Form W-3 - Reconciliation Of Tax Withheld From Wages

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GENERAL INFORMATION
On or before February 28 of each year, each employer must file a withholding reconciliation. Copies of all
W-2 forms applicable to the reconciliation must be attached. All W-2's must furnish the name, address, social
security number, gross wages, city tax withheld, name of city for which tax was withheld, and any other
compensation paid to the individual. If copies of the W-2 forms are not available, each employer must provide a
listing of all employees subject to tax. The listing shall require the same type of information as is required of the
W-2 form.
Any individual(s) or business entity compensating individuals on a commission or contract labor basis must
furnish copies of the 1099 or appropriate earnings statement on or before February 28 of each year. All 1099's or
earnings statements shall require the same type of information as is required of the W-2 forms as stated above.
The front of the Form W-3 must show a breakdown of all withholding payments made either quarterly or
monthly in the boxes provided. Please keep Part 3 for your records. The completed W-3 form (Parts 1 and 2) and all
attachments must be submitted to the Department of Taxation, 106 E. Spring Street, St. Marys, Ohio 45885 on or
before February 28 of each year. Any questions in completing the Form W-3 should be referred to the Department
of Taxation.
OVERPYAMENTS - It is recommended that you adjust the next remittance by the amount of the overpayment.
Refunds can take 90 days or more to process. *An over-withheld W-2 cannot be used to offset an under-withheld
W-2. Credit for an over-withheld W-2 can only be used by the employee.
TAX RATES
Anna - 1.75%
Botkins - 1.5%
Osgood - 1.0%
Minster - 1.5%
New Bremen - 1.5%
St.Marys - 1.5%
North Star – 0.5%
New Knoxville - 1.5%
Russia - 1.5%
RECONCILIATION OF TAX WITHHELD FROM WAGES W-3
Year _______________
Municipality:
JAN.
JULY
1. Number of W-2's Attached
___________________________
SUBMIT BY FEBRUARY 28,
W-2's MUST BE ATTACHED
2. Total Wages _____________________
I HEREBY CERTIFY THAT THE
FEB.
AUG.
INFORMATION & STATEMENTS
3. _______________________________
CONTAINED HEREIN ARE TRUE &
Line 2 Multiplied by Rate of Tax.
CORRECT:
SIGNED: (business name)
4. Amount Paid ____________________
MAR.
SEPT.
First Quarter
Third Quarter
_______________________________
5. Total Shown
Withheld on
W-2's ___________________________
APRIL
OCT.
BY:_____________________________
6. Amount Due ______________________
Responsible Officer
7. Amount Over Paid__________________
Amounts over $1.00 must be explained.
DATE__________________
MAY
NOV.
Attach explanation.
MAIL
DEPARTMENT OF TAXATION
JUNE
DEC.
TO:
106 E. SPRING STREET
Second Quarter
Fourth Quarter
ST. MARYS, OH 45885
Attention ALL RESIDENT EMPLOYERS The W-2’s attached must be identical to those W-2’s
that you submitted to the Internal Revenue Service.

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