Form Wte-3 - Employer Summary Of Withholding - 2003
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1WTE-3 2003
EMPLOYER SUMMARY
OF WITHHOLDING
CFD
City of Pittsburgh
School District of Pittsburgh
and
Rev 09/03
FOR OFFICIAL USE ONLY
Amended Return ( )
Tax Return No Longer Needed ( )
CITY ID
FEDERAL ID
JANUARY 1 thru DECEMBER 31
SIGNATURE______________________________________________
Due on or before FEBRUARY 28, 2004
TITLE ___________________________DATE___________________
PHONE __(__________)_____________________________________
PREPARER’S NAME_______________________________________
PREPARER’S PHONE__(_________)__________________________
I hereby certify, swear and aver that all statements herein are true and correct to the best of my
knowledge and belief, being duly apprised of my duty under the law to submit honest and
complete information or be subject to the penalties provided by law.
MAKE SURE YOUR SIGNATURE AND DATE APPEAR ABOVE
Make name/address corrections above
USE BLACK INK ONLY ON THIS FORM
COLUMN A
COLUMN B
COLUMN C
CITY TAX 1%
SCHOOL TAX 2%
NON RESIDENT OF PA OR U.S. 1%
1.
TOTAL TAXABLE
EARNINGS
Before payroll deductions
2.
TOTAL TAX WITHHELD
AND REMITTED WITH
WT-1 RETURNS
3.
ADJUSTMENTS
Explain fully
4.
TOTAL TAX AFTER
ADJUSTMENTS
5.
TOTAL TAX – ADD LINE 4A + 4B + 4C
Return due on or before February 28.
$_____________________
DO NOT SEND W2’S UNDER SEPARATE COVER; INCLUDE THEM WITH THIS FORM.
USE FORM WT-1 TO REMIT PAYMENT
Total number of W-2’s included
Mail to: CITY OF PITTSBURGH WAGE TAX – 414 GRANT ST – PITTSBURGH PA 15219-2476
Has business been sold or discontinued?
If YES, a BUSINESS DISCONTINUATION FORM must be completed and returned for processing.
Form(s) can be downloaded at
or call 412-255-2510 to request the form.
INFORMATION and INSTRUCTIONS
If you are filing W2’s using electronic magnetic media for the first time contact 412-255-2541 for instructions and specifications.
W2’s must be single-sided and only one per page. Perforated forms must be separated. If W2’s are issued separately for City and School
withholdings, they need to be stapled together for each taxpayer. Visit our web site for a complete listing of Pittsburgh Zip Codes.
LINE 1
Enter the total taxable earnings.
LINE 2
Enter the amount of tax actually withheld and paid to the City with quarterly and/or monthly deposits (WT-1 or WTD).
LINE 3
Enter adjustment(s) of taxes remitted. Include a detailed explanation of adjustment(s). Include a letter requesting refund of
overpayment, if necessary. If City wage tax was erroneously withheld from an employee, have them call 412-255-2524 to request
a refund form (PGH-40). If additional tax is due, it must be paid to the City on or before February 28 with form WT-1.
LINE 4
Enter the adjusted tax.
LINE 5
Enter total tax, add Line 4A + 4B + 4C and enter total number of W-2’s included.
DO NOT include Non-Resident W2’s UNLESS tax was withheld and remitted to the City.
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