Annual Reconciliation Of Withholding Taxes - City Of Mansfield Income Tax Division - 2015

ADVERTISEMENT

Annual Reconciliation of Withholding Taxes For 2015
City of Mansfield Income Tax Division
P.O. Box 577
Mansfield, Ohio 44901
PHONE (419) 755-9711
FAX (419) 755-9751
Business Name/Address:
Federal Employer Identification Number:
THIS RECONCILIATION is due by FEBRUARY 28, 2016 WITH W-2S OR A LISTING OF W-2S
OR
IF YOU HAVE 100 OR MORE W-2S YOU MUST USE Digital Storage Media FOR REPORTING THE
INFORMATION. See section 191.05 (d) (e) and (f) city ordinance.
QUARTER AMOUNTS PAID:
NUMBER OF W-2S ATTACHED
1
ST
QUARTER
Total Compensation
2
ND
QUARTER
reported on W-2s
3
RD
QUARTER
Total tax withheld as shown on
4
TH
QUARTER
W-2 forms
Total tax amount paid this
year
MONTHLY AMOUNTS PAID:
1
ST
MONTH
2
ND
MONTH
OVERPAYMENT:
3
RD
MONTH
Refund ____ Credit to next reporting period______
4
TH
MONTH
5
TH
MONTH
6
TH
MONTH
7
TH
MONTH
UNDERPAYMENT: (Enclosed)
8
TH
MONTH
9
TH
MONTH
10
TH
MONTH
11
TH
MONTH
* ENCLOSE 1099S IF WORK WAS
PERFORMED WITHIN THE CITY
12
TH
MONTH
I CERTIFY THIS RECONCILIATON TO BE TRUE AND CORRECT.
AUTHORIZED SIGNATURE______________________________________________
TITLE_____________________________PHONE NO.________________________
PRINT OR TYPE NAME OF PERSON SIGNING:_______________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go