Form W-3-Reconciliation Of Income Tax Withheld From Wages
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1FORM
W-3
CITY OF TOLEDO
MAIL TO:
CITY OF TOLEDO
DIVISION OF TAXATION
RECONCILIATION OF INCOME TAX WITHHELD FROM WAGES
DUE JANUARY 31
1 GOVERNMENT CTR STE 2070
TOLEDO OH 43604-2280
1. TOTAL NUMBER OF W-2 FORMS SUBMITTED HEREWITH
4. TOTAL TOLEDO INCOME TAX WITHHELD (FORM W-1) FOR:
2. TOLEDO TAXABLE WAGES PAID ............................................
$ _ _ _ _ _ _ _
QUARTER ENDED MARCH 31
$ _ _ _ _ _ _
2a. ADDITIONAL TAXES WITHHELD .............................................
$ - - - - - - -
QUARTERENDEDJUNE30
$ ______ _
, 3. TOTAL TOLEDO INCOME TAX WITHHELD FROM WAGES
QUARTER ENDED SEPTEMBER 30
$ _ _ _ _ _ _ _
AS SHOWN BY EMPLOYEE'S STATEMENTS. (SHOULD
EQUAL 2%% OF LINE 2, PLUS LINE 2A ABOVE ....................
$ _ _ _ _ _ _ _
QUARTER ENDED DECEMBER 31
$ _ _ _ _ _ _ _
5. TOTAL .........................................................................................
$ - - - - - - -
*6. DIFFERENCE BETWEEN LINES 3 & 5 .....................................
$ _ _ _ _ _ _ _
*If line 6 indicates a balance due, the amount thereof should accompany the
SUPPLEMENTAL FORM below; if line 6 indicates an overpayment, complete the
following.
REFUND AMOUNT
$ _ _ _ _ _ _
CARRY FORWARD AMOUNT
$ _ _ _ _ _ _
SIGNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ DATE _ _ _ _ _ _
(REQUIRED FOR REFUND)
FORM
W-1-T
CITY OF TOLEDO
MAIL TO:
CITY OF TOLEDO
DIVISION OFT AXATION
EMPLOYER'S QUARTERLY RETURN OF TAX WITHHELD
RETURN THIS FORM WITH REMITTANCE
1 GOVERNMENT CTR STE 2070
TOLEDO OH 43604-2280
I HEREBY CERTIFY THAT IHE INFORMATION AND STATEMENTS CONTAINED HEREIN
AND IN ANY SCHEDULES OR EXHIBITS ATTACHED ARE TRUE AND CORRECT.
SIGNATURE _ _ _ _ _ _
~
_ _ _ _ _ _ _ _ PHONE# _ _ _ _ _ _ _
TITLE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ DATE _ _ _ _ _ _ _ _
MAKE CHECK OR MONEY ORDER PAYABLE TO:
"COMMISSIONER OF TAXATION CITY OF TOLEDO"
ACCOUNT NO.
$
1. Total taxable wage etc ................................. r:-------+-----1
2. Tax withheld 2%% of line #1 .....................
- 1 - - - - - - + - - - - t
2a. Additional tax withheld ................................
l-------+-----1
3. Adjustment for prior quarter ....................... J--------+-----1
4.
Interest (6% per annum) ............................ J--------+-----1
5.
Penalty (see instructions) ...........................
l-------+-----1
6. Totai. ........................................................... J--------+-----1
7.
Less prior payments ................................... J--------+-----1
8.
Pay this amount... .......................................
....,$ _ _ _ _ ____.,___ _
____.
SUPPLEMENTAL FORM
rrgNAE\cg~~ANY
ADDITIONAL
I
CASHIER'S VALIDATION
I
FORM
W-1-T
CITY OF TOLEDO
MAIL TO:
CITY OF TOLEDO
DIVISION OF TAXATION
EMPLOYER'S QUARTERLY RETURN OF TAX WITHHELD
RETURN THIS FORM WITH REMITTANCE
1 GOVERNMENT CTR STE 2070
TOLEDO OH 43604-2280
I HEREBY CERTIFY THAT THE INFORMATION AND STATEMENTS CONTAINED HEREIN
AND IN ANY SCHEDULES OR EXHIBITS ATTACHED ARE TRUE AND CORRECT.
SIGNATURE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ PHONE# _ _ _ _ _ _ _
TITLE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ DATE _ _ _ _ _ _ _ _
MAKE CHECK OR MONEY ORDER PAYABLE TO:
"COMMISSIONER OF TAXATION CITY OF TOLEDO"
ACCOUNT NO.
1. Total taxable wage etc .............................. .
$
2. Tax withheld 2%% of line #1 .................... .
2a. Additional tax withheld .............................. .
3. Adjustment for prior quarter ..................... .
4.
Interest (6% per annum) ........................... .
5.
Penalty (see instructions) ......................... .
6. Total .......................................................... .
$
4TH
QTR
FOR QUARTER ENDING DECEMBER 31.
DUE ON OR BEFORE JANUARY 31.
CASHIER'S VALIDATION
EIN
EIN
EIN
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