Form P-W-2 - Pandora Income Tax Return - Reconciliation With Quarterly Returns - Village Of Pandora

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EMPLOYER ______________________________________________________
ADDRESS _______________________________________________________
RECONCILIATION WITH QUARTERLY RETURNS
PANDORA INCOME TAX WITHHELD
2011
Form P-W-2
Village of Pandora
PAYMENTS
1. Total number of employees _________
A. First Quarter $______________
2. Total payroll for year $___________
B. Second Quarter$______________
3. Payroll subject to tax $___________
C. Third Quarter $______________
4. Tax (1.5% of line 3)
$___________
D. Fourth Quarter$______________
5. Less: Credit paid to
_______________________
$___________
E. Total Payments $_____________
6. Total payments(Line E) $___________
7. Balance Due
$___________
PLEASE DO NOT REMOVE ANY
ATTACH COPY OF WAGE & TAX w-2
PORTION OF THIS FORM.
FOR CITY TAX DEPARTMENT
LIST ALL EMPLOYEES FOR THE YEAR
IF YOU DO NOT PROVIDE COPIES OF W-2 FORMS
NAME
ss#
ADDRESS
AMOUNT PAID
TAX WITHHELD
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

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