Lw-3 - Employer'S Annual Reconciliation Of Income Tax Withheld
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1CITY OF LANSING
LW-3
EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD
EMPLOYER’S NAME, ADDRESS & ZIP CODE
1.
2. FEDERAL EMPLOYER IDENTIFICATION NUMBER
3. CONTACT NUMBER/EMAIL ADDRESS
______ Check if new address
W2 DATA SUBMITTED VIA:
______ CD
______USB DRIVE
______EXCEL .CSV
_____PAPER
DUE ON OR BEFORE
SUMMARY OF WITHHOLDING TAX PAID
DUE ON OR BEFORE
FEBRUARY 28, (CURRENT YEAR)
FEBRUARY 28, (CURRENT YEAR)
4.
TOTAL WITHHOLDING TAX PAID
-2
(
)
5.
NUMBER OF W
FORM
S
ATTACHED
-2(
)
6.
TOTAL TAX WITHHELD PER W
S
(
)
7.
REMIT TAX DUE WITH FORM
BALANCE DUE
(
:
)
8.
REFUND
SUBMIT LETTER OF EXPLANATION
OVERPAYMENT
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
9. SIGNATURE
10. NAME AND TITLE
(Please Print)
11. DATE
INSTRUCTIONS FOR EMPLOYER'S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD
Complete Box 1, 2 and 3. If revised or a final return, please note on form or file Notice of Change or Discontinuance, Form L-6-IT.
Enter the total withholding tax paid to the City of Lansing in Box 4.
Enter the number of W-2 forms attached in Box 5. City of Lansing accepts electronic W-2s via CD or USB drive in the Federal or State filing formats.
Enter the amount of tax withheld per the W-2 forms attached in Box 6. Attach an adding machine tape totaling the W-2 forms or include the
computer-generated summary of W-2 forms.
If the withholding tax paid (Box 4) is less than the tax withheld per the W-2 forms (Box 6), enter the balance due in Box 7. REMIT BALANCE DUE
WITH THE LW-3 FORM. PAYABLE TO: LANSING CITY TREASURER
If the withholding tax paid (Box 4) is greater than the tax withheld per the W-2 forms (Box 6), enter the overpayment in Box 8. REFUND REQUESTS
MUST ACCOMPANY YOUR LW-3 FORM.
If the withholding tax paid (Box 4) equals the tax withheld per the W-2 forms (Box 6), enter a zero (0) in Boxes 7 and 8.
Authorized signature in Box 9; print name and title in Box 10; enter the date signed in Box 11.
Attach the required copies of the W-2 forms and payment (if applicable) to the completed LW-3 form and mail to:
CITY OF LANSING INCOME TAX OFFICE, 124 W MICHIGAN AVE 1ST FLOOR, LANSING, MI 48933
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