Employer'S Reconciliation Of Tax Withheld Income Tax Withheld For The Year 2012 - Village Of New Concord Income Tax Department

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VILLAGE OF NEW CONCORD INCOME TAX DEPARTMENT
P. O. BOX 10
NEW CONCORD, OHIO 43762
740/826-7671
EMPLOYER’S RECONCILIATION OF TAX WITHHELD
INCOME TAX WITHHELD FOR THE YEAR 2012
PAYMENT SUMMARY
First quarter ending March 31
$_______________
Second quarter ending June 30
$_______________
Third quarter ending September 30
$_______________
Fourth quarter ending December 31
$_______________
Total Quarterly Returns:
$_________________
Total Tax Withheld per W2’s
$_________________
(These amounts should agree)
Copies of all W2’s must be attached to this form and returned by February 28, 2013.
____________________________________
Signature/Title

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