Form N5-2012 - Norwood Reconciliation Of Tax Withheld - 2012

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FORM N5-2012
EMPLOYER’S WITHHOLDING RETURNS
2012
NORWOOD RECONCILIATION OF TAX WITHHELD FOR
NORWOOD TAX OFFICE
5. WITHHOLDING TAX LIABILITY OF 2% OF LINE 4…………………
6. TOTAL INCOME TAX WITHHELD FROM WAGES AND PAID TO
4645 MONTGOMERY ROAD
CITY OF NORWOOD DURING 2012
NORWOOD, OH 45212
←
QUARTER ENDING MARCH 31
$………………..
PHONE 513-458-4590
QUARTER ENDING JUNE 30
$………………..
1. TOTAL NUMBER OF TAXABLE EMPLOYEES...
___________
QUARTER ENDING SEPTEMBER 30
$…………………
2. TOTAL PAYROLL FOR THE YEAR…………….
$___________
QUARTER ENDING DECEMBER 31
$………………...
3. LESS PAYROLL NOT SUBJECT TO TAX……..
$___________
4. PAYROLL SUBJECT TO TAX…………………...
$___________
TOTAL FOR YEAR
$…………………
ACCOUNT NO:
7. OVERPAYMENT $…………………..OR TAX DUE $…………………
(SUBTRACT TOTAL OF LINE 6 FROM LINE 5)
THIS FORM MUST BE FILED ON OR BEFORE
FEBRUARY 28, 2013 ATTACH COPIES OF
W-2 FORMS AND INCLUDE 1099 MISC FORMS
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RECONCILIATION INSTRUCTIONS
MILFORD INCOME TAX DEPT.
Original of this reconciliation form must be filed with the Tax Commissioner of Norwood, OH on or before
INCOME TAX DEPARTMENT
February 28, 2013 together with copies of W-2 Forms or a list of employees withheld from as requested under
P.O. BOX 632571
line No. 7. List must include employee’s name, address, Social Security Number, taxable earnings, and
CINCINNATI, OH 45263-2571
amount of Norwood earnings tax withheld. Make a copy of this form for your records.
PHONE 513-248-5082
FAX 513-248-5099
REMIT THIS RECONCILIATION FORM & W-2 FORMS TO:
NORWOOD TAX OFFICE
4645 MONTGOMERY ROAD
FILE NO:
NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY
NORWOOD, OH 45212
CHANGES IN OWNERSHIP OR NAME AND ADDRESS
___________________________________________________________________
DO NOT SEND THE RECONCILIATION TO: NORWOOD BOX LOCATION 00332
THE LOCK BOX IS ONLY FOR QUARTERLY OR MONTHLY PAYMENTS
I HEARBY CERTIFY THAT THE INFORMATION AND
STATEMENTS CONTAINED ARE TRUE AND CORRECT.
EMPLOYER’S QUARTERLY RETURN OF TAX WITHHELD
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JAN, FEB, MARCH 2013
APRIL 30, 2013

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