Form 17c - W-2 Transmittal printable pdf download

REGIONAL INCOME TAX AGENCY

FORM

W-2 Transmittal

17C

FOR TAX YEAR 2002

DUE ON OR BEFORE FEBRUARY 28, 2003

FORM 17C – W-2 TRANSMITTAL SHEET

A W-2 Transmittal Sheet is required to be filed on or before the last day of February following any calendar year in which employee withholding

deductions have been made by an employer. For assistance call (440) 526-0900 – Cleveland local; (614) 538-0512 – Columbus local; or 1-800-860-RITA

– Toll free within Ohio. For TDD assistance call (440) 526-5332. Refer to our website:

Along with Form 17C, one of the following must be submitted:

•

Copies of W-2s

•

Upon written request made to the Tax Administrator on or before the due date:

A. Computer paper listing which must contain the following information from each W-2 (in this order) social security number, municipality for which

local income tax was withheld, amount of local income tax withheld, gross amount of taxable compensation paid, employee’s name (last, first,

middle), and employee’s last known address; or,

B. • W-2 Copy 1 for state, city, or local tax departments.

• Employers with 250 or more W-2 Copy A or 1099-Misc. Forms must report on Magnetic Media using (MMREF-1) Format and Guidelines pre-

scribed by the Social Security Administration and the Internal Revenue Service.

• MMREF-1 Guidelines can be printed using Social Security Administration Internet Page found under

• 1099-Misc Form Guidelines can be found and printed by using Internet Page using Keyword pub 1220.

• RITA guidelines for the RS Record (CITY AND STATE) found within the SSA MMREF-1 Guidelines, can be found and printed by using Internet

Page and clicking on MAGNETIC REPORTING OF W-2s BY EMPLOYERS.

• Any exceptions such as computer or typewriter listings of city wage and tax information, in lieu of the standard W-2 Form, or Paper W-2 report-

ing for more than 250 Employees, must receive prior permission from the RITA Director of Taxation or the local City Tax Administrator where

the business is located, before submission of such lists or forms.

• Please do not password protect magnetic media files sent to RITA.

All of the above must contain the federal employer identification number, the company name and the address.

INSTRUCTION FOR COMPLETING FORM 17C

Print the company’s federal employer identification number, name and address in the proper area. If this information is pre-printed, check for

accuracy. Draw a line through any incorrect information and print the correct information above it.

List the number of W-2s attached.

List the number of employees for which municipal income tax has been withheld. This amount must be distributed on the back of this form.

Distribute the number of employees to each city where the employees worked.

Sign and date the form. Please provide a phone number where you can be reached should questions arise.

Attach all W-2s or the substituted information. Make sure the federal identification number and company name are listed correctly on each form W-2.

NOTE: AVON LAKE, BEDFORD HTS., MILAN, ST. PARIS, SUNBURY AND WILLOWICK EMPLOYERS:

Employers required under Internal Revenue Code to furnish forms 1099 to the IRS for individuals or businesses to whom they have paid non-employee

compensation must also furnish copies of these 1099s to RITA. Submit along with W-2s.

Mail this form and all copies of W-2s to

Regional Income Tax Agency

10107 Brecksville Road

Brecksville, Ohio 44141-3275

Name:

Fed. ID #

Address #:

Suite:

Street Name:

City:

–

State

Zip:

Total Number of W-2s Enclosed:

Total Number of Employees:

I have examined this return, and to the best of my knowledge it is correct.

_______________________________________________________________________________________________________________

Signature

Title

Date

–

Phone:

FORM 17C

Form 17c - W-2 Transmittal

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