Form Mw-1 - Employer'S Return Of Tax Withheld Page 3

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City of Middletown Ohio - WithholdingTax Reconciliation
PO Box 428739 Middletown OH 45042-8739 (513) 425-7862
INSTRUCTIONS FOR FORM MW-3
Copies of W-2's of all employees subject to City of Middletown income tax must accompany this
form. W-2's must be in alphabetical order or sorted by social security number.
Employers with more than 250 employees must submit W-2 information on diskette or CD-Rom using the
Social Security Administrations MMREF-1 filing requirements. All employers are encouraged to use this method
of filing.
If non-employee compensation was paid for work performed in Middletown, copies of 1099-MISC's
must also be submitted.
FILING DEADLINE FEBRUARY 28 (MARCH 31 ELECTRONIC FILING)
If you terminated all your employees before December 31, this reconciliation must be filed within
thirty days after the last payment of wages.
WORKSHEET FOR YOUR RECORDS
Quarter
Ending
Due Date
Check Number
Date
Amount
3/31
4/15
6/30
7/15
9/30
10/15
12/31
1/15
Account
CITY OF MIDDLETOWN OHIO, WITHHOLDING TAX RECONCILIATION
We have no employees working in the City. We withhold as a courtesy for residents
Final Return, explain on reverse
1. Total number of employees
Middletown Income Tax Withheld for Tax Year _____
2. Total payroll for the year
First quarter ending March 31
3. Less payroll not subject to tax
Second quarter ending June 30
(Must include expanation on the reverse)
Third quarter ending September 30
4. Payroll subject to tax
Fourth quarter ending December 31
5. Withholding liability at 1.75% of line 4
6. Total remitted for the year
(Must equal line 5. If not, explain on reverse)
7. Overpayment credited to next year*
OR…….. 8. Additional tax due
*Refund not issued unless requested. Attach explanation.
Enclose payment with return and mail to CITY OF MIDDLETOWN
PO Box 428739 Middletown OH 45042
No taxes or credits of less than $3.00 shall be collected or refunded
EMPLOYER (name and address)
Federal I.D.
Submitted by (Type or Print)
Official Title
Signature
Telephone (_____)
Date
ORIGINAL MUST BE RETURNED WITH W-2'S AND 1099'S BY FEBRUARY 28
FORM MW-3
OR MARCH 31 FOR ELECTRONIC FILERS

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