Form Er-1 - Employer'S Municipal Income Tax Withholding Forms - City Of Gahanna Income Tax Department Page 16

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INSTRUCTIONS FOR PREPARING AND FILING REC-1 RECONCILIATION
The ORIGINAL of this reconciliation form must be filed on or before
February 28, with The Gahanna Income Tax Department. The return must
be accompanied by copies of wage statements (or tabulation) listing
including:
1. Name and Address of Employee
2. Social Security Number
3. Gross Earnings
4. Amount of Tax Withheld for Gahanna
* 5. Account number – name and Address of
Withholding Agent (employer)
* 6. For taxes Remitted Quarterly Enter Amount paid
on Last Month of Each Quarter (March, June, Sept. & Dec.)
* 7. Refund request must be in Writing.
*FORM REC-1 Reconciliation
When individual wage statements are submitted, please include a
machine tape of tax withheld, together with all adjustments necessary to
reconcile total payroll reported and payroll as listed in corporate and/or
individual liability return.

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