Collector of Revenue, City of St. Louis
20                                                                                                            W-3
             EARNINGS TAX WITHHOLDING RECONCILIATION

                    ALL W-2 INFORMATION MUST BE ATTACHED TO THIS FORM
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                     g2..................................... $ 

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                    g2 ...................................................... $ 

                    RECONCILIATION DUE NO LATER THAN JANUARY 31, 202g1

        INSTRUCTIONS FOR PREPARING AND FILING THE EARNINGS TAX WITHHOLDING RECONCILIATION
               g13g                                                                                  gg2

(1)
             g2
(2)

(3)                                                                                                      2 22g

                                   Please mail all returns to:
                                   GREGORY F.X. DALY 
                     COLLECTOR OF REVENUE 
                     1200 MARKET STREET, ROOM 410 
                                   ST. LOUIS, MO 63103
Form W-3
(Rev. 10/22) Website — www.stlouiscollector.com  •  Phone (314) 622-4805  •  Fax (314) 622-4847