IMPORTANT TAX INFORMATION

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CITY OF ASHTABULA INCOME TAX DEPARTMENT (440) 992-7104 Fax (440) 992-7556 Hours Monday Friday 8:30 AM 4:00 PM www.cityofashtabula.com IMPORTANT TAX INFORMATION EMPLOYER MUNICIPAL INCOME TAX WITHHOLDING FORMS 2018 FORM W1 (Quarterly or Monthly Statement) 2018 FORM W3Q/M (Annual Reconciliation)

PREPARING AND FILING FORM W-1 Enclosed is the information and forms needed to prepare and file employer s MONTHLY or QUARTERLY returns of tax withheld. This booklet contains a form for each calendar month or quarter to be returned to the city of Ashtabula Tax Department. WHO MUST FILE: Each employer within, or doing business within, the City of Ashtabula who employs one or more persons is required to Withhold City income tax of 1.8% from all wages, salaries, commissions, bonuses and other compensation paid employees and to file Form W1 and remit tax to the City of Ashtabula Income Tax Department. DUE DATES: Monthly returns are required if withholding tax exceeds 200 per month and are due on the fifteenth (15th) day of the next month. Quarterly returns are required of all other employers and are due on the last day of the month following the last day of each calendar quarter. PENALTIES AND INTEREST: Any late filings or unpaid taxes are subject to penalty and interest charges as follows: Late File Penalty 25 per month or fraction of a month with a maximum of 50. Late Payment Penalty Up to 50% of the total tax due Interest 6% per annum or 0.5% per month or fraction of a month (Interest is based on the Federal rate and may change annually) INSTRUCTIONS TO PREPARE FORM W1: Line 1 Total salaries, wages, commissions, bonuses and other compensation paid all taxable employees during period for which return is made. If no compensation is paid during the quarter mark none and return Form W1. Line 2 Enter tax withheld or required to be withheld during the period for which the return is made. Line 3 Adjust current payment of actual tax withheld for underpayment or overpayment in previous period. Attach explanation. Line 4 If payment/return is past due, enter up to 50% of the amount of Line 2 plus 25 per month or fraction of a month for a maximum up to 6 months (150) (Penalty) Line 5 If payment/return is past due, enter 0.5% of the amount of Line 2 for each month or fraction of month past due (Interest) Line 6 Enter total to be remitted Payments received after the due date or post-marked after the due date are subject to penalty and interest charges.

CITY OF ASHTABULA, OHIO EMPLOYER S RETURN OF TAX WITHHELD 1. Taxable Earnings paid all Employees subject to City of Ashtabula Income Tax Is this a courtesy withholding? YES 1. 2. Tax Withheld in month/quarter 1.8% 2. 3. Adjustment 3. 4. Penalty (See Instructions) 4. 5. Interest (See Instructions) 5. 6. Total 6. DOLLARS Notify Income Tax Department promptly of any change in ownership, or name and address shown below. FOR THE PERIOD ENDING JAN, FEB, MAR 2018 DUE ON OR BEFORE: APRIL 30, 2018 CENTS I hereby certify that the information and statements contained herein are true and correct. FORM W1 Signature Title Federal ID no. Phone no. ( ) Email address: THIS RETURN MUST BE FILED/PAID ON OR BEFORE THE DUE DATE TO AVOID PENALTY AND INTEREST MAKE CHECK OR MONEY ORDER PAYABLE TO: ASHTABULA TAX DEPARTMENT MAIL TO: CITY OF ASHTABULA (440) 992-7104

CITY OF ASHTABULA, OHIO EMPLOYER S RETURN OF TAX WITHHELD 1. Taxable Earnings paid all Employees subject to City of Ashtabula Income Tax Is this a courtesy withholding? YES 1. 2. Tax Withheld in month/quarter 1.8% 2. 3. Adjustment 3. 4. Penalty (See Instructions) 4. 5. Interest (See Instructions) 5. 6. Total 6. DOLLARS Notify Income Tax Department promptly of any change in ownership, or name and address shown below. FOR THE PERIOD ENDING APR, MAY, JUN 2018 DUE ON OR BEFORE: JULY 31, 2018 CENTS I hereby certify that the information and statements contained herein are true and correct. FORM W1 Signature Title Federal ID no. Phone no. ( ) Email address: THIS RETURN MUST BE FILED/PAID ON OR BEFORE THE DUE DATE TO AVOID PENALTY AND INTEREST MAKE CHECK OR MONEY ORDER PAYABLE TO: ASHTABULA TAX DEPARTMENT MAIL TO: CITY OF ASHTABULA (440) 992-7104

CITY OF ASHTABULA, OHIO EMPLOYER S RETURN OF TAX WITHHELD 1. Taxable Earnings paid all Employees subject to City of Ashtabula Income Tax Is this a courtesy withholding? YES 1. 2. Tax Withheld in month/quarter 1.8% 2. 3. Adjustment 3. 4. Penalty (See Instructions) 4. 5. Interest (See Instructions) 5. 6. Total 6. DOLLARS Notify Income Tax Department promptly of any change in ownership, or name and address shown below. FOR THE PERIOD ENDING JUL, AUG, SEP 2018 DUE ON OR BEFORE: OCTOBER 31, 2018 CENTS I hereby certify that the information and statements contained herein are true and correct. FORM W1 Signature Title Federal ID no. Phone no. ( ) Email address: THIS RETURN MUST BE FILED/PAID ON OR BEFORE THE DUE DATE TO AVOID PENALTY AND INTEREST MAKE CHECK OR MONEY ORDER PAYABLE TO: ASHTABULA TAX DEPARTMENT MAIL TO: CITY OF ASHTABULA (440) 992-7104

CITY OF ASHTABULA, OHIO EMPLOYER S RETURN OF TAX WITHHELD 1. Taxable Earnings paid all Employees subject to City of Ashtabula Income Tax Is this a courtesy withholding? YES 1. 2. Tax Withheld in month/quarter 1.8% 2. 3. Adjustment 3. 4. Penalty (See Instructions) 4. 5. Interest (See Instructions) 5. 6. Total 6. DOLLARS Notify Income Tax Department promptly of any change in ownership, or name and address shown below. FOR THE PERIOD ENDING OCT, NOV, DEC 2018 DUE ON OR BEFORE: JANUARY 31, 2019 CENTS I hereby certify that the information and statements contained herein are true and correct. FORM W1 Signature Title Federal ID no. Phone no. ( ) Email address: THIS RETURN MUST BE FILED/PAID ON OR BEFORE THE DUE DATE TO AVOID PENALTY AND INTEREST MAKE CHECK OR MONEY ORDER PAYABLE TO: ASHTABULA TAX DEPARTMENT MAIL TO: CITY OF ASHTABULA (440) 992-7104

GENERAL RECONCILIATION INFORMATION Form W3Q/M On or before the last day of February of each year, every employer must file a withholding reconciliation. copies of all W-2 forms or computer listing applicable to the reconciliation must be attached. All information must include the name, address, social security number, gross wages, city tax withheld, name of city for which tax was withheld (breakdown for multiple cities, if applicable) and any other compensation paid to the individual. Any individual(s) or business entity compensating individuals on a commission or contract labor basis must supply copies of the 1099 or appropriate earnings statement on or before the last day of February each year. All 1099 s or earnings statements shall include the same type of information as required of the W-2 forms as stated above. NEW REQUIREMENT: Employers having 50 or more employees are Strongly urged to submitted the W2 information on magnetic media. Such filing must be submitted in a designated format provided by the city. The employer W2 upload process utilizes the same file format as the Social Security Administration (EFW2, formerly MMREF), only with the additional local withholding information included. if you have any further questions please contact the Income Tax office. SPECIFIC FILING INFORMATION: Form W3/QM must show a breakdown of all withholding payments made either quarterly or monthly. Complete lines 1 through 6. The total tax paid should equal 1.8% of Line 1 unless the reduced courtesy withholding rate applies or is included in the total. A breakdown and/or explanation is required if applicable. The completed From W3Q/M and all attachments must be submitted to the City of Ashtabula Income Tax Department, 4717 MAIN AVE, STE. A, on or before February 28 of each year. Retain a copy for your records. Any questions regarding competition of these forms, contact the Income Tax Department at (440) 992-7104.

COPIES OF W-2 S OR COMPUTER LIST MUST ACCOMPANY THIS FORM CITY OF ASHTABULA, OHIO Form W3Q/M 1) NUMBER OF EMPLOYEES REPRESENTED BY W-2 STATEMENTS OR PAYROLL TABULATION (ATTACHED)... RECONCILIATION OF MONTHLY AND QUARTERLY RETURNS OF TAX WITHHELD FOR ASHTABULA WITH STATEMENTS OF WAGES SUBJECT TO TAX For CALENDAR YEAR TAX WITHHELD AND PAID FROM WAGES DURING YEAR REPORTED BY MONTHLY/QUARTERLY (W1) RETURNS OF TAX WITHHELD 2) TOTAL PAYROLL TAXABLE TO ASHTABULA... 3) TOTAL RATE OF 1.8%... JANUARY FEBRUARY APRIL MAY JULY AUGUST OCTOBER NOVEMBER MARCH JUNE SEPTEMBER DECEMBER 1 ST QUARTER 2 ND QUARTER 3 RD QUARTER 4 TH QUARTER Federal ID No. DUE ON OR BEFORE THE LAST DAY OF FEBRUARY Signature Title ( ) Phone No. Email Address 4) TOTAL PAID DURING YEAR IF LINE 5 IS NOT EQUAL TO LINE 3, ATTACH EXPLANATION OR REMIT AMOUNT DUE AND ENTER ON LINE 5. 5) ADJUSTMENT AMOUNT DUE WITH RECONCILIATION 6) TOTAL LIABILITY RETURN THIS COPY

QUARTERLY WITHHOLDING TAX WORKSHEET (Keep for your records Do not file) QUARTER ENDING DUE DATE CHECK # DATE AMOUNT PAID 3/31 4/30 6/30 7/31 9/30 10/31 12/31 1/31