Form Cw-3 - Employer'S Municipal Tax Withholding Reconciliation

Form Cw-3 - Employer'S Municipal Tax Withholding Reconciliation - 2013

2013 EMPLOYER’S MUNICIPAL TAX WITHHOLDING RECONCILIATION (DUE JANUARY 31, 2014) • FORM CW-3

City of Cuyahoga Falls

A) Number of W-2s

1. Total payroll for 2013 ................................................................... $

Income Tax Division

B) Number 1099s

2. Payroll not subject to Cuyahoga Falls (City) Taxation ................ $

2310 2nd Street

C) 3rd Party Sick Leave

2a. Outside the corporate limits ................................................. $

Cuyahoga, Falls, OH 44221

2b. Persons under the age of 18 ............................................... $

FED ID#

2c. Other ..................................................................................... $

3. Payroll subject to City tax (add line 1 and subtract lines 2a, 2b, 2c) $

4. City withholding tax rate (multiply line 3 by 2.0%) ..................... $

5. Amount withheld from employees (per W-2s) ............................ $

6. Enter larger amount of line 4 or line 5 (this is the amount due) .. $

7. Total Cuyahoga Falls withholding tax remitted ........................... $

I declare that this return has been examined by me and to the

8. UNDERPAYMENT

best of my knowledge and belief is a true and correct return

(If line 6 is greater than line 7, enter amount and enclose payment) .... $

made in good faith pursuant to the City of Cuyahoga Falls

9. OVERPAYMENT

Income Tax Ordinance and Rules and Regulations.

(If line 7 is greater than line 6, enter amount of overpayment) ............ $

Signature and Title

Date

If overpayment, check one of the following:

Apply the overpayment to next year

Make check payable to: City of Cuyahoga Falls

A refund is requested

Form Cw-3 - Employer'S Municipal Tax Withholding Reconciliation - 2013