Form Eqr/pw3 - Employer'S Municipal Income Tax Withholding 2007 Page 3

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EMPLOYER WITHHOLDING INSTRUCTIONS
Any changes or adjustments must be noted on back of EQR Form.
It is required that on or before the last day of the month following the close of the calendar quarter, the taxes withheld in the previous quarter be paid and
Form EQR filed with the City of Pickerington. However, if you choose to remit monthly, extra forms are provided and must be returned to the Pickerington
Income Tax Department by the 15th day of the following month. Employers who conduct business in the city or courtesy withhold Pickerington City tax
will be required to remit monthly if the tax liability is $100 a month or more. Such payment shall be made to the Administrator within fifteen calendar days
after the close of each calendar month.
On each form you submit, enter the period ending date that this form covers and your business name and address.
Form EQR Instructions
WHO MUST FILE -
Each employer within, or doing business within, the City of Pickerington who employs one or more persons 18 years of age or
older is required to withhold income tax at the rate of 1% from all compensation paid employees at the time or times such compensation is paid and to file
form EQR and remit such tax to the Pickerington Income Tax Department.
COURTESY WITHHOLDING -
A courtesy withholding rate of 1/2% may be withheld from the gross compensation of employees who are residents of
the City of Pickerington and who pay tax to their city of employment. Street listing is available on the city website to aid in verifying residency.
1. Enter the amount of tax withheld on income earned in Pickerington. (1% Rate) on line 1. This includes wages,
salaries, bonus and commissions.
2. Enter the amount of any courtesy tax withheld on income not earned in Pickerington on line 2.
3. Enter any adjustment on line 3. All entries must be explained on the back of the form.
4. Enter the total amount of tax due for this period on line 4. This amount must be paid in full.
Penalty and Interest
Returns postmarked after the due date or received without payment are subject to penalty and interest charges as listed.

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