Form Dw-3 - Annual Reconciliation W-2 Withholding And 1099 Misc. Earnings Report - 2008
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1DAYTON, OHIO FORM DW-3 Annual Reconciliation W-2 withholding and 1099 Misc. earnings report
File with: City of Dayton, Division of Revenue and Taxation, PO Box 1830, Dayton, Ohio 45401-1830
Reconciliation is due on or before February 28. For assistance, contact the Tax Office at (937) 333-3500
NOTE
: Employers having "100 or more employee records" are required to submit the required information on a
floppy disc or CD electronic media . Please refer to electronic media specifications on our website.
This requirement does not refer to submitting 1099 Misc. earnings report to our office.
DO NOT SEND PAYMENTS WITH THIS FORM f f f f
IF YOU NEED TO TO SEND ANY PAYMENTS, please mail separately with a letter of explanation to City of Dayton,
Division of Revenue and Taxation, PO Box 643700, Cincinnati, Oh 45264-3700
Tax Year
Federal ID#
W2 Withholding Amounts Withheld in tax year
Company Name
Address
January
April
July
October
City/State/Zip
Number of W2 employees reported
(1) #
February
May
August
November
(2) $
Dayton Gross Payroll per employer records
Dayton tax @ 2.25%
(3) $
(4) $
March
June
September
December
Additional courtesy/resident withholding
TOTAL Dayton tax withheld
(5) $
1st Quarter
2nd Quarter 3rd Quarter
4th Quarter
Number of Dayton1099 Misc. Issued
(6) #
1099 Misc Dayton earnings reported
(7) $
Total W-2 Withholding Paid for year $
(8)
I certify that the information contained herein is true and correct
Signed
Office Location: 101 W. 3rd St, Dayton, Oh 45402
Title
First Floor Income Tax Office
Date
Telephone #
E-mail address
Office hours M-F 8:00 AM-5:00PM
DO NOT SEND PAYMENTS WITH THIS FORM f f f f
GENERAL INFORMATION
, each employer must file a withholding reconciliation on the City of Dayton Form DW-3.
On or before February 28 of each year
Copies of all W-2 forms applicable to the reconciliation must be attached. All W-2's must furnish the name, address,
social security number, gross wages, city tax withheld, name of city of which tax was withheld, and any other compensation
paid to the individual. If copies of the W-2 forms are not available, each employer must provide a listing of the W-2 form. The
listing must contain the same information as required of the W-2 form.
City of Dayton requires businesses operating in Dayton to submit copies of the 1099 Misc.
SPECIFIC FILING INFORMATION
The Form DW-3 must show a breakdown of all withholding payments made either quarterly or monthly in the boxes
provided. Lines 1 through 8 must also be completed. The amount paid and the amount withheld should be equal. If they
are not equal attach an explanation for any discrepancy.
If Line 5 indicates a balance due, the amount must be paid on or before February 28. If Line 5 indicates an overpayment,
amended returns for the month or quarter in which the overpayment occurred must be filed.
(Revised 9/11/2008)
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