2021 employer quarterly returns with reconciliation for 2020 pdf tax department forms f815fbba034042bfbd8c28bc19775d24 f64f5de9c414c8eab2dc1eac12e46a2955cdbdf898b23ab6c085e2a12ed802df 240×300 _hc3buyjkpdmg thumb jpg 12 21 10 44 40 1000 01 00 pdf application form w 3 city of wilmington ohio withholding tax reconciliation for 2020 submit by february 28 2021 phone 937 382 1880 fax 3550 email citytax wilmingtonoh org mail to income bureau p o box 786 oh 45177 1 total number taxable employees _____________ 2 s attached courtesy yes or no payroll the year ______________________________ less not subject must explain payments 4 quarter jan feb mar _________________ 5 liability at line apr may jun 6 withheld from wages 7 refund __________________ carryover july aug sep taxes credits than 10 00 shall be collected refunded fed id account oct nov dec ___________________ instructions if item below indicates overpayments and is desired attach explanation request this additional due indicated payment when filling ordinance requires annual preparation report all employers subjects reports completed mailed on before other information required submitted with name address each employee completely only in part during gross earnings such amount those desiring commercially reproduced copies federal forms electronic reproduction bearing either card listing do so please employer quarterly return our check made payable sum ___________ 69 n south street representing months listed ____________ april 30 january march signed _______________________________ official title i hearby certify that statements contained are true correct 31 june october august september 2022 november december page_text extracted_title num_pages analyze pdf_pages pdf_2text timings