City of Oakwood
Income Tax Department
30 Park Ave., Oakwood, OH 45419
(937) 298-0531 ~ Fax (937) 297-2940
www.oakwoodohio.gov
2016
ANNUAL RECONCILIATION OF OAKWOOD
INCOME TAX WITHHELD
DUE ON OR BEFORE FEBRUARY 28, 2017
Account Number
FEIN
Name
Address
City St Zip
I hereby certify that the information and statement contained herein are true and correct.
Signature
Date
Part B
LINE 1 Number of W-2’s:
LINE 2 Total Wages:
LINE 3 Tax Withheld (from W-2’s):
LINE 4 Tax Paid (from Part A):
LINE 5 Balance Due or (Overpayment), Line 3 less line 4:
Part A
OAKWOOD WITHHOLDING TAX REMITTED:
Jan
Feb
Mar
April
May
June
July
Aug
Sept
Oct
Nov
Dec
1st Qtr
2nd Qtr
3rd Qtr
4th Qtr
GENERAL:
On or before February 28th of each year, every employer must file an annual reconciliation of Oakwood income tax withheld. Copies of all W-2 forms applicable to the reconciliation must be attached and in alphabetical order. All W-2’s must contain the employee’s name, address, social security number, qualifying wage, Oakwood income tax withheld and the name and address of the employer.
RECONCILIATION INSTRUCTIONS:
Part A: Enter amount remitted to the City of Oakwood for each corresponding month or quarter.
Part B:
Line 1: Enter number of W-2’s attached. Remember to attach all W-2’s in alphabetical order.
Line 2: Enter qualifying wages subject to Oakwood income tax.
Line 3: Enter Oakwood tax withheld from forms W-2, box 19.
Line 4: Enter total tax remitted per Part A.
Line 5: Subtract Line 4 from Line 3. Any balance owed should accompany this reconciliation. If there is an overpayment, you must file an amended return for the corresponding period and attach an explanation. An overpayment of tax from an individual employee's wages will only be refunded directly to the employee.