Form Xw-3 - City Of Xenia Income Tax Reconciliation Of Returns 1994

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Form XW-3
C
X
I
T
DUE: February 28, 20
ITY OF
ENIA
NCOME
AX
RECONCILIATION OF RETURNS
File With:
DIVISION OF TAXATION
P O Box 490
of Income Tax Withheld (Forms XW-1
Xenia OH 45385-0490
ATTACH ALL FEDERAL W-2 FORMS
Do Not Remit with this Form:
NOTE: If tax withheld is less than 1.75% on any
For Reconciliation Purposes Only
employee, please explain discrepancy.
1. Federal ID number. .
6. Total Income Tax Withheld from compensation during the year
as shown by Item 7 of Form XW-1 for the period.
2. Date (Please leave blank)
3. Year Filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20___
January
$
July
$
4. Xenia Income Tax Withheld from Employees . . $
February
August
5. Number of employees represented by Forms W-2 . . . . . .
*March
*September
April
October
May
November
*June
*December
7. TOTAL
$
*If quarterly payments were made, monthly breakdown not required.
Items 4 and 7 should be identical. Explain fully any discrepancy
Audited by
Date
RETURN ONE COPY TO TAX OFFICE
ITW 3002 8/94 Rev
Form XW-3
C
X
I
T
DUE: February 28, 20
ITY OF
ENIA
NCOME
AX
RECONCILIATION OF RETURNS
File With:
DIVISION OF TAXATION
P O Box 490
of Income Tax Withheld (Forms XW-1
Xenia OH 45385-0490
ATTACH ALL FEDERAL W-2 FORMS
Do Not Remit with this Form:
NOTE: If tax withheld is less than 1.75% on any
For Reconciliation Purposes Only
employee, please explain discrepancy.
1. Federal ID number. .
6. Total Income Tax Withheld from compensation during the year
as shown by Item 7 of Form XW-1 for the period.
2. Date (Please leave blank)
3. Year Filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20___
January
$
July
$
4. Xenia Income Tax Withheld from Employees . . $
February
August
5. Number of employees represented by Forms W-2 . . . . . .
*March
*September
April
October
May
November
*June
*December
7. TOTAL
$
*If quarterly payments were made, monthly breakdown not required.
Items 4 and 7 should be identical. Explain fully any discrepancy
Audited by
Date
RETURN ONE COPY TO TAX OFFICE
ITW 3002 8/94 Rev

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