Form Eqr - Reconciliation Of City Income Tax Withheld From Wages - State Of Ohio
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1RETURN PART 1 - KEEP PART 2 FOR YOUR RECORDS
RECONCILIATION
OF CITY INCOME
TAX
WITHHELD
FROM
WAGES
IRONTON,
OHIO
PART 1
1.
Total
number of
employees
as
represented
by
Forms
W-2
submitted
herewith
_
.
2.
Total
City
Income
Tax
withheld from
wages
during
as shown
by
~mployee's
statement
(Form
W-2).
.
$------
W-3
3.
Total City
Income
Tax
Withheld during
, for:
(Form
EQR)
Ouarter
ended
March
31,
$
Quarter
ended
June
30,
$
Quarter ended
September
30,
$
Quarter
ended
December
31,
$
4.
TOTAL.
.
.
. .
. .
.
.
.
. . . . .
.
... $
5.
Difference
between
Lines 2 & 4
$
If Line 5 indicates a
balance
due,
the
amount thereof should accompany
this
return;
If
Line
5 indicates an
overpayment,
a refund request signed by the employer should
be made.
RETURN PART 1 - KEEP
PART
2
FO~
YOUR RECORDS
RECONCILIATION
OF CITY INCOME
TAX WITHHELD FROM WAGES
IRONTON,
OHIO
PART
2
1.
Total
number
of
employees
as
represented
by
Forms W-2
submitted
herewith.
.
. . .
. .
. . .
. .
. .
.
.
.
. . .
..
_
2.
Total
City
Income
Tax
withheld from
wages
during
as
shown
by
employee's
statement
(Form
W-2)
..
.
$
-~---
W-3
3.
Total City Income
Tax
Withheld during
.:
.for:
(Form
EQR)
Quarter
ended March
31
s
.
$------
Quarter ended
June
30,
$-------
$-------
Quarter
ended
September
30,
Quarter
ended
December
31,
$-------
4.
TOTAL
.
...
$-------
5.
Difference between
Lines
2
&
4
$-------
If Line 5 indicates a
balance
due,
the amount thereof should accompany
this return;
If Line 5 indicates an
overpayment,
a refund request signed by the employer should
be made.
INSTRUCTIONS
The original of this reconciliation
form
must be filed with the TAX
ADMINISTRATOR,
301 S. Third
Street,
Ironton,
Ohio,
on
or
before
February
28. This form must be accompanied by copies of
employee's·
statements (Form W-2) or a printout (triple spaced) showing (1) name and address of employee; (2) Social
Security number; (3) gross earnings paid before any payroll deductions; (4)
amount
of Ironton tax
withheld;
and (5) name and address of employer. An adding machine tape, listing the amounts of Ironton tax
withheld,
as indicated by individual employee's statements, should be attached thereto.
If the difference between lines 2 and 4 indicates a balance due, the amount thereof should accom-
pany this return; if the difference indicates an overpaymwent, attach an explaination.
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