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CITY OF LANCASTER                                    IMPORTANT TAX INFORMATION 
INCOME TAX-DEPARTMENT 
POST OFFICE BOX 128 
LANCASTER, OHIO 43130 

EMPLOYER MUNICIPAL WITHHOLDING  BOOKLET 

                    Lancaster City Tax rate is 2.3%  



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Electronic Filing Specifications



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                    MUNICIPAL QUALIFYING WAGES FOR WITHHOLDING 
                            Effective Date: January 1, 2018 - Ohio Revised Code Sec. 718.03 
Medicare Wages Nonqualified Deferred Compensation Plan - Income from
An  employer is required to withholding only on "qualifying wages,"   nonqualified plans is included in the definition of "qualifying
  _
which are wages as defined in Internal Revenue Code Section 
                                                                      wages" at the time the income is deferred and is subject to
3121 (a), generally the Medicare Wage Box of the Form W-2. 
                                                                      withholding requirements.
•  Medicare Exempt Employees - are subject to the                   • Stock Options - Income from the exercise of stock options
   requirements for "qualifying wages" in the Medicare Wage
                                                                      is included in the definition of "qualifying wages" and is
   Box of the Form W-2 even though that box will remain blank.
                                                                      subject to withholding requirements.
•  Cafeteria Plans- lRC Section 125 wages are not included in       • Disqualifying Disposition of an Incentive Stock Option    -
   the definition of Medicare wages and do not need to
                                                                      Employer is not required to withhold, but the income is
   deducted from the Medicare Wage Box.
                                                                      considered "qualifying wages" and the recipient is liable for
•  401 (k), 457 and Supplemental Unemployment                         the tax.
   Compensation Benefits - These items should all be
                                                                    Note: As an employer, if the Medicare Wage Box is not the largest 
   included in the Medicare Wage Box and are subject to
                                                                    wage figure on the W-2 form, a written explanation will be required. 
   withholding requirements.



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                              INSTRUCTIONS FOR PREPARING AND FILING FORM W1 
Who Must File: 
Any employer, agent of an employer, or other payer located or doing business in the            return form Q1.  A W1 fonn is required regardless of withholdings for that period. 
Municipality shall withhold from each employee an amount equal to the qualifying wages of      Use the first column under Lancaster Employees for wages actually earned in 
the employee earned by the employee in the Municipality multiplied by the applicable rate of   Lancaster and use the 2nd column Lancaster Residents (courtesy tax) for wages 
2.30%, except for qualifying wages for which withholding is not required under Section         earned by Lancaster residents and tax at the courtesy rate. 
183.052 of this Chapters ordinance effective January 1, 2018.  An employer, agent of an        Line 2 - Include only those wages included in Line 1 that are NOT subject to Lancaster tax. 
employer, or other payer shall deduct and withhold the tax from qualifying wages on the        Line 3 - Subtract Line 1 from 2 to obtain net qualifying wages subject to Lancaster tax. 
date that the employer, agent, or other payer directly, indirectly, or constructively pays the 
qualifying wages to, or credits the qualifying wages to the benefit of, the employee.  In      Line 4 - For the first column "Lancaster Employees", multiply wages from Line 3 by 
addition to withholding the amounts required, an employer, agent of an employer, or other      Lancaster tax rate.  For the second column, if applicable, multiply income from 
payer may also deduct and withhold, on the request of an employee, taxes for the municipal     Line 3 by courtesy rate (.013%).  This column is primarily used by employers 
corporation in which the employee is a resident.                                               located outside of Lancaster who withhold Lancaster tax as a courtesy to the 
Failure to File Return and Pay Tax:                                                            Lancaster resident. 
All taxes, including taxes withheld or required to be withheld from wages by an employer,      Line 5 - If your payment is not received by the required due date, you will be assessed 
and remaining unpaid after they become due shall bear interest on the amount of the unpaid     interest charges equal to the "Federal short-tenn rate plus 5%", rounded to the 
tax at the rate of the federal short-term rate, rounded to the nearest whole number percent,   nearest whole number percent, plus five percent. 
plus five percent.  The Taxpayers upon whom said taxes are imposed, and the employers          Line 6 - If your payment is not received by the required due date, you will be assessed 
required by the ordinance effective January 1, 2018 to deduct, withhold and pay taxes          penalty on unpaid withholding tax equal to fifty (50%) of the amount not timely paid. 
imposed by the Ordinance effective January 1, 2018, shall be liable in addition thereto, to a  Line 7 - Add Lines 4 through 6 and enter this amount here. 
penalty of fifty (50%) percent of the amount not timely paid.                                  Line B - Adjust current payment of actual tax withheld for under or over payment in 
How to Prepare This Wt  Form:                                                                  previous period. 
Line 1 -  Enter qualifying wages PAID to all employees during the period for which this        Line 9 - Enter total amount to be remitted. 
return is made.  If no compensation was paid during the period, so indicate and 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4. LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________      Fein:  
                                          _________________                                       FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  JANUARY 31, 202  4      CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  FEBRUARY 15, 2024               CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128        [TI 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606           1 
above. FORMW1 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________                                         FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  FEBRUARY 28, 2024       CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  MARCH 15, 202  4                CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  02
above. FORMW1 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________                                         FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  MARCH 31, 2024          CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  APRIL 15, 2024                  CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  03
above. FORMW1 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________                                         FOR THE PERIOD          MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  ENDING APRIL 30, 2024   CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  MAY15, 2024                     CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  04
above. FORMW1 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________                                         FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  MAY 31, 2024            CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  JUNE 17, 2024                   CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  05
above. FORMW1 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________
                                                                                                  FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  JUNE 30, 2024           CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  JULY 15, 2024                   CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                                  LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606   06
above. FORMW1 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________                                         FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  JULY 31, 2024           CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  AUGUST 15, 2024                 CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  07
above. FORMW1 



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CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________                                         FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  AUGUST 31, 2024         CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                     MAIL TO: 
                                                                                                  SEPTEMBER 16, 202 4             CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  08
above. FORMW1 



- 13 -
CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________ Fein:  _________________                                            FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  SEPTEMBER 30, 2024      CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  OCTOBER 15, 2024                CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128        [!] 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606           9 
above. FORMW1 



- 14 -
CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________    Fein:  _________________                                         FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  OCTOBER 31, 2024        CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  NOVEMBER 15, 202  4             CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  �10 
above. FORMW1 



- 15 -
CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________       Fein:  _________________                                      FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  NOVEMBER 30, 2024       CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  DECEMBER 16, 2024               CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606  �11 
above. FORMW1 



- 16 -
CITY OF LANCASTER - MONTHLY RETURN OF TAX WITHHELD                                                                      □ AMENDED RETURN WITH PAYMENT 

                                                                                        LANCASTER LANCASTER RESIDENTS     I hereby certify that the information and 
                                                                                        EMPLOYEES (COURTESY TAX)          statements contained herein and in any schedules 
1.  QUALIFYING WAGES ........................................................... $  ______ $  _____ _                     or exhibits attached are true and correct. 
2.  LESS NON-TAXABLE WAGES ............................................. $                        $  _____ _ 
3.  NET QUALIFYING WAGES ................................................... $                    $  _____ _              (Signed)  _____________ _ 
4.  LANCASTER TAX (2.30% OF LINE 3) 
(COURTESY RATE 1.3 OR OTHER %) ................................. $                                $  _____ _              (Print Name and Title)  _________ _ 
5.  INTEREST (.58% PER MONTH) ........................................... $                       $  _____ _ 
6.  PENALTY (50% OF LINE 4) .................................................. $                  $  _____ _ 
7.  BALANCE DUE ..................................................................... $           $  _____ _              Phone No. (  ___ _ 
8.  ADJUSTMENTS ........................................................................................ $  _____ _ 
9.  TOTAL DUE (LINES 7 PLUS OR MINUS LINE 8) ..................................... $  _____ _                                     THIS RETURN MUST BE FILED 
                                                                                                                          ON OR BEFORE THE DUE DATE SHOWN BELOW 
Account  o   N . ____________       Fein:  _________________
                                                                                                  FOR THE PERIOD ENDING   MAKE CHECK OR MONEY ORDER PAYABLE TO: 
NAME AND ADDRESS                                                                                  DECEMBER 31, 2024       CITY OF LANCASTER INCOME TAX 
                                                                                                  DUE ON OR BEFORE                MAIL TO: 
                                                                                                  JANUARY 15, 2025                CITY OF LANCASTER 
                                                                                                                                  INCOME TAX DEPARTMENT 
                                                                                                                                  POST OFFICE BOX 128 
                                                                                                                          LANCASTER, OHIO 43130-0128        @] 
Notify the Income Tax Department promptly of any change in ownership or name and address shown                                    Telephone (740) 687-6606           12 
above. FORMW1 



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              GENERAL INFORMATION                                           SPECIFIC FILING INFORMATION 

On or before February 28, each employer must file a withholding     The Form W3 provides boxes for showing actual withholding 
reconciliation on the City of Lancaster Form W3. Copies of all W-2  payments made during the year. Sections 1 through 7 must be 
forms applicable to the reconciliation must be attached. All W-2's  completed. The completed Form W3 and all attachments must 
must include the name, address, the entire social security          be submitted to the City of Lancaster-Income Tax Department, 
number, qualifying wages, city tax withheld, name of city for which P.O.  Box 128, Lancaster, OH 43130-0128 on or before February 
tax was withheld, and any other compensation provided to the        28. 
Individual. 
Any individual(s) or business entity compensating individuals on    Failure  to file  Form W3 with W-2's by February 28 will result in a 
a commission, rental or contract labor basis must provide           penalty of $25. Any questions should be referred to the Income 
copies of the 1099-N CE /1099-MISC or appropriate earning           Tax Department at (740) 687-6606. 
statement on or before February 28. All 1099's shall require the 
same information as required of the W-2 forms as stated above.      Special Notice-The City of Lancaster now accepts electronic 
Notification of 1099's issued can be found on form 1099-            filing of year-end W-2 and reconciliation information. Employer 
NEC/1099-MISC. If none, check the appropriate box and return        must use the SSA format that includes local tax information.
by February 28. If you are not the person responsible for issuing 
1099's, then please direct the forms to the appropriate person. 



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RECONCILIATION FORM FOR CITY OF LANCASTER           JANUARY        JULY      1.  NO .OF 
SUBMIT BY FEBRUARY 28. W-2'S MUST BE ATTACHED                                LANCASTER W-2'S ... 
                                                    FEBRUARY       AUGUST    2.  LANCASTER WAGES 
MAIL TO: DIVISION OF TAXATION Phone: (740) 687-6606                          SUBJECT TO 
         CITY OF LANCASTER                          MARCH          SEPTEMBER WITHHOLDING TAX ...  $  ___ _ 
         P.O. BOX128                                                         3.  AMOUNT OF 
         LANCASTER, OH 43130-0128                   APRIL          OCTOBER   LANCASTER 
                                                                             TAX WITHHELD  .........  $  ___ _ 
FOR TAX YEAR ENDING 2024                                                     4.  AMOUNT OF 
                                                            MAY    NOVEMBER  COURTESY TAX 
         PAYMENT ENCLOSED     □                                              WITHHELD .................  $  ___ _ 
                                                    JUNE           DECEMBER  5.  TOTAL LANCASTER 
         REFUND REQUESTED     □                                              TAX PAID 
                SEE INSTRUCTIONS                                             6.  LATE FEE,  PENALTY 
                                                                             INTEREST  ..................  $  ___ _ 
NAME & ADDRESS:               FEIN:                                          7.  AMOUNT  DUE  ...........  $  ___ _ 
                              Acct 
                              No:                   I hereby certify that the infonnation and statements contained herein are true and correct. 
                                                    Signed  _______________  Title  ______ _ 
                                                    Federal ID no.                      Acct No.  ____ _ 
                                                    Phone no.  ______________    Date   ______ 
FORMW3 



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CITY OF LANCASTER, OHIO - 1099-MISC NOTIFICATION                                                                                     FORM 1099-MISC 
MAIL TO: DIVISION OF TAXATION                                            FILING INSTRUCTIONS 
         CITY OF LANCASTER                         On or before the last day of February file form 1099-MISC for each person 
         P.O. BOX 128                              whom you have paid durin gthe year:
         LANCASTER, OH 43130-0128                  • At least $600 in:
                                                   • Rents.
Phone:   (740) 687-6606                            • Prizes and awards.
                                                   • Other income payments.
FOR TAX YEAR 2024       DUE BY:  Februar y28, 2025 • Generally, the cash paid from a notional principal contract to an
                                                     individual, partnership, or estate.
INDICATE BOX THAT APPLIES                          • Payments to an attorney.
1099-MISC ISSUED & ATTACHED      □                 • In addition, use Form 1099-MISC to report that you made direct sales
1099-MISC WERE NOT ISSUED        □                   of at least $5,000 of consumer products to a buyer for resale
                                                     anywhere other than a permanent retail establishment.
NAME & ADDRESS     Account No:
                                                   Please direct this form to the person responsible for issuing 
                                                   1099-MISC forms. 
                                                   Signed--------------  Title  ______  
                                                   Federal ID no.                                                               Acct No._____
                                                   Phone no.  _____________     Date  ______
1099-MISC MUST BE ATTACHED 



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CITY OF LANCASTER, OHIO - 1099-NEC                                                                                                   FORM 1099-NEC 

MAIL TO: DIVISION OF TAXATION                                          FILING INSTRUCTIONS 
         CITY OF LANCASTER                         On or before the last day of February, any individual or business entity 
         P.O. BOX 128                              that compensates (on a commission, rental or contract basis) any individual 
         LANCASTER, OH 43130-0128                  who is either: 
Phone:   (740) 687-6606                            (1) a Lancaster resident, or
                                                   (2) a non-Lancaster resident who did work in Lancaster, or
FOR TAX YEAR 2024       DUE BY:  Februar y28, 2025 (3) a non-Lancaster resident, who received rental income for property
                                                       located in Lancaster must furnish copies of federal form 1099-MISC or
INDICATE BOX THAT APPLIES                              an equivalent to the City of Lancaster.  If the above mentioned applies,
1099-NEC ISSUED & ATTACHED       □                     mark the box "1099-NEC issued & attached".  However, if the above
1099-NEC WERE NOT ISSUED         □                     does not apply, mark the box "1099-NEC were not issued" and return
                                                       by February 28.  Failure to file Form 1099-NEC by February 28 will
NAME & ADDRESS    Account No:                          result in a penalty of $25..
                                                   Please direct this form to the person responsible for issuing 
                                                   1099-MISC forms. 
                                                   Signed--------------  Title  ______  
                                                   Federal ID no.                                                               Acct No._____
                                                   Phone no.  _____________     Date  ______
1099-NEC MUST BE ATTACHED 



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