Reconciliation Of City Income Tax Form Withheld And Transmittal Of W-2 Forms

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ABOUT THE 2008 RECONCILIATION
OF CITY INCOME TAX WITHHELD
The 2008 Reconciliation of Income Taxes Withheld form on the next page must be filed with the City of Centerville Income
Tax Department no later than February 28, 2009.
Please provide the employer's Federal Employer ID Number, employer name and address if the form does not provide that
information preprinted. If you remit withheld taxes on a monthly basis, please mark the withholding payments made on the
lines provided for the appropriate months. If you remit withhheld taxes on a quarterly basis, please mark the withholding
payments made on the lines provided for the appropriate quarters.
Attach W-2's for each employee upon whose wages you withheld City of Centerville Income Taxes. Record the number of
W-2's on line 1. From the W-2's, calculate the total of taxable wages and record the total on line 2. Multiply the amount on line
2 by 1.75% and record the amount on line 4. Add all the monthly or quarterly payments of withheld taxes on line 5. PLEASE
NOTE that lines 4 and 5 must be equal. If they are not equal, attach documentation establishing the reason for the
discrepancy. If line 5 reports a deficiency, also remit a payment equal to the entire amount of the deficiency.
The Reconciliation form must be signed by an authorized official of the employer and must be dated. Please provide a phone
number (including area code).
Make a copy of the completed form for your records and mail the completed form with W-2's attached to:
City of Centerville
Income Tax Department
100 W. Spring Valley Road
Centerville, OH 45458-3759

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