Form 2010 Lw-3 - Employer'S Annual Reconciliation Of Income Tax Withheld
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12010 LW-3
CITY OF LANSING
2010 LW-3
EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD
1.
EMPLOYER’S NAME, ADDRESS & ZIP CODE
2. FEDERAL EMPLOYER IDENTIFICATION NUMBER
3. CONTACT NUMBER/EMAIL ADDRESS
DUE ON OR BEFORE
SUMMARY OF WITHHOLDING TAX PAID
DUE ON OR BEFORE
FEBRUARY 28, (CURRENT YEAR)
FEBRUARY 28, (CURRENT YEAR)
TOTAL WITHHOLDING TAX PAID
4.
NUMBER OF W-2 FORMS ATTACHED
5.
TOTAL TAX WITHHELD PER W-2(s)
6.
BALANCE DUE
7.
OVERPAYMENT — ATTACH EXPLANATION
8.
MONTH/QUARTER
TAX WITHHELD
WITHHOLDING TAX PAID
January
February
March
FIRST QUARTER TOTAL
April
May
June
SECOND QUARTER TOTAL
July
August
September
THIRD QUARTER TOTAL
October
November
December
FOURTH QUARTER TOTAL
*SUBMIT A LETTER EXPLAINING THE OVERPAYMENT AND REQUESTING A REFUND*
9. SIGNATURE
10. NAME AND TITLE
11. DATE
(Please Print)
INSTRUTIONS FOR EMPLOYER'S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD
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• Check identification information in Box 1, 2 and 3. If incorrect, make cor
ections and file Notice of Change or Discontinuance, Form L-6-IT.
• Enter tax withheld and tax payment information in the Summary of Withholding Tax Paid section.
• Enter the total withholding tax paid to the City of Lansing in Box 4.
• Enter the number of W-2 forms attached in Box 5. In lieu of paper W-2's the City of Lansing will accept a diskette or cd with W-2 information in the
Federal filing format or state formats.
• Enter the amount of tax withheld per the W-2 forms attached in Box 6. Attach an adding machine tape totaling the W-2 forms or include copies of
the computer generated summary W-2 forms.
• If the withholding tax paid (Box 4) is less than the tax withheld per the W-2 forms (Box 6), enter the balance due in Box 7. The balance due must be
paid in full with this LW-3 form. Make remittance payable to: LANSING CITY TREASURER
• If the withholding tax paid (Box 4) is greater than the tax withheld per the W-2 forms (Box 6), enter the overpayment in Box 8. To receive a refund of any
overpayment, submit a letter explaining the overpayment and requesting a refund.
• If the withholding tax paid (Box 4) equals the tax withheld per the W-2 forms (Box 6), enter a zero (0) in Boxes 7 and 8.
• Sign the return in box 9; Print your name and title in Box 10; and enter the date signed in Box 11.
• Attach the required copies of the W-2 forms and payment for any balance due to the completed W-3 form and mail to:
CITY OF LANSING INCOME TAX OFFICE, 124 W MICHIGAN AVE 1ST FL, LANSING, MI 48933
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