Withheld For
1. Total number of employees as presented by
January
$____________
July
$_____________
___________
W-2 Forms submitted herewith………….....….…_____________
February
August
______________
___________
2. Total Ashland Income Tax withheld from wages as
March
September
______________
___________
shown by employee's statements for the year
April
October
______________
___________
May
November
______________
___________
transmitted herewith…….....………..$_____________
June
December
______________
4. …………………………………...….... TOTAL
$_____________
0
ACCOUNT NUMBER
5. Difference between Lines 2 & 4…….....….
$_____________
0
Due on or before February 28th
NAME
If line 5 indicates a balance due, the amount should accompany this
return. If line 5 indicates an overpayment, a refund requestsigned
by the employer should be made
ADDRESS
DO NOT CONSIDER AMOUNTS UNDER $10.00
W-3
RETURN PART 1 - KEEP PART 2 FOR YOUR RECORDS
RECONCILIATION OF INCOME TAX
Ashland Municipal Income Tax
WITHHELD FROM WAGES
PART 2
218 Luther Street
Ashland, Ohio 44805-3128
Instructions on bottom panel
W-2's MUST ACCOMPANY THIS FORM
3. Total Ashland Income Tax Withheld For
1. Total number of employees as presented by
January
$____________
July
$_____________
___________
W-2 Forms submitted herewith………….....….…_____________
February
August
______________
___________
2. Total Ashland Income Tax withheld from wages as
March
September
______________
___________
shown by employee's statements for the year
April
October
______________
___________
May
November
______________
___________
transmitted herewith…….....………..$_____________
June
December
______________
4. ………………………….………...….. TOTAL
$_____________
0
ACCOUNT NUMBER
5. Difference between Lines 2 & 4…….....….
$_____________
0
Due on or before February 28th
NAME
If line 5 indicates a balance due, the amount should accompany this
return. If line 5 indicates an overpayment, a refund requestsigned
DO NOT CONSIDER AMOUNTS UNDER $10.00
ADDRESS
W-3
RETURN PART 1 - KEEP PART 2 FOR YOUR RECORDS
FORM W-3 INSTRUCTIONS
The W-3 must be filed with the City of Ashland Income Tax Department on or before February 28th of the following
year. An extension of time to file may be granted due to computer or printing problems if a written request is received prior to
the February 28th due date. W-2 copies of the employees that have tax withheld for the City of Ashland must be attached to the
completed W-3 Formwith a summary of the City of Ashland tax withheld as well as a reconciliation between tax withheld and
tax paid. A listing of employees showing tax withheld will not be acceptable unless the listing has all the information on it that
is on the W-2. If a difference greater than $10.00 (ten) dollars exists the balance due should accompany the return. A refund or
credit request greater then $10.00 (ten) dollars should be supported with a proper written explanation.
NOTE: Per House Bill 5, the new City ordinance states that the City of Ashland may impose a penalty of twenty five dollars
($25.00) for each failure to timely file each return, regardless of the liability shown thereon for each month, of any fraction
thereof, during which the return remains unfiled. The penalty shall not exceed one hundred fifty dollars ($150.00) for each
failure.
Notify the City of Ashland Income Tax Department promptly of any changes in ownership to include, name, address or Federal
I.D.number
Phone # 419-289-0386
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