Form Iw-3 - Employer'S Annual Reconciliation Of Income Tax Withheld - 2011
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12011 IW-3
IW-3
2011
CITY OF IONIA
EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD
1. EMPLOYER
2. FEDERAL EMPLOYER IDENTIFICATION NUMBER
DUE ON OR BEFORE
CONTACT PHONE NUMBER
February 29, 2012
TOTAL GROSS WAGES (W-2 BOX 1)
SUMMARY OF WITHHOLDING TAX PAID
MONTH/QUARTER
TAX WITHHELD
WITHHOLDING TAX PAID
January
February
March
FIRST QUARTER TOTAL
April
May
June
SECOND QUARTER TOTAL
July
August
September
THIRD QUARTER TOTAL
October
November
December
FOURTH QUARTER TOTAL
TOTAL WITHHOLDING TAX PAID
3.
NUMBER OF W-2 FORMS ATTACHED
4.
TOTAL TAX WITHHELD PER W-2(S)
5.
6.
BALANCE DUE
OVERPAYMENT - ATTACH EXPLANATION*
7.
*SUBMIT A LETTER EXPLAINING THE OVERPAYMENT AND REQUESTING A REFUND.
10. DATE
9. NAME AND TITLE (Please Print)
8. SIGNATURE
INSTRUCTIONS FOR EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD
• Check identification information in Box 1 and Box 2. If incorrect, make corrections and file Notice of Change or Discontinuance, Form I-6-IT.
• Enter tax withheld and tax payment information in the Summary of Withholding Tax Paid section.
• Enter the total withholding tax paid in Box 3.
• Enter the number of W-2 forms attached in Box 4.
• Enter the amount of tax withheld per the W-2 forms attached in Box 5. Attach an adding machine tape totaling the W-2 forms or include copies of the
computer generated summary W-2 forms.
• If the withholding tax paid (Box 3) is less than the tax withheld per the W-2 forms (Box 5), enter the balance due in Box 6. The balance due must be paid in
full with this IW-3 form. Make remittance payable to: CITY OF IONIA
• If the withholding tax paid (Box 3) is greater than the tax withheld per the W-2 forms (Box 5), enter the overpayment in Box 7. To receive a refund of any
overpayment, submit a letter explaining the overpayment and requesting a refund.
• If the withholding tax paid (Box 3) equals the tax withheld per the W-2 forms (Box 5), enter a zero (0) in Boxes 6 and 7.
• Sign the return in Box 8; Print your name and title in Box 9; and Enter the date signed in Box 10.
• Attach the required copies of the W-2 forms or a CD with W-2’s in federal format (see electronic filing instructions on our website and
payment for any balance due to the completed IW-3 form and mail to: IONIA INCOME TAX DEPARTMENT, PO BOX 512, IONIA, MI 48846.
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