INSTRUCTIONS FOR REMITTING                        2023WITHHOLDING TAX

GENERAL INFORMATION FOR EMPLOYERS
Every employer located within or   doing business     within the     City  of   Fairfield who employs    one   or more    persons   is required   to       
withhold the City   of Fairfield municipal tax at   the rate    of   1.50 %   from wages  subject   to   withholding. Quarterly     withholding    is    
due on the  last day  ofthe month following the end   of quarter. Your payment            must be   postmarked on or   before the due         date to   be 
considered on time and   to prevent a late  penalty   described herein     ,  there  is  no  grace  period     . Electronic filing  through       the   
Ohio Business Gateway (OBG)   is another way        to   remit your  withholding.    The   date used  for   determining    timeliness    of the      
electronic filing will be the date submitted.    Information    and  instructions   on  how to   register and  remit  payments      through the        
OBG may be found   at business.ohio.gov. Eligibility for        Monthly    or   Quarterly withholding    is   based on the following     "Look          
Back" provisions. If your   business   remitted more  than      $2399 in   the previous year or more     than $200    any month     in the          
previous quarter, you will  be  required to   remit monthly.    If your   business  remitted less than $2399     in the    previous year or less 
than $200 any month on the previous quarter, you would remit quarterly.

PENALTY AND INTEREST RATES
Late withholding payments are penalized at the        rate of   50% of   the amount    not timely   filed. This is a     penalty prescribed by the          
ORC Chapter 718. Specific language          may be found at   http://codes.ohio.gov/orc/718.27. Interest        is calculated    using   the Federal        
Short Term Rate (rounded   to the nearest   percent)  +   5%. Late   return    filings, including   reconciliations,  will be penalized $25 per 
month     or a fraction thereof up to     a maximum of   $150. Reconciliations     are due the last day  of   February each  year   with     no grace       
period.

FORM INSTRUCTIONS
Be sure that the account number, federal identification number, business            name, and   address     appear on the  form     in   the appropriate    
designated place. Enter the gross    compensation     subject   to   withholding for the  filing period.   If   there are no qualifying  wages     for      
this period, enter zero. Enter the total    City of   Fairfield tax withheld.  Enter adjustments    (full   written explanation     of adjustments          
must accompany this form). The total        due must  be paid with the    timely   filing of   this return. Be sure   to indicate   the number    of       
employees subject to city of tax during the period. Sign and date where indicated.

RECONCILIATION OF RETURNS
All reconciliation   of returns plus employee W-2's      must   be  mailed to: City of Fairfield    Income   Tax Division,701       Wessel     Dr.,         
Fairfield, OH 45014. Reconciliation of Returns and Employee W-2's  are due the last day of February each year.

WHERE TO MAIL PAYMENTS
Payments must be mailed to:

       City of Fairfield 
       P.   O. Box 181543 
       Fairfield, OH 4501   8

                                                                                                   Account #: ___________
City of Fairfield RETURN OF INCOME TAX WITHHELD                      Tax Rate: 1.50%
                                                                                                   FEIN:  ________________
Business Name ___________________________                            Withholding Period                   Due Date
                                                                     JAN-MAR                              04/30/2023
Mailing Address___________________________     COURTESY WITHHOLDING  1. Gross Compensation
                                               ONLY INDICATE QUARTER                               $
                                               REPORTED:             Subject to Withholding
Printed Name of Responsible Party                                    2. Tax Withheld during Period $

Signature of Responsible Party            Date                       3. Adjustment to Prior Period $
Phone:                            E-Mail:                            4. Penalty                    $
       Remit form and payment to:                                    5. Interest                   $
           City of Fairfield 
       P.  O.  Box  181543                                           6. TOTAL DUE                  $
       Fairfield, OH 45018
                                                         Number of employees during period                    FORM TW-1

                                                                                                   Account #:
City of Fairfield RETURN OF INCOME TAX WITHHELD                      Tax Rate: 1.50%                         ___________
                                                                                                    FEIN: ______________
Business Name ___________________________                            Withholding Period                   Due Date
                                                                     APR-JUN                              07/31/2023
Mailing Address___________________________     COURTESY WITHHOLDING  1. Gross Compensation
                                               ONLY INDICATE QUARTER                               $
                                               REPORTED:             Subject to Withholding
Printed Name of Responsible Party                                    2. Tax Withheld during Period $

Signature of Responsible Party            Date                       3. Adjustment to Prior Period $
Phone:                            E-Mail:                            4. Penalty                    $
       Remit form and payment to:                                    5. Interest                   $
       City of Fairfield 
       P.  O.  Box  181543                                           6. TOTAL DUE                  $
       Fairfield, OH 45018                               Number of employees during period                    FORM TW-1

                                                                                                   Account #: ___________
City of Fairfield RETURN OF INCOME TAX WITHHELD                      Tax Rate: 1.50%
                                                                                                   FEIN: ______________
Business Name ___________________________                            Withholding Period                   Due Date
                                                                     JUL-SEPT                             10/31/2023
Mailing Address___________________________     COURTESY WITHHOLDING  1. Gross Compensation
                                               ONLY INDICATE QUARTER                               $
                                               REPORTED:             Subject to Withholding
Printed Name of Responsible Party                                    2. Tax Withheld during Period $

Signature of Responsible Party            Date                       3. Adjustment to Prior Period $
Phone:                            E-Mail:                            4. Penalty                    $
       Remit form and payment to:                                    5. Interest                   $
         City of Fairfield 
       P.  O.  Box  181543                                           6. TOTAL DUE                  $
       Fairfield, OH 45018                               Number of employees during period                    FORM TW-1

                                                                                                   Account #: ___________
City of Fairfield RETURN OF INCOME TAX WITHHELD                      Tax Rate: 1.50%                      ______________
                                                                                                   FEIN: 
Business Name ___________________________                            Withholding Period                   Due Date
                                                                     OCT-DEC                              01/31/2024
Mailing Address___________________________     COURTESY WITHHOLDING  1. Gross Compensation
                                               ONLY INDICATE QUARTER                               $
                                               REPORTED:             Subject to Withholding
Printed Name of Responsible Party                                    2. Tax Withheld during Period $

Signature of Responsible Party            Date                       3. Adjustment to Prior Period $
Phone:                            E-Mail:                            4. Penalty                    $
       Remit form and payment to:                                    5. Interest                   $
          City of Fairfield 
       P.  O.  Box  181543                                           6. TOTAL DUE                  $
       Fairfield, OH 45018                               Number of employees during period                    FORM TW-1