Transmittal And Reconciliation Of Quarterly Returns Of Village Of Octa Income Tax Withheld From Wages

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WHITE - ORIGINAL
CANARY - TAXPAYER COPY
TRANSMITTAL AND RECONCILIATION OF QUARTERLY RETURNS OF
Village of Octa Form W-3
Income Tax Department
VILLAGE OF OCTA INCOME TAX WITHHELD FROM WAGES
Milledgeville, Ohio 43142
1. Total number of employees as represented
3. Total Octa income tax withheld from wages shown on line 1, Return of
by employee wage & tax statements which
Tax Withheld (Form W-1)
must be attached.
Quarter ended March 31
$ ________________
Quarter ended June 30
________________
Quarter ended September 30
________________
Quarter ended December 30
________________
2. Total Octa income tax withheld from wages
Total (B)
$
during
as shown by employees’ wage
& tax statements ATTACHED .......... (A)
W-2(S) MUST BE ATTACHED.
NO REMITTANCE REQUIRED WITH THIS FORM
FILE BY JANUARY 31
Note:
Any discrepancy between the amount shown on lines A and B must
be fully explained in an attached statement. File original only with
VILLAGE OF OCTA INCOME TAX DEPARTMENT, P.O. Box 68,
Federal ID Number,
Milledgeville, Ohio 43142-0068.
Name and Address - If incorrect, please make necessary changes
WHITE - ORIGINAL
CANARY - TAXPAYER COPY
TRANSMITTAL AND RECONCILIATION OF QUARTERLY RETURNS OF
Village of Octa Form W-3
Income Tax Department
VILLAGE OF OCTA INCOME TAX WITHHELD FROM WAGES
Milledgeville, Ohio 43142
1. Total number of employees as represented
3. Total Octa income tax withheld from wages shown on line 1, Return of
by employee wage & tax statements which
Tax Withheld (Form W-1)
must be attached.
Quarter ended March 31
$ ________________
Quarter ended June 30
________________
Quarter ended September 30
________________
Quarter ended December 30
________________
2. Total Octa income tax withheld from wages
Total (B)
$
during
as shown by employees’ wage
& tax statements ATTACHED .......... (A)
W-2(S) MUST BE ATTACHED.
NO REMITTANCE REQUIRED WITH THIS FORM
FILE BY JANUARY 31
Note:
Any discrepancy between the amount shown on lines A and B must
be fully explained in an attached statement. File original only with
VILLAGE OF OCTA INCOME TAX DEPARTMENT, P.O. Box 68,
Federal ID Number,
Milledgeville, Ohio 43142-0068.
Name and Address - If incorrect, please make necessary changes

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