Withholding Tax Worksheet - City Of Mason Page 3

INSTRUCTIONS FOR COMPLETION OF FORM W-3 AND TRANSMITTAL OF

W-2 FORMS

The original of this reconciliation form must be filed with the City of Mason Tax Department, 6000 Mason-Montgomery Road, Mason,

Ohio 45040, on or before April 30. This form must be accompanied by copies of employees’ statements (Form W-2) or other report

showing: (1) name and address of employee, (2) social security number, (3) gross earnings paid before any payroll deductions and (4)

amount of Mason and other city income tax withheld. If a total page is not included with the W-2s please submit an adding machine tape

listing the amounts of Mason income tax withheld, as indicated by the individual employees’ statements.

If an amount is listed on Line 3 please attach an explanation.

If Line 7 indicates a balance due, the amount thereof should accompany this return. If Line 7 indicates an overpayment please attach an

explanation and request a refund. Refunds are not automatically issued.

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Parent category: Financial