Form W-3 - Statement Of Non-Employee Compensation printable pdf download

Form W-3 - Statement Of Non-Employee Compensation

WITHHOLDING TAX RECONCILIATION

Form W-3

Springboro Income Tax Withheld

1. Total number of Springboro employees

__________________

First quarter ending March 31

$ ________________

2. Total Springboro payroll for the year

$ ________________

Second quarter ending June 30

$ ________________

Third quarter ending September 30

$ ________________

3. Less Payroll not subject to tax

$ ________________

Fourth quarter ending Dec. 31

$ ________________

4. Payroll subject to tax

$ ________________

6. Total remitted for the year

$ ________________

5. Withholding tax liability at 1.5% of Line 4

$ ________________

7. *Overpayment $ _____________ or additional tax due $ _____________

EMPLOYER’S NAME, ADDRESS AND ACCOUNT NUMBER

Springboro Income Tax Office

320 W. Central Ave.

Springboro, Oh 45066

Telephone (937) 748-9701

INCOME TAX OFFICE USE ONLY:

INSTRUCTIONS

Line 3 — Please attach explanation.

* Line 7 — Refunds are not automatically issued. If refund of overpayment is requested, please attach explanation. If additional tax is due, enclose payment

with return.

The Tax Ordinance requires the annual preparation and filing of this report, from all employers subject to the tax, on or before February 28.

Other information required to be submitted with this report is the name and address of each employee completely, or only in part, subject to tax during the

year; the total gross earnings of each employee and the amount of Springboro tax withheld from those earnings. Employers desiring to submit commercially

reproduced copies of Federal Form W-2 electronic reproduction bearing the required information in either card or listing form may do so.