FORM                                                         JW-3                                              RECONCILIATION
  TAX YR                                                                                                      OF  JEDD  INCOME  TAX  WITHHELD                       1. Total payroll for Year............................................. $
               ACCOUNT  NUMBER                                                                    DUE  ON  OR  BEFORE                         FED  ID #             2. Payroll not subject to JEDD TAX (Explain) ........... $
                                                                                                                                                                    3. Payroll subject to JEDD TAX ................................ $
I declare that this return has been examined by me, and to the best of my knowledge and                                                                             4. TOTAL  TAX  DUE (2.5 % of Line 3)................... $0
belief,             is correct and complete. 
                                                                                                                                                                    5. Total tax withheld per W-2’s  (Attach Tape) .......... $
               Signature   and  Title                                                                                                                         Date 
                                                                                                                                                                    TOTAL   JEDD  INCOME   TAX   DEPOSITS 
         □                       BATH – AKRON – FAIRLAWN                                                                 □ COVENTRY – AKRON
         □                       COPLEY – AKRON                                                                          □SPRINGFIELD – AKRON                                 Quarter  Ended  MAR 31 .....................st $  
  ENTER  NAME  AND  ADDRESS  IN  THE  SPACE   BELOW  OR  MAKE  NEEDED  CORRECTIONS.                                                                                           Quarter  Ended  JUN 30 ......................th$ 
                                                                                                                                                                              Quarter  Ended  SEP 30 .....................th $  
                                                                                                                                                                              Quarter  Ended  DEC 31 .....................st $  

                                                                                                                                                                    6. Total Deposits for Year  ........................................ $
                                                                                                                                                                    7. TOTAL JEDD INCOME TAX                                    (Higher of Line 4 or 5) ... $
                                                                                                                                                                    8. BALANCE  DUE  (Credit applied to next year) ..... $
  ENTER  NUMBER  OF  EMPLOYEES  REPORTED  WITH  THIS  FILING  ……                                                                                                    EMPLOYEE  W-2  RECORDS MUST  BE  RETURNED  WITH  THIS  FORM 

………………………………………………………………………………………………………………………………………………………………………………………………. DETACH  HERE  …………………………………………………….……………………………………………………………………………………………………………………………………….. 

                                 NOTE: Get an extension to file Form AW-3 when you properly file your W-2 information on CD. The CD must 
                                 have your W-2 information in an Excel type spreadsheet format or delimited text file (with file layout). All required fields 
                                 must be included (employee last name, first name, Social Security #, address, city, state, zip, Medicare wage, JEDD 
                                 wage and JEDD tax withheld) to get the extension until March 31  for your JW-3 andstW-2s.  Note: We also accept the 
                                 W-2 data according to the specifications on our website at www.akronohio.gov/1040. 
                                                                                    VERY  IMPORTANT  -   WE  DO  NOT  ACCEPT   PDF  OR   IMAGED  COPIES (eg. BMP, JPEG) OF   W-2s. 

                                                                                                                         Reconciliation of JEDD Income Tax Withheld 

                                                                                                  JW-3  WORKSHEET - KEEP FOR YOUR RECORDS 
                                                                                                                      The Due Date for filing your JW-3 & W-2s is February 28th

                                                               Form JW - 3 is the year end reconciliation for employee withholding.  This form should be filed with copies of 
                                                               employee W-2's, diskette, CD, magnetic tape or approved listing. 
                                                               LINE 1. Enter your total payroll for the year. 
                                                               LINE 2. Enter wages which are NOT subject to the JEDD tax .  Write a brief explanation on the back of the 
                                                               form. 
                                                               LINE 3. Subtract LINE 2 from LINE 1 and enter the result. 
                                                               LINE 4. Multiply Line 3 by 2.5 % and enter the0result. 
                                                               LINE 5. Run a calculator tape of the JEDD tax withheld, using the employee W-2's.  Attach this tape and 
                                                               enter the result here. 
                                                               Next, enter the number of employee W-2's on the line under the name & address area. 

                                                               TOTAL  JEDD  INCOME  TAX  DEPOSITS 
                                                               Add the withholding payments you made to the JEDD for each quarter and enter the results on the lines 
                                                               provided. 
                                                               LINE 6. Enter the total of your quarterly deposits here. 
                                                               LINE 7. Enter the highest figure of LINES 4 or 5. 
                                                               LINE 8. Subtract LINE 6 from LINE 7 and enter any BALANCE DUE or CREDIT to be applied to next year 
                                                               here. 
                                                                                                                                              (Place parentheses around CREDITS.) 

                                                                                    1. Total payroll for Year  ............................................................ $
                                                                                    2. Payroll not subject to JEDD TAX  (Explain)........................... $
                                                                                    3. Payroll subject to JEDD  ........................................................ $
                                                                                    4. TOTAL TAX  DUE  (2.5 % of LINE 3) ..................................0 $
                                                                                    5. Total tax withheld per W-2's  (Attach Tape)........................... $
                                                                                    TOTAL   JEDD   INCOME    TAX    DEPOSITS 
                                                                                             Quarter  Ended  Mar  31st  .......................................... $  
                                                                                       Quarter  Ended  Jun  30th  .......................................... $  
                                                                                       Quarter  Ended  Sep 30th  .......................................... $  
                                                                                       Quarter  Ended  Dec 31th  .......................................... $  
                                                                                    6. Total  Deposits  for  Year ....................................................... $
                                                                                    7. Total  JEDD  INCOME  TAX  (Higher of LINES 4 or 5) ......... $
                                                                                    8. BALANCE  DUE  (Subtract LINE 6 from LINE 7)  ................. $
                                                                                                                         (Credits  are  applied  to  the  following  year) 

                                                                                    NUMBER  OF EMPLOYEES  REPORTED  WITH  THIS  FILING ................ 
                                                                                                                         JEDDs  -             1 Cascade Plaza - Suite 100 - Akron, Ohio 44308 
                                                                                                                                                                    (330) 375 - 2497