Form W-3 - Withholding Tax Reconciliation printable pdf download

Form W-3 - Withholding Tax Reconciliation

WITHHOLDING TAX RECONCILIATION

VILLAGE OF LOUDONVILLE

Income Tax Department

P.O. Box 115

Total Loudonville Income Tax Withheld during Tax Year 19 ________ .

Loudonville, Ohio 44842

FORM W-3

First quarter ending March 31

1. Total number of Loudonville employees

Second quarter ending June 30

2. Total Loudonville payroll for the year

Third quarter ending September 30

Fourth quarter ending December 31

3. Less payroll not subject to tax

(Employees under 18 years of age)

6. Total remitted for the year

4. Payroll subject to tax

7. (a) Overpayment

5. Withholding tax liability @ 1.75% of Line 4

(b) Additional Tax Due

If item 7(a) above indicates overpayment and refund is desired, attach

explanation and request to this Form. If additional tax due 7(b) is indicated,

attach payment when filing.

Submitted By:

Official Title:

OWNER, PARTNER, MEMBER, PRESIDENT, TREASURER

Date:

Telephone:

WHITE COPY MUST BE RETURNED WITH W-2's BY JANUARY 31st.

Form W-3 - Withholding Tax Reconciliation