Form Bw-3 - Reconciliation Of Income Tax Withheld (Page 2 of 2) in pdf

Reconciliation of Income Tax Withheld

BW-3 Instructions & Form

Form Due On or Before February 29 For the Preceding Year

Form BW-3 is the year end reconciliation for employee withholding. This form should be filed with the copies of 1099’s and employee W-2’s or

approved listing on or before 02/29/ 08 to the City of Brook Park Income Tax Department. Return the bottom portion after making a copy for

your records.

Attention professional employer organizations (PEO) and/or common paymasters, when submitting the annual reconciliation,

attach detail withholding reconciliations for each company, entity or member.

Write the number of 1099 forms and employee W-2’s in the area above line 1

LINE 1.

Enter your total payroll for the year on this line.

LINE 2.

Enter wages which are NOT subject to the Brook Park tax. Write a brief explanation on the back of the form.

LINE 3.

Enter the difference between Line 1 and Line 2. This is payroll subject to Brook Park tax.

LINE 4.

Enter the payroll amount subject to courtesy tax remitted to Brook Park.

LINE 5.

Record the percent (%) used for LINE 4 in the space provided. Calculate and enter the total tax due from LINE 3 and LINE 4.

LINE 6.

Run a calculator tape of the Brook Park tax withheld, using the employee W-2’s. Attach this tape and enter the results here.

Total Brook Park Income Tax Withheld

Add the withholding payments you made to Brook Park for each quarter and enter the results on the lines provided

LINE 7.

Enter the quarterly total of your deposits here.

LINE 8.

Enter the highest figure of LINES 5 or 6.

LINE 9.

Subtract LINE 7 from LINE 8 and enter any BALANCE DUE or CREDIT to be applied to the next year here.

(Place parentheses around CREDITS.)

CUT HERE – KEEP TOP PORTION FOR YOU RECORDS – RETURN BOTTOM PORTION WITH REQUIRED FORMS

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

CITY OF BROOK PARK - RECONCILIATION OF INCOME TAX WITHHELD

NUMBER OF 1099

NUMBER OF W-2

FORMS HEREWITH ______________ FORMS HEREWITH _____________

ACCOUNT NUMBER

DUE ON OR BEFORE

TAX RATE

FEDERAL I.D.#

1. TOTAL PAYROLL FOR YEAR………………………………………….. $ _____________________

2. PAYROLL NOT SUBJECT TO BROOK PARK (EXPLAIN) ……...…$ _____________________

3. PAYROLL SUBJECT TO BROOK PARK AT 2 % ……………………$ _____________________

4. PAYROLL SUBJECT TO BROOK PARK AT LESS THAN 2% ……$ _____________________

I DECLARE THAT THIS RETURN HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY

.TOTAL TAX DUE (2% OF LINE 3 PLUS _____ % OF LINE 4) ………$_____________________

KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN, MADE IN GOOD

FAITH, PURSUANT TO THE CITY OF BROOK PARK INCOME TAX ORDINANCE AND REGULATIONS.

6. TOTAL TAX WITHHELD PER W-2’S (ATTACH TAPE) ……………. $ _____________________

TOTAL BROOK PARK INCOME TAX WITHHELD

___________________________________________________________

QTR. END 03/31

$ _____________________________

SIGNATURE AND TITLE

DATE

QTR. END 06/30

$ _____________________________

MAKE CHECK OR MONEY

MAIL TO: DEPT. OF TAXATION

ORDER PAYABLE TO:

CITY OF BROOK PARK

QTR. END 09/30

$ _____________________________

CITY OR BROOK PARK

6161 ENGLE ROAD

BROOK PARK, OH 44142

QTR. END 12/31

$ _____________________________

7. TOTAL WITHHELD ……………………………………………………….. $ ____________________

ENTER NAME AND ADDRESS IN THE BLOCK BELOW OR MAKE NEEDED CORRECTIONS

8. TOTAL BROOK PARK INCOME TAX (HIGHER OF LINES 5 OR 6).. $ ____________________

YEAR:

9. BALANCE DUE (CREDIT APPLIED TO NEXT YEAR) ………………. $ ____________________

THIS FORM MUST BE RETURNED WITH

EMPLOYEE W-2 FORMS

BW3

Form Bw-3 - Reconciliation Of Income Tax Withheld Page 2

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