Instructions For Completing Employer'S Reconciliation - Employer'S Return Of Tax Withheld Form Ba-13 2010

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Instructions for Completing Employer’s Reconciliation
Form BA-13
Every employer who is required to prepare Form BA-12 must file Form BA-13 Reconciliation of Tax Withheld. Completing and
filing BA-12’s does not fulfill your filing requirement. This reconciliation is due on or before February 28, 2011. Copies of all
W2’s are to be submitted with this form.
Line 1 - Number of Employees for the year
Line 2 - Gross wages on all employees
Line 3 - Tax withheld at 1.9% (.019)
Line 4 - Amount of interest and penalty paid thru the year
Line 5 - Total amount due
Line 6 - Total amount paid through year
Line 7 - If 5 and 6 are not identical list reason on back - if amount is due send a check with this form - if amount is
overpayment indicate either refund or carryover to next year on front of form
CITY OF ZANESVILLE EMPLOYER’S RETURN OF TAX WITHHELD
2010
BA-13
FEDERAL IDENTIFICANTION NO_______________________
1. TOTAL NUMBER OF TAXABLE EMPLOYEES
SIGNATURES________________________________________
2. TOTAL TAXABLE EARNINGS
$
TITLE_______________________________________________
3. ACTUAL TAX WITHHELD AT 1.9% (.019)
$
PHONE NUMBER____________________________________
4. INTEREST AND PENALTY PAID
$
5. TOTAL AMOUNT DUE
$
6. TOTAL AMOUNT PAID TO CITY
$
7. ITEMS 5 & 6 SHOULD BE IDENTICAL
$
SHOW AMOUNT AND EXPLAIN
DISCREPANCY ON REVERSE SIDE
DUE ON OR BEFORE
FEBRUARY 28, 2011
A W2 FORM OR EQUIVALENT FOR
EACH EMPLOYEES MUST ACCOMPANY
THIS STATEMENT
PROVIDE EXPLANATION OF PAYROLL NOT SUBJECT TO TAX ON BACK OF THIS FORM
**(IF NO EXPLANATION PROVIDED, 1.9% OF TOTAL GROSS IS DUE AND PAYABLE)
CHANGE OF EMPLOYER STATUS
Please use this form to report any changes of mailing address, name merger information, or our of business information
FEDERAL EMPLOYER’S I.D. NO.
NEW NAME AND MAILING ADDRESS
BUSINESS NAME
OWNER’S NAME
NEW MAILING ADDRESS
CITY
MAIL TO:
STATE
CITY OF ZANESVILLE
INCOME TAX DEPT.
ZIP CODE
TELEPHONE NUMBER
401 MARKET STREET
ZANESVILLE, OH 43701

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