Form Sw-3m - Reconciliation Of Stow Income Tax Withheld Wages printable pdf download

Form Sw-3m - Reconciliation Of Stow Income Tax Withheld Wages

CITY OF S TOW, OHIO

FORM S W-3 M

RECONCILIATION OF S TOW INCOME TAX WITHHELD FROM WAGES

FOR USE BY EM PLOYERS W HO REM IT ON A MONTHLY BASIS

1 . Tot a l n u m b er of em p loyees a s r ep r es en t ed b y

3 . Tot a l S TOW In com e Ta x Wit h h eld (fr om For m S W1 )

For m W-2 or equ iva len t s u b m it t ed

d u r in g

h er ewit h …___________________________________

J a n u a r y…$ __________

J u ly………..$ __________

(All W-2 s s u b m it t ed m u s t b e com p let ed in t h eir

Feb r u a r y..$ __________

Au gu s t …….$ __________

en t ir et y.)

Ma r ch …...$ __________

S ep t em b er ..$ __________

Ap r il …….$ __________

Oct ob er …….$ _________

2 . Tot a l S TOW In com e Ta x wit h h eld fr om wa ges

Ma y………$ __________

Novem b er …$ __________

d u r in g 2 0 ___ a s s h own b y em p loyee's s t a t em en t .

J u n e…….$ __________

Decem b er …$ __________

(W-2 ) $ ______________________________________

4 . Tot a l……………………………………………$ ___________

E IN:

5 . Differ en ce b et ween Lin es 2 & 4 …..…..…$ ___________

If line 5 indicate s a balance

due , that amount should

NAME :

a ccom p a n y t h is r et u r n ; If Lin e 5 in d ica t es a n

over p a ym en t , a r efu n d or cr ed it r equ es t , s ign ed b y t h e

ADDRESS:

em p loyer , s h ou ld b e a t t a ch ed t o t h is for m .

CITY:

S T:

ZIP:

Cir cle t h e r ea s on (s ) for wit h h old in g:

RE S IDE NT

COURTE S Y

WORK PE RFORME D

E MPLOYE R

WITHHOLDING

IN S TOW

Form Sw-3m - Reconciliation Of Stow Income Tax Withheld Wages

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