Annual Reconciliation Of Withholding Taxes For Employers Withholding On A Monthly Basis - 2016
ADVERTISEMENT
1
2Annual Reconciliation of Withholding Taxes for 2016
For employers withholding on a Monthly basis
City of Mansfield Income Tax Division
P.O. Box 577, Mansfield, Ohio 44901
Phone: (419)755-9711
Fax: (419)755-9751
Employer Name & Address
Federal EIN:
This reconciliation is due February 28, 2017 with W-2 forms
AND
MUST
100 or more w-2s you
use Digital Storage Media for reporting
Amounts Paid
Number of W-2s enclosed
January
February
Total other city compensation paid
March
April
Total other city tax withheld
May
June
Total Mansfield compensation paid
July
August
Total Mansfield tax withheld
September
October
Total Mansfield tax paid
November
December
Mansfield underpaid (enclosed)
Mansfield Overpayment
Refund
Credit to next period
I certify this reconciliation to be true and correct.
Authorized Signature
Printed Name
Title
Phone Number
Contact email address
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial