Form W-3 - Reconciliation Of West Carrollton Income Tax Withheld

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RECONCILIATION OF WEST CARROLLTON
MAIL TO:
CITY OF WEST CARROLLTON, OHIO
Form
INCOME TAX DEPT.
INCOME TAX WITHHELD
W-3
P.O. BOX 10
WEST CARROLLTON, OHIO 45449
West Carrollton Income Tax paid during
1. Total number of employees per W-2’s
_____________________
January
$ _____________
July
$ _____________
2. West Carrollton total wages per W-2’s
_____________________
February
_____________
August
_____________
3. West Carrollton tax withheld per W-2’s
_____________________
March*
_____________
September*
_____________
4. West Carrollton tax paid
_____________________
April
_____________
October
_____________
5. Difference - balance due/(refund)
_____________________
May
_____________
November
_____________
Payment/refund not required if less than $2.00
June*
_____________
December*
_____________
TOTAL
$ _____________
I hereby certify that the information and statements contained herein are
true, correct, and complete.
Signature _____________________________________
Title ___________________________ Date__________
*The monthly breakdown is not required for taxpayer’s filing quarterly.

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