City Of Moraine Annual Reconciliation Of Tax Withheld From Wages Form

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CITY OF MORAINE: 2013 ANNUAL RECONCILIATION OF TAX WITHHELD FROM WAGES
FORM W-3
1) GROSS
2) PAYROLL
3) PAYROLL
4) TAX DUE
5) TAX PAID (
(NOT
PER YOUR
PLEASE REMIT TO:
SUBJECT TO TAX)
(SUBJECT TO TAX)
RECORDS)
PAYROLL
CITY OF MORAINE
INCOME TAX DIVISION
JAN
4200 DRYDEN ROAD
MORAINE, OH 45439
FEB
MAR
FEID#_______________
APR
_____________
CO. NAME
MAY
________________
JUN
ADDRESS
_______________________
JUL
AUG
NUMBER OF W-2'S ATTACHED
________
SEP
OCT
NOV
I have examined this return and to the best
DEC
of my knowledge it is correct.
TOTAL
TOTAL PAYMENTS
BALANCE DUE
SIGNATURE
DATE
REFUND
DUE ON OR BEFORE FEBRUARY 28, 2014
PRINT NAME
TITLE
PHONE

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