Annual Payroll Reconciliation Sheet
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1ANNUAL PAYROLL RECONCILIATION
City of Canton, Income Tax Department
P.O. BOX 8876
424 MARKET N . , CANTON, OHIO 44711
PHONE (330) 430-7900
ROBERT
C. SCHlRACK
TREASURER, CITY OF CANTON
HOURS: 8:00
-
4:00
Monday through Friday
EMPLOYER I.D. NO.
OTHER EIN USED
All
W-2'8,
1099's
and
an
adding
machine
tape,
wmputerprintout
or
some
other
type
of
lieting
lowing
the
amount
of
city
mwme
tax
withheld
mzut
be
d e d .
TYPE OF ACCOUNT:
Resident Employer Withholding Canton Tax Only
Contact Person
Non-Resident Employer Doing Business in Canton
Phone No.
Employer (Either Resident or Non-Resident doing
L
Business in Canton and other Ohio CitiesIJ DDSfTownships
Fax No.
Courtesy Withholding Account
E-Mail Address
1
PART
2
RECONCILIATION
OF
FEDERAL
WAGES
Medicare
Taxable
Wages
(From
Box
5
of
Forms
W-2)
~ d & : Ordinary income from the exercise of stock
options excluded from Medicare wages.
Supplemental unemployment compensation
("sub-pay") excluded from Medicare wages.
Less: Wages Not Subject to Canton Tax (Explain)
Other (Explain)
Canton Taxable Wages
No. of W-2's Attached
No. of 1099 Statements Attached
Total 1099 Amount
PART
3
RECONCILIATION OF
TAX
WITHHELD
I
Canton Taxable Wages Subject T o Tax at 2% (From Part 2)
Wages Subject To Tax At Less Than 2%
(i.e. courtesy withholding, other, explain)
Total Canton lncome Tax Due
Total Canton lncome Tax Withheld
Quarter Ended 03/31
Quarter Ended 06/30
Quarter Ended 09/30
Quarter Ended 12/31
Total Canton lncome Tax Paid
Greater of Tax Due or Withheld (From Part 3)
Balance Due / Overpayment [Transfer Credit]
Under Penalties of perjury, I declare that I have examined this return and accompanying documents, and,
to
the best
of
my knowledge and belief, they are true, correct, and complete.
Signature
Title
Date
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