Form Sw3 - Employer Reconciliation Of Withholding Tax 2008 Page 2

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2008
SW3
EMPLOYER RECONCILIATION OF WITHHOLDING TAX
Sylvania Income Tax Division, 6730 Monroe St., Sylvania, OH
43560
1. Number of W-2's
SYLVANIA withholding payments remitted:
2. SYLVANIA qualifying wages
Quarter ended March 31
Quarter ended June 30
3. SYLVANIA Income Tax withheld
Quarter ended September 30
as shown on attached W-2's
Quarter ended December 31
Account #
4.
Total Remitted
Federal ID #
5. Balance of Tax Due (Line 3
minus Line 4)
6. Overpayment
Prepared via Tax Tool
_____
A refund is requested
_____
Apply the overpayment to next year
Signed ________________________________ Title_____________________

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