Form Mw-1 - Employer'S Return Of Tax Withheld

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CITY OF MIDDLETOWN OHIO - EMPLOYER'S RETURN OF TAX WITHHELD
Division of Taxation PO Box 428739 Middletown OH 45042-8739 (513) 425-7862
INSTRUCTIONS FOR FORM MW-1
The AMOUNT ENCLOSED is the "qualifying wages" of all your employees times the tax rate of 1.75%. Refer to
Internal Revenue Service Code Section 3121 for complete definition of wages. Usually "qualifying" will be the same as
Medicare wages (for employees who are exempt from Medicare wages, compute as though they were not exempt.)
Qualifying wages include, but are not limited to, gross wages less 125 cafeteria plan contributions; bonuses, stipends
and tip income; commissions and fees; sick pay, including third-party sick pay; sub pay; deferred compensation;
wage continuation plans (retirement incentives, severance pay, short term disability, etc.); income from nonqualified
pension plans when reportable in Box 5 of W-2; vacation pay; uniform, automobile and travel allowances; cost of
group term life insurance over $50,000; reimbursement in excess of deductible expenses; profit sharing; prizes and
gifts to the same extent taxable by the IRS; and stock options.
Withholding taxes must be postmarked or received on or before the due date. If withholding payments are received
(postmarked) after the due date, the following penalties and interest will be imposed.
PENALTIES:
6% a month on all unpaid taxes, $25 minimum
INTEREST:
1% a month on all unpaid taxes
RETURNS ARE DUE THE 15TH DAY AFTER QUARTER END
Account
CITY OF MIDDLETOWN, EMPLOYER'S RETURN FO TAX WITHHELD
YEAR
PERIOD
AMOUNT ENCLOSED
1st Qtr
$
Federal I.D.
Tax rate: 1.75%
Telephone
FOR THE QUARTER ENDING :
March 31
Authorized Signature
DUE ON OR BEFORE:
April 15
Print or Type Name
Is this a final return ?
YES
NO
If yes, explain on reverse
Official Title
Make check payable and mail to:
CITY OF MIDDLETOWN
PO Box 630157
Cincinnati OH 45263-0157
Form MW-1
RETURNS ARE DUE THE 15TH DAY AFTER QUARTER END
Account
CITY OF MIDDLETOWN, EMPLOYER'S RETURN FO TAX WITHHELD
YEAR
PERIOD
AMOUNT ENCLOSED
2nd Qtr
$
Federal I.D.
Tax rate: 1.75%
Telephone
FOR THE QUARTER ENDING :
June 30
Authorized Signature
DUE ON OR BEFORE:
July 15
Print or Type Name
Is this a final return ?
YES
NO
If yes, explain on reverse
Official Title
Make check payable and mail to:
CITY OF MIDDLETOWN
PO Box 630157
Cincinnati OH 45263-0157
Form MW-1

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