FORM N5-202  3                                                                   EMPLOYER’S WITHHOLDING RETURNS 
NORWOOD RECONCILIATION OF TAX WITHHELD FOR                   202 3
   NORWOOD TAX OFFICE                                        5. WITHHOLDING  TAX  LIABILITY  OF  2%  OF  LINE 4......... 
   4645 MONTGOMERY ROAD                                      6. TOTAL INCOME TAX WITHHELD FROM WAGES AND PAID TO
                                                                  CITY OF NORWOOD DURING 2023
   NORWOOD, OH 45212                                              QUARTER ENDING MARCH 31                    $........ 
   PHONE 513 458- 4590                                            QUARTER ENDING JUNE 30                      $........ 
1. TOTAL NUMBER OF TAXABLE EMPLOYEES...                           QUARTER ENDING SEPTEMBER 30                $....... 
2. TOTAL PAYROLL FOR THE YEAR. ......................   $         QUARTER ENDING DECEMBER 31                  $......... 
3. LESS PAYROLL NOT SUBJECT TO TAX ............  $
4. PAYROLL SUBJECT TO TAX ................................  $
                                                                  TOTAL FOR YEAR                             $....... 
ACCOUNT NO: 
                                                             7. OVERPAYMENT         $.........OR         TAX  DUE $....... 
                                                                  (SUBTRACT TOTAL OF LINE 6 FROM LINE 5) 
                                                                                    THIS FORM MUST BE FILED ON OR BEFORE 
                                                                                    FEBRUARY 28, 202 4ATTACH COPIES OF 
                                                                                    W-2 FORMS AND INCLUDE 1099 MISC 
                                                                                                 FORMS 

                                                                  TAX[USEOFFICEONLY                                        ] 

           DO NOT SEND THE RECONCILIATION TO: NORWOOD P.O. BOX 640332 
           THIS LOCK BOX IS ONLY FOR QUARTERLY OR MONTHLY PAYMENTS 

                         REMIT THIS RECONCILIATION FORM & W-2 FORMS TO: 

                                                             NORWOOD TAX OFFICE 
                                                             4645 MONTGOMERY ROAD 
                                                             NORWOOD, OH 45212 

                                                             RECONCILIATION INSTRUCTIONS 

   Original of this reconciliation form must be filed with the Tax Commissioner of Norwood, OH on or before 
   February 28, 202 4  together with copies of W-2 Forms or a list of employees withheld from as requested 
   under line No. 7. List must include employee's name, address, Social Security Number, taxable earnings, 
   and amount of Norwood earnings tax withheld. Make a copy of this form for your records. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O Box 640332                                                  COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            JANUARY 202 4
                                                                DUE ON OR BEFORE:             FEBRUARY 15, 202 4
                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            FEBRUARY  202 4
                                                                DUE ON OR BEFORE:             MARCH 15, 202 4

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            MARCH 202 4
                                                                DUE ON OR BEFORE:             APRIL 15, 202 4

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            APRIL 202 4
                                                                DUE ON OR BEFORE:             MAY 15, 202 4
                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            MAY 202 4
                                                                DUE ON OR BEFORE:             JUNE 15, 202 4

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            JUNE 202 4
                                                                DUE ON OR BEFORE:             JULY 15, 202 4

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            JULY 202 4
                                                                DUE ON OR BEFORE:             AUGUST 15, 202 4
                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            AUGUST 202 4
                                                                DUE ON OR BEFORE:             SEPTEMBER 15, 202 4

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            SEPTEMBER 202 4
                                                                DUE ON OR BEFORE:             OCTOBER 15, 202 4

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            OCTOBER 202 4
                                                                DUE ON OR BEFORE:             NOVEMBER 15, 202 4
                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            NOVEMBER 202 4
                                                                DUE ON OR BEFORE:             DECEMBER 15, 202 4

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT. 

EMPLOYER’S MONTHLY  RETURN OF TAX WITHHELD 

  CITY OF NORWOOD                       MAKE CHECK PAYABLE TO:  NUMBER OF TAXABLE EMPLOYEES →                     DOLLARS                            CENTS 
  EARNINGS TAX DEPT.                                            2. TOTAL SALARIES, WAGES, COMMISSIONS, AND OTHER
  P.O. Box 640332                                                 COMPENSATION PAID ALL EMPLOYEES (*) ⎯⎯→ 
  CINCINNATI, OH 45264-0332                                     3. LESS: NON-TAXABLE ITEMS (COMPENSATION PAID NON-
                                           MAILING LABELS       RESIDENTS FOR SERVICES OUTSIDE NORWOOD) → 
                                           PROVIDED 
  PHONE 513-458-4590                       MAKE COPIES FOR      4. TAXABLE EARNINGS (ITEM 2 MINUS ITEM 3) ⎯→
  FAX 513-458-4581                         YOUR RECORDS 
                                                                5. ACTUAL TAX WITHHELD AT 2.0%⎯⎯⎯⎯⎯→
  ACCOUNT NO:                                                   (*) IF NO WAGES PAID THIS QUARTER MARK “NONE” AND RETURN THIS FORM WITH  EXPLANATION 
                   NOTIFY INCOME TAX DEPARTMENT PROMPTLY OF ANY 
                   CHANGES IN OWNERSHIP OR NAME AND ADDRESS     FOR THE MONTHS OF:            DECEMBER 202 4
                                                                DUE ON OR BEFORE:             JANUARY 15, 202 5

                                                                (SIGNED) 
                                                                PRINTED 
                                                                ( NAME ) 
                                                                         I HEREBY CERTIFY THAT THE INFORMATION AND 
                                                                         STATEMENTS CONTAINED ARE TRUE AND CORRECT.