Form Mw3 - Withholding Tax Reconciliation Return - 2010
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1Form MW3
CITY OF LORAIN – DEPARTMENT OF TAXATION
WITHHOLDING TAX RECONCILIATION RETURN
2010
Please change tax year
605 W. 4TH STREET, LORAIN, OH 44052
FOR TAX YEAR
if necessary
PHONE: (440)
MUST BE RETURNED WITH W-2’S BY JANUARY 31
1.
8. Quarter ended March 31 .................$ _________________
Non-resident Employers
Number of W-2’s attached ..............$ _________________
9. Quarter ended June 30....................$ _________________
2. Number of employees working
Do you withhold tax as a
in Lorain at year end ........................$ _________________
10. Quarter ended September 30..........$ _________________
courtesy or because the
employee(s) works(s) in the
3. Total payroll for the year ..................$ _________________
11. Quarter ended December 31...........$ _________________
City of Lorain?
4. Less payroll not subject to tax ........$ _________________
12. Credits from prior year.....................$ _________________
Attach explanation
Courtesy
13. Total remitted for year......................$ _________________
5. Payroll subject to tax .......................$ _________________
14. Amount due or overpaid*.................$ _________________
Works in Lorain
6. Withholding tax liability at
Difference between Lines 6 and 13
*Refunds are NOT automatically issued.
2% of Line 5....................................$ _________________
If refund of overpayment is requested
7. Total Lorain tax withheld
please attach explantation. If additional
tax is due, enclose payment with return.
per W-2’s .........................................$ _________________
I hereby certify that the information and statements contained herein are
EMPLOYER ADDRESS
FID#
true and correct.
Account No.
Signed By _________________________________________________________
Email
Date ______________________________________________________________
Print Name ________________________________________________________
Phone
Official Title ________________________________________________________
Owner, Partner, Member, President, Treasurer
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Parent category: Financial