CITY OF KENTON EMPLOYER S WITHHOLDING BOOKLET

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Income Tax Division 555 W Franklin St Kenton, OH 43326 IMPORTANT TAX INFORMATION Phone: 419-673-1355 (8:30-4:30, M-F, EST) W-3 2019 RECONCILIATION Fax: 419-675-3200 Email: incometax@kentoncity.com W-1 2019 WITHHOLDING RETURNS Website: www.kentoncity.com EMPLOYER S WITHHOLDING BOOKLET

GENERAL INFORMATION Each employer within the City of Kenton or doing business within the City of Kenton who employs one or more persons is required to withhold the tax of 1.50% from all compensation paid to employees at the time the compensation is paid and file form W-1 and remit the tax to: City of Kenton Income Tax Division 555 W Franklin St Kenton, OH 43326 Monthly: All returns and payments are due on or before the fifteenth (15 th ) day of each month for the amount withheld during the preceding month. Quarterly: All returns and payments are due on or before the end of month following each calendar quarter for the amount withheld during the preceding quarter. Delinquent payments shall be subject to penalty, interest and late filing charges as provided in the City of Kenton Tax Ordinance and Rules and Regulations. The failure of any employer to receive and procure form W-1 shall not excuse him/her from making this return or from remitting the tax withheld. How to prepare this form: LINE 1 LINE 2 LINE 3 Enter the total compensation paid to all taxable employees during the period for which return is made. If not compensation was paid during the period, so indicate and return form W-1. Compute Kenton tax due (1.50% times payroll) Show any adjustments to tax due LINE 4 Enter amount remitted (Line 2 + Line 3)

EMPLOYER S RETURN OF TAX WITHHELD AMENDED (Attach Explanation) RETURN WITH PAYMENT 1. PAYROLL THIS PERIOD $ 2. AMOUNT OF KENTON TAX WITHHELD (1.50%) $ 3. ADJUSTMENT* $ 4. AMOUNT REMITTED $ TOTAL REMITTANCE Is this a final return? Yes No If yes, attach explanation *If adjusted, provide explanation $ I hereby certify that the information and statements contained herein are true and correct. (Signed) (Official Title) Date Federal ID no. THIS RETURN MUST BE FILED ON OR BEFORE THE DUE DATE SHOWN BELOW BUSINESS NAME AND ADDRESS 03/2019 FOR THE PERIOD ENDING MARCH 2019 DUE ON OR BEFORE APRIL 30, 2019 Notify the Kenton Income Tax Division promptly of any changes in ownership or name and address. MAKE CHECK PAYABLE TO MAIL TO: INCOME TAX DIVISION 555 W FRANKLIN ST KENTON, OH 43326 PHONE 419-673-1355 FAX 419-675-3200 incometax@kentoncity.com www.kentoncity.com Your cancelled check is your receipt.

EMPLOYER S RETURN OF TAX WITHHELD AMENDED (Attach Explanation) RETURN WITH PAYMENT 1. PAYROLL THIS PERIOD $ 2. AMOUNT OF KENTON TAX WITHHELD (1.50%) $ 3. ADJUSTMENT* $ 4. AMOUNT REMITTED $ TOTAL REMITTANCE Is this a final return? Yes No If yes, attach explanation *If adjusted, provide explanation $ I hereby certify that the information and statements contained herein are true and correct. (Signed) (Official Title) Date Federal ID no. THIS RETURN MUST BE FILED ON OR BEFORE THE DUE DATE SHOWN BELOW BUSINESS NAME AND ADDRESS 06/2019 FOR THE PERIOD ENDING JUNE 2019 DUE ON OR BEFORE JULY 31, 2019 Notify the Kenton Income Tax Division promptly of any changes in ownership or name and address. MAKE CHECK PAYABLE TO MAIL TO: INCOME TAX DIVISION 555 W FRANKLIN ST KENTON, OH 43326 PHONE 419-673-1355 FAX 419-675-3200 incometax@kentoncity.com www.kentoncity.com Your cancelled check is your receipt.

EMPLOYER S RETURN OF TAX WITHHELD AMENDED (Attach Explanation) RETURN WITH PAYMENT 1. PAYROLL THIS PERIOD $ 2. AMOUNT OF KENTON TAX WITHHELD (1.50%) $ 3. ADJUSTMENT* $ 4. AMOUNT REMITTED $ TOTAL REMITTANCE Is this a final return? Yes No If yes, attach explanation *If adjusted, provide explanation $ I hereby certify that the information and statements contained herein are true and correct. (Signed) (Official Title) Date Federal ID no. THIS RETURN MUST BE FILED ON OR BEFORE THE DUE DATE SHOWN BELOW BUSINESS NAME AND ADDRESS 09/2019 FOR THE PERIOD ENDING SEPTEMBER 2019 DUE ON OR BEFORE OCTOBER 31, 2019 Notify the Kenton Income Tax Division promptly of any changes in ownership or name and address. MAKE CHECK PAYABLE TO MAIL TO: INCOME TAX DIVISION 555 W FRANKLIN ST KENTON, OH 43326 PHONE 419-673-1355 FAX 419-675-3200 incometax@kentoncity.com www.kentoncity.com Your cancelled check is your receipt.

EMPLOYER S RETURN OF TAX WITHHELD AMENDED (Attach Explanation) RETURN WITH PAYMENT 1. PAYROLL THIS PERIOD $ 2. AMOUNT OF KENTON TAX WITHHELD (1.50%) $ 3. ADJUSTMENT* $ 4. AMOUNT REMITTED $ TOTAL REMITTANCE Is this a final return? Yes No If yes, attach explanation *If adjusted, provide explanation $ I hereby certify that the information and statements contained herein are true and correct. (Signed) (Official Title) Date Federal ID no. THIS RETURN MUST BE FILED ON OR BEFORE THE DUE DATE SHOWN BELOW BUSINESS NAME AND ADDRESS 12/2019 FOR THE PERIOD ENDING DECEMBER 2019 DUE ON OR BEFORE JANUARY 31, 2020 Notify the Kenton Income Tax Division promptly of any changes in ownership or name and address. MAKE CHECK PAYABLE TO MAIL TO: INCOME TAX DIVISION 555 W FRANKLIN ST KENTON, OH 43326 PHONE 419-673-1355 FAX 419-675-3200 incometax@kentoncity.com www.kentoncity.com Your cancelled check is your receipt.

GENERAL INFORMATION On or before February 28 of each year, each employer must file a withholding reconciliation on Form W-3. Copies of W-2 forms applicable to the reconciliation must be provided with the completed W-3 form. All W-2s must furnish the name, address, social security number, gross wages, city tax withheld, name of city for which tax was withheld, and any other compensation paid to the individual. If copies of W-2 forms are not available, each employer must provide a listing of thew-2 form. The listing must contain the same information as required on the W-2 form. SPECIFIC FILING INFORMATION The Form W-3 must show a breakdown of all withholding payments, made either quarterly or monthly in the boxes provided. The amount paid and the amount withheld should be equal. If they are not equal, attach an explanation for any discrepancy. If a balance due is indicated, the amount must be paid on or before February 28. If an overpayment is indicated, amended returns for the month or quarter in which the overpayment occurred must be filed to obtain a refund. The completed form W-3 and the paper W-2s must be submitted to: City of Kenton Income Tax Division 555 Franklin St Kenton, OH 43326 on or before February 28 of each year. For assistance, contact the Kenton Income Tax Division at 419-673-1355 FORM W-3

TAX RECONCILIATION SUBMIT BY FEBRUARY 28 Paper W-2s must be included MAIL TO Income Tax Division 555 Franklin St Kenton, OH 43326 FOR TAX YEAR ENDING 2019 DUE FEBRUARY 28, 2020 PAYMENT ENCLOSED JANUARY JULY FEBRUARY AUGUST MARCH SEPTEMBER 1 ST QUARTER 3 RD QUARTER 1. TOTAL NUMBER OF W-2s ATTACHED 2. TOTAL PAYROLL FOR YEAR 3. LESS PAYROLL NOT SUBJECT TO TAX $ $ REFUND REQUESTED* * If an overpayment is indicated, amended returns for the month or quarter in which the overpayment occurred must be filed to obtain a refund. BUSINESS NAME AND ADDRESS APRIL OCTOBER 4. PAYROLL SUBJECT TO TAX 5. WITHHOLDING LIABILITY @ 1.50% OF LINE 4 MAY NOVEMBER No refund with this form. See instructions $ $ JUNE DECEMBER 2 ND QUARTER 4 TH QUARTER 6. AVERAGE # OF EMPLOYEES I hereby certify that the information and statements contained herein are true and correct. Signed Federal ID No. Title Date Phone no. FORM W-3

WITHHOLDING TAX WORKSHEET (Keep for your records Do not file) WITHHOLDING TAX WORKSHEET (Keep for your records Do not file) Month Ending Due Date Check Number Date Amount Month Ending Due Date Check Number Date Amount 1/31 2/15 7/31 8/15 2/28 3/15 8/31 9/15 3/31 4/15 9/30 10/15 or 1 st qtr 4/30 or 3 rd qtr 10/31 4/30 5/15 10/31 11/15 5/31 6/15 11/30 12/15 6/30 7/15 12/31 1/15 or 2 ND qtr 7/31 or 4 th qtr 1/31