Withholding Tax Reconciliation Form

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WITHHOLDING TAX RECONCILIATION
LEGIBLE COPIES OF W-2 FORMS MUST
ST
Village of Westfield Center
ACCOMPANY THIS FORM BY JAN 31
Income Tax Department
P.O. Box 750
3. Total Income Tax Withheld from compensation during
Westfield Center, Ohio 44251
for:
1. Total Number of employees as represented by
st
1
Quarter ending March 31
$ ________
Forms W-2 submitted herewith ______________
nd
2
Quarter ending June 30
$ ________
2. Total Income Tax Withheld from compensation
Paid all employees $ ______________________
rd
3
Quarter ending September 30
$ ________
th
4
Quarter ending December 31
$ ________
4. Total Amount Withheld
_______________________
Parts 2 and 4 should be identical, explain fully any discrepancy.
WITHHOLDING TAX RECONCILIATION
LEGIBLE COPIES OF W-2 FORMS MUST
ST
Village of Westfield Center
ACCOMPANY THIS FORM BY JAN 31
Income Tax Department
P.O. Box 750
3. Total Income Tax Withheld from compensation during
Westfield Center, Ohio 44251
for:
1. Total Number of employees as represented by
st
Forms W-2 submitted herewith ______________
1
Quarter ending March 31
$ ________
nd
2. Total Income Tax Withheld from compensation
2
Quarter ending June 30
$ ________
Paid all employees $ ______________________
rd
3
Quarter ending September 30
$ ________
th
4
Quarter ending December 31
$ ________
4. Total Amount Withheld
_______________________
Parts 2 and 4 should be identical, explain fully any discrepancy.
LEGIBLE COPIES OF W-2 FORMS MUST
WITHHOLDING TAX RECONCILIATION
ST
Village of Westfield Center
ACCOMPANY THIS FORM BY JAN 31
Income Tax Department
P.O. Box 750
3. Total Income Tax Withheld from compensation during
Westfield Center, Ohio 44251
for:
1. Total Number of employees as represented by
st
Forms W-2 submitted herewith ______________
1
Quarter ending March 31
$ ________
nd
2. Total Income Tax Withheld from compensation
2
Quarter ending June 30
$ ________
Paid all employees $ ______________________
rd
3
Quarter ending September 30
$ ________
th
4
Quarter ending December 31
$ ________
4. Total Amount Withheld
_______________________
Parts 2 and 4 should be identical, explain fully any discrepancy.

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