Form Sw-3 - Employer'S Annual Reconciliation Of Income Tax Withheld - 2004

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CITY OF SAGINAW

2004 SW-3

SW-3

2004

EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD

2. FEDERAL EMPLOYER IDENTIFICATION NUMBER

1. EMPLOYER

EMPLOYER PHONE NUMBER

DUE ON OR BEFORE

FEBRUARY 28, 2005

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

NUMBER OF W-2 FORMS ATTECHED

TOTAL TAX WITHHELD PER W-2(S)

BALANCE DUE

OVERPAYMENT – ATTACH EXPLANATION*

*SUBMIT A LETTER EXPLAINING THE OVERPAYMENT AND REQUESTING A REFUND.*

8. SIGNATURE

9. NAME AND TITLE (Please Print)

10. DATE

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 S-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.

•

Entet the number of W-2 forms attached in Box 4. In lieu of paper W-2’s the City of Saginaw will accept a diskette or cd with W-2 in the federal filing format or state formats.

•

Enter the amount of tax withheld per the W-2 forms attached in Box 5. Attach and 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 SW-3 form.

Make remittance payable to: SAGINAW CITY TREASURER

•

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 requestiong 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 and payment for any balance due to the completed W-3 form and mail to:

CITY OF SAGINAW INCOME TAX OFFICE, P.O. BOX 5081, SAGINAW, MI 48605-5081.