Form Kw-3 - Annual Withholding Reconciliation And 1099 Misc. Earnings Report - 2016
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1FORM KW-3 (REV. 12/16)
ANNUAL WITHHOLDING RECONCILIATION
_______
(YEAR)
CITY OF KETTERING INCOME TAX DIVISION
and 1099 MISC. EARNINGS REPORT
P.O. B
293100 • Kettering, OH 45429-9100
Ox
Phone: (937) 296-2502 • Fax: (937) 296-3242
JAN.
APRIL
JULY
OCT.
TOTAL WAGES SUBJECT
NUMBER OF W-2’S
TO KETTERING TAX
ATTACHED
FEB.
MAY
AUG.
NOV.
NUMBER OF EMPLOYEES
TOTAL KETTERING TAX
AT CALENDAR YEAR END
WITHHELD PER W-2’S
MARCH
JUNE
SEPT.
DEC.
1ST QTR.
2ND QTR.
3RD QTR.
4TH QTR.
TOTAL TAX REMITTED
Tax Rate 2.25%
If overpaid, check one:
DIFFERENCE DUE
OR OVERPAID
Refund
SUBMIT THIS FORM WITH W-2’S BY FEBRUARY 28.
Credit
1099 Misc. Earnings Report
Account Number / FEIN:
Number of Kettering Form(s) 1099 Misc. Issued
#_______________
Name:
Kettering Form(s) 1099 Misc. Earnings Reported $_______________
Address:
Courtesy Withholding:
City ST Postal Code:
Your business performs no work in the City of Kettering and you
are withholding Kettering tax as a courtesy to your employees who
reside in Kettering.
Change of Status:
Responsible Officer Signature
Date
Out of Business:
Date:
Merged:
Date:
Responsible Officer Name (Please Print)
GENERAL INFORMATION
On or before the last day of February of each year, every employer must file an Annual Withholding Reconciliation (Form KW-3) including
copies of all corresponding W-2 Forms. Each W-2 Form shall furnish employee name, address, social security number, qualifying wages,
local tax withheld, name of locality for which tax was withheld, and any other compensation allocated or set aside for or paid to the
employee. In lieu of the actual W-2 Forms, an employer may provide a listing which furnishes the same information as contained on a W-2
Form. Please note that employers who are required and/or choose to submit wage information via electronic media must also complete
the Annual Withholding Reconciliation (Form KW-3). The completed Form KW-3 should be attached to the CD-Rom or diskette containing
corresponding wage records.
Form 1099-MISC Reporting: All taxpayers who issue Forms 1099-MISC to individuals or entities for services performed shall also report
such payments to the City of Kettering when the services were performed in Kettering. The information may be submitted to the Tax
Division on a listing that includes all identifying information of the recipients and the amount of payments made to each. Forms 1099-MISC
may be submitted in lieu of such listing. The information shall be filed annually with the City of Kettering on or before the last day
of February of each year.
FILING INSTRUCTIONS
Enter a breakdown of all withholding payments made either on a monthly or quarterly basis in the corresponding boxes found on this
return. You must also enter the total wages subject to Kettering tax, amount of tax paid to the City of Kettering, the amount of Kettering
tax withheld (as shown on W-2 Forms), the number of W-2 Forms included with your reconciliation and the number of employees
subject to Kettering tax at calendar year end. The total amount of tax paid and tax withheld should be equal amounts. In the event of an
overpayment, please check the appropriate box to indicate whether you would like to have the overpayment refunded to you or credited
to the following year. If you have a balance due, your payment must accompany this return. Submit completed returns and corresponding
W-2 Forms or magnetic media to the City of Kettering, Income Tax Division, P.O. Box 293100, Kettering, OH 45429-9100. Your Annual
Withholding Reconciliation including all corresponding Forms W-2 or 1099-MISC shall be due on or before the last day of
February of each year.
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