Reconciliation Of Monthly Or Quarterly Returns - Income Tax Department - City Of Eastlake - 2001

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Eastlake Reconciliation
11/21/2000
4:30 PM
Page 1
MAIL TO:
RECONCILIATION OF MONTHLY OR QUARTERLY RETURNS OF CITY TAX
RETURN WHITE
CITY OF EASTLAKE
COPY
WITHHELD ON WAGES (FORM W-1) WITH EASTLAKE INCOME TAX
INCOME TAX DEPT.
P.O. BOX 72485
FORM W-3
WITHHOLDING STATEMENTS (FORM W-2) FOR YEAR 2001
CLEVELAND, OH 44192-0485
1.
Total number of copies of employee’s statements
3.
Total Eastlake income tax withheld on wages during the past year as shown on line
(Federal Form W-2 transmitted herewith) ..........
1 of employer’s Quarterly Return of tax withheld (Eastlake Form E941):
Quarter ended March 31.............................. $
2.
Total Eastlake income tax withheld on wages
during the past year as shown on copies of
Quarter ended June 30................................
employee’s statements transmitted herewith $
(A)
Quarter ended September 30 ....................
NOTE: Any discrepancy between the amounts shown on line (A) and (B) must be ex-
Quarter ended December 31 ......................
plained in the attached statement. See instructions on reverse side of duplicate.
TOTAL ...................................................... $
(B)
TAX OFFICE USE ONLY
Quan. W-2 supplied ................................................................................................................
W-2 Rec’d ........................................................ W-3 Rec’d ......................................................
Total Wages $ ....................................................
Tax $ ..............................................
Remittance (less int.) ........................................
$ ..............................................
Difference............................................................
$ ..............................................
Reconciled ..............................................................................................................................
PLEASE MAKE NECESSARY CORRECTIONS
MUST BE RECEIVED BY FEBRUARY 28th TO AVOID PENALTY

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