Form P-W-2 - Reconciliation With Quarterly Returns Pandora Income Tax Withheld

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EMPLOYER __________________________________________________
ADDRESS
__________________________________________________
RECONCILIATION WITH QUARTERLY RETURNS
PANDORA INCOME TAX WITHHELD
Form P-W-2
Village of Pandora
PAYMENTS
1. Total number of employees _______
A. Quarter ending March 31 $___
2. Total payroll for year $ ________
B. Quarter ending June 30
$___
3. Payroll subject to tax $_________
C. Quarter ending Sept.30
$___
4. Tax (1.5 of line 3)
$_________
D. Quarter ending Dec.30
$___
5. Less: credit paid to
____________________
$ ________
E. Total Payments
$___
6. Total Payments (line E)$_________
7. Balance Due
$_________
PLEASE DO NOT REMOVE ANY
ATTACH COPY – For City Tax Dept.
PORTION OF THIS FORM.
Of Wage and Tax W-2
LIST ALL EMPLOYEES FOR THE YEAR
IF YOU DO NOT PROVIDE COPIES OF W-2’s
NAME
SS#
ADDRESS
AMOUNT PAID
TAX W/H

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