EMPLOYER’S ANNUAL RECONCILIATION
RD-113(09/04)
OF EARNINGS TAX WITHHELD
City of Kansas City, Missouri
Phone
Finance Department
(816) 513-1089
Revenue Division
__________________
___________________
Period From
Period To
Business Name
_______________________________________________
FID NUMBER___________________________________
Business Address________________________________________________
Account ID_____________________________________
________________________________________________
Due Date______________________________________
________________________________________________
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“
X” this box if change is made to name, address, FID Number, or Account ID
1.
Number of W-2’s submitted
(Note:
)
Submit only W-2’s with KCMO Earnings Tax Withheld
a.
Withheld for quarter ending 3/31
b.
Withheld for quarter ending 6/30
c.
Withheld for quarter ending 9/30
d.
Withheld for quarter ending 12/31
2.
Total KCMO Earnings Tax withheld by Employer
for the year.
3.
Total KCMO Earnings Tax payments for the Year
4.
Subtract Line 3 from Line 2 (See Note)
Note:
If there is an underpayment, submit payment with a return (RD-110).
If there is an overpayment,
please call Taxpayer Accounting at (816) 513-1120. The RD-113 FORM IS FOR RECONCILIATION PURPOSES
ONLY!
DO NOT SEND PAYMENT WITH THIS FORM
Under penalties of perjury, I declare this to be true, correct and complete return for the tax period stated.
____________________________________________________
____________________________________________________________
Authorized Signature
Date
Print Name
Phone
I authorize the Commissioner of Revenue or a delegate of the Revenue Division to discuss my return and attachments with my preparer.
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□
Yes
No
:
Instructions for preparing and filing Employer’s Annual Reconciliation of Earnings Tax Withheld
:
WHO MUST FILE
Each employer within the City of Kansas City, Missouri who employs one or more persons is required to file this form.
Employers outside the city who voluntarily withhold earnings tax from Kansas City, Missouri residents are also required to
file this form.
th
February 28
WHEN AND WHERE
This return must be filed on or before
and the W-2 forms in paper or electronic media (cartridge or
diskette) must accompany this return.
TO FILE:
Returns are to be filed with the Finance Department, Revenue Division at 414 East 12th Street, 2nd Floor East, or mailed
to the Finance Department, Revenue Division P.O .Box 15623,Kansas City, Missouri 64106-0623.
Please indicate below the format of attached W-2’s
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□
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Paper copy
18-track cartridge*
Mini/Micro Diskettes (#____________)*
CD*
*Please refer to formatting instructions on Form RD-114- Earnings Tax Magnetic Media Specifications.
Submit only W-2’s with KCMO Earnings Tax Withheld-
Please read back of form