PDF document
- 1 -
KS-1338_Layout 1  12/12/13  1:41 PM  Page 1
KS-1338_Layout 1  12/12/13  1:41 PM  Page 1
KS-1338_Layout 1  12/12/13  1:41 PM  Page 1KS-1338_Layout 1  12/12/13  1:41 PM  Page 1KS-1338_Layout 1  12/12/13  1:41 PM  Page 1
KS-1338_Layout 1  12/12/13  1:41 PM  Page 1KS-1338_Layout 1  12/12/13  1:41 PM  Page 1
KS-1338_Layout 1  12/12/13  1:41 PM  Page 1KS-1338_Layout 1  12/12/13  1:41 PM  Page 1KS-1338_Layout 1  12/12/13  1:41 PM  Page 1

  ANNUAL PAYROLL RECONCILIATION
 ANNUAL PAYROLL RECONCILIATION
City of Canton, Income Tax DepartmentCity of Canton, Income Tax DepartmentANNUAL PAYROLL RECONCILIATIONANNUAL PAYROLL RECONCILIATIONANNUAL PAYROLL RECONCILIATIONKIM R. PEREZKIM R. PEREZ
KS-1338_LayoutP.O.CityP.O.CityANNUALANNUALofofBOXBOXCanton,Canton,1 9940 9940 12/12/13 IncomeIncomeTaxTax4244241:41DepartmentDepartmentMARKETMARKETPM PAYROLLPAYROLLPageN.,N.,1CANTON,CANTON,OHIOOHIO44711 44711 PHONEPHONERECONCILIATIONRECONCILIATION(330)(330)430-7900430-7900                                                                                                                                                                          TREASURER,TREASURER,CITYCITYKIM R. PEREZKIM R. PEREZOFOFCANTONCANTON
P.O.P.O.cantonincometax.comCity ofBOXBOXCanton,9940 9940 IncomeTax424424DepartmentMARKETMARKET N.,N., CANTON,CANTON, OHIOOHIO 44711 44711  PHONEPHONE (330)(330) 430-7900430-7900                                                                                                                                                                                                                                                                         TREASURER,TREASURER, CITYCITYHOURS:KIM R. PEREZOFOF8:00CANTONCANTON- 4:00
cantonincometax.comcantonincometax.comP.O.CityANNUALANNUALofBOXCanton,9940 IncomeTax424DepartmentMARKETPAYROLLPAYROLLN., CANTON, OHIO 44711  PHONERECONCILIATIONRECONCILIATION(330) 430-7900                                                                                                                                                                                                                                                                   TREASURER,MondayCITYHOURS:HOURS:KIM R. PEREZthrough8:008:00OF CANTON--Friday4:004:00
P.O.cantonincometax.comP.O.BOXBOX9940 9940 424424 MARKETMARKETN.,N.,CANTON,CANTON,OHIOOHIO44711 44711 PHONEPHONE(330)(330)430-7900430-7900                                                                                                                                                                                                                                                                                                                 TREASURER,MondayMondayMondayMondayCITYHOURS:throughthroughthroughthrough8:00OF CANTON-FridayFridayFridayFriday4:00
cantonincometax.comP.O.City ofBOXCanton,9940 IncomeTax424DepartmentMARKET N., CANTON, OHIO 44711  PHONE (330) 430-7900                                                                                                                                                                                                                                                                                                                                         TREASURER, CITYHOURS:KIM R. PEREZOF8:00CANTON- 4:00
CityCityP.O.ANNUALofofBOXCanton,Canton,9940 IncomeIncomeTaxTax424DepartmentDepartmentMARKETPAYROLLN., CANTON, OHIO 44711  PHONERECONCILIATION(330) 430-7900                                                                                                                                                                                                                                                                                                    TREASURER,TREASURER,MondayMondayCITYCITYKIM R. PEREZKIM R. PEREZthroughthroughOFOF CANTONCANTONFridayFriday
CityP.O.cantonincometax.comcantonincometax.comcantonincometax.comofBOXCanton,9940 IncomeTax424DepartmentMARKET N., CANTON, OHIO 44711  PHONE (330) 430-7900                                                                                                                                                                                                                                                                                                    TREASURER, CITYHOURS:HOURS:HOURS:KIM R. PEREZOF8:008:008:00CANTON--- 4:004:004:00
cantonincometax.comcantonincometax.com                                                                                                                                                                                                                                                                                                                                                          2023                                                                                  MondayHOURS:HOURS:through8:008:00--Friday4:004:00
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Monday through FridayMonday through Friday
                                                                                                                                                                                                                                                                                                                                                                                           EMPLOYER I.D. NO.EMPLOYER I.D. NO.
  ANNUAL PAYROLL RECONCILIATIONEMPLOYER I.D. NO.
City of Canton, Income Tax Department                                                                                                                                                                                                                                                                                                                                                     ACCOUNT NUMBEREMPLOYER I.D. NO.EMPLOYER I.D. NO.EMPLOYER I.D. NO.                               KIM R. PEREZ
                                                                                                                                                                                                                                                                                                                                                                                           OTHER EIN USEDEMPLOYER I.D. NO.
P.O. BOX 9940  •  424 MARKET N., CANTON, OHIO 44711  •   PHONE (330) 430-7900                                                                                                                                                                                                                                                                                                                   OTHER EIN USEDEMPLOYER I.D. NO.                                      TREASURER, CITY OF CANTON
cantonincometax.com                                                                                                                                                                                                                                                                                                                                                                             OTHEROTHEREMPLOYEREMPLOYEREINEIN USEDUSEDI.D.I.D.NO.NO.                                   HOURS: 8:00 - 4:00
                                                                                                                                                                                                                                                                                                                                                                                                OTHER EIN USED
                                                                                                                                                                                                                                                                                                                                                                                                EMPLOYEROTHER EINTaxUSEDI.D.Athority:NO.                                              Monday through Friday
                                                                                                                                                                                                                                                                                                                                                                                                OTHER EIN USED
                                                                                                                                                                                                                          All W-2’s, or a computer printout or magneticOTHER EINmediaUSED
                                                                                                                                                                                                                          All W-2’s, or a computer printout or magneticOTHER EINmediaUSEDCity of Canton                                                                                                                                                                               JEDD District TWR/SS
                                                                                                                                                                                                                          AllcontainingW-2’s,W-2or adatacomputerMUST BEprintoutENCLOSED.or magnetic media 
                                                                                                                                                                                                                          AllAllcontainingW-2’s,W-2’s,W-2oror aadatacomputercomputerMUSTprintoutprintoutBE ENCLOSED.oror magneticmagneticOTHER EINmediamediaUSEDJEDD District SM                                                                                                      JEDD District FP
                                                                                                                                                                                                                          AllAllcontainingcontainingW-2’s,W-2’s,W-2W-2oror aadatadatacomputercomputerMUSTMUST BEBEprintoutprintoutENCLOSED.ENCLOSED.oror magneticmagnetic mediamedia 
                                                                                                                                                                                                                                                                containing W-2 data MUST BE ENCLOSED.
 PART 1 - ACCOUNT INFORMATIONAllAllAllcontainingcontainingW-2’s,W-2’s,W-2’s,W-2W-2orororaaadatadatacomputercomputercomputerMUSTMUSTprintoutBEBEprintoutprintoutENCLOSED.diaENCLOSED.diaororormagneticmagneticmagneticEMPLOYERmememediaI.D.JEDDNO.District CD                                                                                                                                                                                                                          JEDD District TSG
 PART 1 - ACCOUNT INFORMATIONcontaining W-2 data MUST BE ENCLOSED.
 PART 1 - ACCOUNT INFORMATIONcontaining W-2 data MUST BE ENCLOSED.JEDD District TGAB                                                                                                                                                                                                                                                                                                                                                                                                  JEDD Faircrest
TYPE OF ACCOUNT:PART 1 - ACCOUNT INFORMATIONPART 1 - ACCOUNT INFORMATIONcontaining W-2 data MUST BE ENCLOSED.OTHER EIN USED
TYPE OF ACCOUNT:PART 1 - ACCOUNT INFORMATIONPART 1 - ACCOUNT INFORMATION
TYPE OF ACCOUNT:                                                                                                                                                                                                                                                                                                                                                                          Contact Person
TYPE OF ACCOUNT:TYPE OF ACCOUNT:TYPE OF ACCOUNT:TYPE OF ACCOUNT:PART 1 - ACCOUNT INFORMATIONPART 1 - ACCOUNT INFORMATIONPART 1 - ACCOUNT INFORMATIONResident Employer Withholding Canton Tax Only
                   Resident Employer Withholding Canton Tax Only                                                                                                                                                                                                                                                                                                                          Contact Person
                                                                                                                                                                                                                                                                                                                                                                                          Contact Person
                   Resident Employer Withholding Canton Tax Only                                                                                                                                                                                                                                                                                                                          Contact PersonContact Person
TYPE OFNon-ResidentResidentResidentACCOUNT:EmployerEmployerEmployerWithholdingWithholdingDoing BusinessCantonCantonAllinW-2’s,TaxTaxCantonOnlyOnlyor a computer printout orPhonemagneticNo.                                                                                                                                                                                                                                            media 
TYPE OF ACCOUNT:Non-Resident Employer Doing Business in Canton                                                                                                                                                                                                                                                                                                                            Phone No.Contact Person
                                                                                                                                                                                                                                                                                                                                                                                          Contact Person
                         ResidentResident EmployerEmployer WithholdingWithholding CantonCanton TaxTax OnlynOnly
TYPE OFEmployerResidentNon-ResidentEmployerNon-ResidentResidentNon-ResidentACCOUNT:Employer(EitherEmployer(EitherEmployerEmployerEmployerResidentResidentWithholdingWithholdingDoingDoingDoingororBusinessBusinessBusinessNon-Resident)Non-Resident)CantonCantoncontaininginininTaxTaxCantoCantonCantonW-2OnlygOnlydoingdoingdata MUST BE ENCLOSED.FaxPhoneFaxPhonePhonePhoneNo.No.No.No.No.No.
                   Non-Resident Employer Doing Business in Canton                                                                                                                                                                                                                                                                                                                         Contact PersonContact Person
                BusinessNon-Residentin CantonEmployerand otherDoingOhioBusinessCities/JEDDS/Townshipsin Canton
                   BusinessEmployerEmployerin(Either(EitherCanton andResidentResidentotherororOhioNon-Resident)Non-Resident)Cities/JEDDS/Townshipsdoingdoin                                                                                                                                                                                                                               FaxFaxContactPhoneNo.No.No.Person
                   Courtesy Withholding AccountBusiness in Canton and other Ohio Cities/JEDDS/Townships
 PARTResidentBusinessNon-ResidentBusinessEmployerEmployerNon-Resident1 -ininEmployerACCOUNT(Either(EitherCantonCantonEmployerEmployerandandResidentResidentWithholdingINFORMATIONotherotherDoingDoingororOhioOhioBusinessBusinessNon-Resident)Non-Resident)CantonCities/JEDDS/TownshipsCities/JEDDS/TownshipsininCantonTaxCantondoingdoingOnly                                            PhoneE-MailFaxFaxPhoneNo.No.No.No.Address
                         Business in Canton and other Ohio Cities/JEDDS/Townships
                CourtesyCourtesyNon-ResidentCourtesyEmployerEmployerBusiness inWithholdingWithholdingWithholding(Either(EitherCantonEmployerandResidentResidentAccountAccountAccountotherDoingororOhioBusinessNon-Resident)Non-Resident)Cities/JEDDS/Townshipsin Cantondoingdoing                                                                                                         E-MailE-MailPhoneE-MailE-MailFaxFax No.No.No.AddressAddressAddressAddress
 PARTCourtesyEmployerEmployerBusinessCourtesy2 RECONCILIATIONinWithholdingWithholding(Either(EitherCanton andResidentResidentAccountAccountotherororOhioNon-Resident)Non-Resident)OFCities/JEDDS/TownshipsFEDERALdoingdoingWAGES                                                                                                                                                          FaxFaxE-MailE-MailNo.No.                  AddressAddress
TYPEPARTOFBusinessCourtesyACCOUNT:2 RECONCILIATIONinWithholdingCanton andAccountother OhioOFCities/JEDDS/TownshipsFEDERAL WAGES
 PARTCourtesy2 RECONCILIATIONWithholding AccountOF FEDERAL WAGES                                                                                                                                                                                                                                                                                                                          E-Mail Address
MedicareMedicarePARTPARTCourtesyBusinessCourtesy22TaxableTaxableRECONCILIATIONRECONCILIATIONinWithholdingWithholdingCantonWagesWagesand(From(FromAccountAccountotherBoxBoxOhio55OFOFofofCities/JEDDS/TownshipsFormsFormsFEDERALFEDERALW-2)W-2)                                                                  WAGESWAGES                                                                ContactE-MailE-MailAddressAddressPerson
                   Resident Employer Withholding Canton Tax Only
MedicareMedicarePARTPARTAdd:  22TaxableTaxableRECONCILIATIONRECONCILIATION-WagesWagesOrdinary(From(FromincomeBoxBoxfrom55OFOFofoftheFormsFormsFEDERALFEDERALexerciseW-2)W-2)                                                                                                                                         WAGESWAGESof stock
MedicareAdd:  Taxable- OrdinaryWages                                                                                                             (FromincomeBoxfrom5 oftheFormsexerciseW-2)                                                                                                                          of stock
MedicareMedicarePARTPARTNon-Resident22TaxableTaxableRECONCILIATIONRECONCILIATIONoptionsWagesWagesEmployerexcluded(From(FromDoingBoxBoxfromBusiness55OFOFMedicareofof FormsFormsFEDERALFEDERALin CantonW-2)W-2)wages.WAGESWAGES                                                                                                                                                            Phone No.
                                            Add:   - Ordinary income from the exercise of stock
MedicarePARTAdd:  Add:  2TaxableRECONCILIATIONoptions--OrdinaryOrdinaryWagesexcluded(FromincomeincomeBoxfromfromfrom5OFMedicareofthetheFormsFEDERALexerciseexerciseW-2)wages.WAGESofofstockstock
                   Employer (Either Resident or Non-Resident) doing- Supplemental unemployment compensation                                                                                                                                                                                                                                                                               Fax No.
                                                                                                   options excluded from Medicare wages.
MedicareMedicareBusinessAdd:  Add:  TaxableTaxablein-optionsoptionsSupplemental--CantonWagesWagesOrdinaryOrdinaryexcludedexcludedand(From(FromincomeincomeotherunemploymentBoxBoxfromfromOhiofromfrom55MedicareMedicareofofCities/JEDDS/TownshipsthetheFormsFormsexerciseexerciseW-2)W-2)compensationwageswages..    ofof stockstock
                                            Add:  Add:  --(“sub-pay”)optionsoptions-SupplementalSupplemental-OrdinaryOrdinaryexcludedexcludedincomeincomeexcludedunemploymentunemploymentfromfromfromfromMedicareMedicarefromthetheMedicareexerciseexercisecompensationcompensationwages.wages.ockofwages.ofststock
                                                                                     -(“sub-pay”)Supplementalexcludedunemploymentfrom Medicarecompensationwages.
                   CourtesyAdd:  Less: --Withholdingoptions(“sub-pay”)(“sub-pay”)options--SupplementalSupplementalWagesOrdinaryexcludedexcludedNotincomeAccountexcludedexcludedSubjectunemploymentunemploymentfromfromfromMedicareMedicarefromfromtotheCantonMedicareMedicareexercisecompensationcompensationwages.wages.Taxwages.wages.of(Explain)stock                                  E-Mail Address
                                            Less: (“sub-pay”)- Wages NotexcludedSubjectfromto CantonMedicareTaxwages.(Explain)
                                            Less: Less: ---options(“sub-pay”)(“sub-pay”)--SupplementalOtherSupplementalWagesWages(Explain)excludedNotNotexcludedexcludedSubjectSubjectunemploymentunemploymentfrom Medicarefromfromtoto CantonCantonMedicareMedicarecompensationcompensationwages.TaxTaxwages.wages.(Explain)(Explain)
 PARTLess: 2 RECONCILIATION--OtherWages(Explain)Not SubjectOFtoFEDERALCanton TaxWAGES(Explain)
                                            CantonLess: Less: ---(“sub-pay”)(“sub-pay”)TaxableOtherOther--SupplementalWagesWages(Explain)(Explain)NotNotWagesexcludedexcludedSubjectSubjectunemploymentfromfromtoto CantonCantonMedicareMedicarecompensationTaxTaxwages.wages.(Explain)(Explain)
MedicareCantonTaxable-TaxableOtherWages(Explain)Wages 
                                            Less: CantonCantonAdd:NLess: --No.(“sub-pay”)TaxableTaxable--OtherOtherofWagesWagesW-2’s(Explain)(Explain)NotNot(FromWagesWages AttachedexcludedSubjectSubjectBox 5fromtooftoCantonCantonFormsMedicareW-2)TaxTaxwages.(Explain)(Explain)
                                            Add:NCanton Taxable Wages No. of W-2’s Attached
                                            Less: Add:  Add:NAdd:NCantonCantonNo.--No.No.TaxableTaxable--OtherOtherofofofWagesOrdinary1099W-2’sW-2’s(Explain)(Explain)StatementsNotWagesWages incomeAttachedAttachedSubjectfromAttachedtheto CantonexerciseTaxof(Explain)stock
                                            Add:NNo.No.ofof1099W-2’sStatementsAttached                                                                                                                                    Attached
                                            CantonCantonAdd:NAdd:NTotalNo.No.-No.No.optionsTaxableTaxableOtherofofofof109910991099W-2’sW-2’s(Explain)excludedAmountStatementsStatementsWages WagesAttachedAttachedfromAttachedAttachedMedicare wages.
                                                                    Total 1099 AmountNo. of 1099 Statements Attached
                                            CantonAdd:NAdd:NTotalTotalNo.No.-No.No.TaxableSupplementalofofofof1099109910991099W-2’sW-2’sAmountAmountStatementsStatementsWagesAttachedAttachedunemploymentAttachedAttachedcompensation
 PART 3 RECONCILIATIONTotal 1099 Amount                                                                                                                                                                                   OF TAX WITHHELD
 PART 3 RECONCILIATION OF TAX WITHHELD
 PARTPARTAdd:N33RECONCILIATIONRECONCILIATIONNo.TotalTotalNo.No.(“sub-pay”)ofofof1099109910991099W-2’sAmountAmountStatementsStatementsAttachedexcludedAttachedAttachedOFOFfromTAXTAXMedicareWITHHELDWITHHELDwages.
CantonPARTPARTTaxable33RECONCILIATIONRECONCILIATIONTotalNo.TotalWagesof109910991099SubjectAmountAmountStatementsTo TaxAttachedFromOFOFatTAXTAX2% (WITHHELDWITHHELDPart 2)                                                                                                                                                                                                                                                                                          X 2%
 PARTPARTAdd:Less: 33TotalRECONCILIATIONRECONCILIATION- Wages1099 AmountWagesNot SubjectSubjectOFOFto CantonTAXTAXToWITHHELDWITHHELDTaxTax(Explain)At Less Than 2%                                                                                                                                                                                                                                                                                                 X___%
Canton Taxable Wages Subject To Tax at 2% (From Part 2)                                                                                                                                                                                                                                                                                                                                                                                                            X 2%
CantonCantonTaxableTaxableWagesWages SubjectSubjectTo Tax at 2.5To%Tax(FromatPart2%2)(From                                                                                                                                                                                                                           Part 2)                                                                                                           _______________ X 2%                    X 2.5% _______________
CantonCantonPARTPARTAdd:TaxableTaxable33(i.e.RECONCILIATIONWagesRECONCILIATION- OtherWagesWagescourtesySubject(Explain)SubjectSubjectwithholding,To TaxToToTaxTaxother,AtOFOFatatLessexplain)TAXTAX2%2%Than(From(FromWITHHELDWITHHELD2%PartPart2)2)                                                                                                                                                                                                                XX___%X2%2%
WagesCantonCantonSubjectAdd:Add:CantonTaxableTaxableto(i.e.WagesWagesTaxTaxableWagesWagesatcourtesylessSubjectSubjectthanSubjectSubjectwithholding,Wages2.5%ToTo(i.e.TaxTaxcourtesyToToother,TaxTaxAtAtwithholding,atatLessLessexplain)2%2%ThanThan(From(Fromother,2%2%PartPartexplain) 2)2)                                                                                                                                           _______________ X___%X___%XX 2%2%       X __% _______________
                                            Add: (i.e. courtesy withholding, other, explain)Wages Subject To Tax At Less Than 2%                                                                                                                                                                                                                                                                                                                                   X___%
 CantonCantonPARTTotalAdd:TaxableAdd:NAdd:Taxable3Canton(i.e.(i.e.RECONCILIATIONTotalWagesNo.WagesWagesofIncomecourtesycourtesyCantonSubjectW-2’sSubjectSubjectTaxwithholding,withholding,AttachedDue IncomeTo TaxToToTaxother,Taxother,TaxAtOFDueatatLessexplain)explain)TAX2%2%Than(From(FromWITHHELD2%PartPart2)2)                                                                                                                                              XXX___%2%2%        _______________
                                   Add: Add: Total Canton Income Tax DueWages Subject To Tax At Less Than 2%                                                                                                                                                                                                                                                                                                                                                       X___%
                                            Add:                    Total Canton Income Tax Due
 CantonTotalAdd:Add:Add:TaxableAdd:Canton(i.e.(i.e.TotalTotalTotalNo.WagesWagesofIncomecourtesycourtesyCantonCantonCantonSubject1099SubjectTaxStatementswithholding,withholding,Withheld IncomeIncomeIncomeTo TaxToTaxTaxTaxTaxother,other,AttachedAtDueDueWithheldatLessexplain)explain)2%Than(From2%Part 2)                                                                                                                                                      XX___%2%           _______________
                                   Add:                             Total Canton Income Tax Withheld 
                                            Add:Add:Add:Add:Add:Add:(i.e.WagesWagesTotalTotalTotalTotalcourtesyCantonCantonCantonCantonSubjectSubjectwithholding,IncomeIncomeIncomeIncomeToToTaxTaxTaxTaxTaxTaxother,AtAtWithheldWithheldDueDueLessLessexplain)ThanThan2%2%                                                                                                                                                                                        X___%X___%
                                            Add: (i.e. courtesy withholding, other, explain)Total Canton Income Tax Withheld 
 PARTWAGES:Add:Add:Add:Add:4(i.e.RECONCILIATIONTotalTotalTotalTotalTotal Entercourtesyon1099CantonCantonCantonCantonlinesAmountwithholding,1 throughIncomeIncomeIncomeIncome24TaxTaxTaxTaxtheother,OFamountDueDueWithheldWithheldexplain)DEPOSITSpaid for each Semi-Monthly filling period.
 PARTPARTAdd:Add:44RECONCILIATIONDEPOSITTotalTotalCantonCantonDETAILIncomeIncome TaxTaxOFWithheldDueDEPOSITS
QuarterPARTPARTPARTPARTAdd:Ended4443RECONCILIATIONRECONCILIATIONRECONCILIATIONRECONCILIATIONTotal03/31                                     Canton Income TaxOFOFOFOFWithheldDEPOSITSDEPOSITSDEPOSITSTAX WITHHELD
 PARTAdd:4 RECONCILIATIONTotal Canton Income TaxOFWithheldDEPOSITS
Quarter Ended 03/31
CantonQuarterQuarterPARTTaxableEndedEnded4 RECONCILIATION03/3106/30Wages                                                                                                                                                  OF DEPOSITS
Quarter Ended 03/31Quarter Ended 09/30Quarter Ended 03/31Quarter Ended 03/31Quarter Ended 03/31PART 4 RECONCILIATION OF DEPOSITSPART 4 RECONCILIATION OF DEPOSITSPART 4 RECONCILIATION OF DEPOSITSSubject To Tax at 2% (From Part 2)                                                                                                                                                                                                                               X 2%
QuarterAdd:EndedWages06/30                                                                                                                 Subject To Tax At Less Than 2%                                                                                                                                                                                                                                                                                          X___%
Quarter Ended 06/30
Quarter Ended 09/30Quarter Ended 06/30Quarter Ended 06/30(i.e. courtesy withholding, other, explain)
Quarter Ended 12/31Quarter Ended 09/30
QuarterQuarterQuarterQuarterQuarterQuarterQuarterAdd:EndedEndedEndedEndedEndedEndedEndedTotal03/3109/3009/3012/3106/3003/3106/30           Canton Income Tax Due
TotalQuarterCantonEndedIncome12/31                                                                                                         Tax Paid
QuarterQuarterQuarterQuarterTotalQuarterQuarterQuarterCantonAdd:EndedEndedEndedEndedEndedEndedEndedTotal06/3012/3112/3103/31Income06/3009/3009/30CantonTaxIncomePaid                                                      Tax Withheld 
GreaterTotalQuarterTotalQuarterQuarterQuarterQuarterCantonCantonofEndedEndedEndedEndedEndedTax09/30IncomeIncome06/3012/3112/3109/30DueTaxor WithheldTaxPaidPaid                                       (From Part 3)
GreaterTotal Cantonof TaxIncomeDue or WithheldTax Paid                                                                                                                                              (From Part 3)
BalanceQuarterQuarterGreaterGreaterTotalQuarterTotal CantonCantonofofEndedEndedEndedDueTaxTax/12/31r09/3012/31rIncomeIncomeDueDueOverpayment ooWithheldWithheldTaxTax PaidPaid[Transfer(From(FromPartPartCredit]3)3)
BalanceGreaterPARTof4DueTaxRECONCILIATION/DueOverpayment or Withheld[Transfer(FromOFPartCredit]DEPOSITS3)
BalanceBalanceTotalQuarterGreaterGreaterTotalCantonCantonofofEndedDueDueTaxTax//Income12/31IncomeDueDueOverpayment Overpayment oror WithheldWithheldTaxTaxPaidPaid[Transfer[Transfer(From(From PartPartCredit]Credit]3)3)
TotalBalanceCantonDueIncome/TaxOverpayment Paid                                                                                                                                 [Transfer                                                      Credit]                                                                                                                                                                                                                                _______________
QuarterGreaterTotalUnderBalanceBalanceGreaterPenaltiesCantonofofEndedDueDueTaxTax//of03/31IncomeDueDueOverpayment Overpayment perjury,ororWithheldWithheldTaxIPaiddeclare[Transfer[Transfer(From(FromthatPartPartCredit]Credit]I have3)3)                                                       examined this return and accompanying documents, and,
Under Penalties of perjury, I declare that I have examined this return and accompanying documents, and,
GreaterBalanceGreaterQuartertoUnderUnderBalancethePenaltiesPenaltiesofbestofTaxEndedDueDueofTaxDue//ofof06/30myorDueWithheldOverpayment Overpayment perjury,perjury,knowledgeor Withheld(FromIIanddeclaredeclarePart[Transfer[Transferbelief,3) (FromthatthatParttheyCredit]Credit]II havehaveare3)examinedexaminedtrue, correct,thisthis returnreturnandandandcomplete.accompanyingaccompanying documents,documents, and,and,                                                        _______________
BalancetoBalanceQuartertotoUnderUnderthethethePenaltiesPenaltiesbestbestbestDueEndedDue/ofofofOverpayment/ofof09/30mymymyOverpayment perjury,perjury,knowledgeknowledgeknowledge[TransferIIandandanddeclaredeclareCredit] belief,belief,[Transferbelief,thatthattheytheytheyCredit]IIhavehaveareareareexaminedexaminedtrue,true,true,correct,correct,correct,thisthisreturnreturnandandandcomplete.complete.complete.andandaccompanyingaccompanyingdocuments,documents,and,and,       _______________
to the best of my knowledge and belief, they are true, correct, and complete.Under Penalties of perjury, I declare that I have examined this return and accompanying documents, and,
QuarterSignaturetotoUnderthethePenaltiesbestbestEndedofofof12/31mymyperjury,knowledgeknowledgeIandanddeclarebelief,belief,thattheytheyI haveareareexaminedtrue,true, correct,correct,thisTitlereturnandand complete.complete.and accompanying documents,Date                                                                                                                                                                                                                   and,
Under Penalties of perjury, I declare that I have examined this return and accompanying documents, and,
SignatureTotaltoUndertothethePenaltiesbestbestCantonofofofIncomemymyperjury,knowledgeknowledgeTaxIandandPaiddeclarebelief,belief,thattheytheyI haveareareexaminedtrue,true,correct,correct,thisTitlereturnandandcomplete.complete.and accompanying documents,Date                                                                                                                                                                                                              and,
Signature                                                                                                                                                                                                                                                                                                                            Title                                                                                                                         Date
UnderGreatertoSignatureSignatureSignaturethePenaltiesbestofofTaxofmyPerjury,DueknowledgeorIWithhelddeclareandthatbelief,(FromI haveParttheyexaminedare3)                                                                                                                                              true,thiscorrect,returnTitleTitleTitleandandaccompanyingcomplete.                                                             documents, and,                DateDateDate
Signature                                                                                                                                                                                                                                                                                                                            Title                                                                                                                           Date
toBalanceSignatureSignaturethe bestDueof my/knowledgeOverpayment and belief,[TransfertheyCredit]are true, correct, andTitleTitlecomplete.                                                                                                                                                                                                                                                                                                                          DateDate
SignatureSignature                                                                                                                                                                                                                                                                                                                   TitleTitle                                                                                                                    DateDate
Under Penalties of perjury, I declare that I have examined this return and accompanying documents, and,
to the best of my knowledge and belief, they are true, correct, and complete.



- 2 -
                                                                                PLEASE FILE DIGITALLY
                                                                                                                                                                           PLEASE FILE DIGITALLY
                                                                                           Part 2 —   Reconciliation                                                                                                                                                                                                                                  Canton’s tax at 2%, and the amount 
                      Annual Payroll                                                                                                                                                                        Part 2 —   Reconciliation taxed at less than 2%.  Begin with the Canton’s tax at 2%, and the amount 
             Annual Payroll                                                                                                                                      PLEASEPLEASEof Federal                                                                                                FILEFILE“CantonDIGITDIGITALLYPLEASETaxable Wages” fromtaxedPartat less thanFILE2%.  Begin with theDIGITALLYALLY
                                                                                                                                                                           PLEASEPart 2                                                                                              FILEReconciliationof FederalDIGITALLYCanton’“CantonCanton’sCanton’sTaxabletaxtaxatatWages”2%,2%,andandfromthethePartamountamount s tax at 2%, and the amount 
                      Reconciliation                                                                                                                                       WagesPart 2 —   Part 2 —                                                                                                                    Reconciliation Reconciliation 2.  The wages “Subject to tax at 2%,” 
          AnnualAnnualReconciliationPayrollPayroll AnnualPartPart 22Payroll                                                                                                                                                                                                                                        Reconciliation ReconciliationWagesand “Subject to tax attaxedPart2. Canton’staxedlesstaxedTheatwages3thanatatlesstaxlessless2%”    “SubjectatthanWages       than2%,thanandto2%. 2%. taxBegin2%. BegintheBeginatwithamountwith2%,”withthethethe 
                                                                                           Canton City Income Tax is imposed                                                                                                                                                                                           of Federal of Federal                                                                   and “Subject to tax at less than 2%” 
             InstructionsAnnualAnnualPayrollPayroll                                                                                                                                                         Canton City Incomeof FederalTaxshouldis imposedadd up to this“Canton“Cantontaxed“Cantonamount. atTaxableTaxablelessFor                                                                                                                                                     Wages”Wages”thanfromfrom2%.  BeginPartPartwithTaxablethe                                                            Wages” from Part 
                                                                                                                                                                                                                                                                                                                       of Federal 
                      Instructionson “qualifying wages” as defined in                                                                                                                                                                                                                                                  of Federal                                                                              should“Canton Taxableadd upWages”Detailsto thisfromamount.                                                                                     Part              For 
                                                                                                                                                                                                                                                                                                                                                      wages “Subject to tax at less than 2%,” 
             ReconciliationReconciliationReconciliationSection 3121(a) of theReconciliationInternalon “qualifyingRevenue                                                                                                                                                                                     Wwages”WagesWagesWagesagesas defined in                                                           2. 2. 2. 2. TheTheThewageswageswages“Subject“Subject“Subjecttotototaxtaxtaxatatat2%,”2%,”2%,” The wages “Subject to tax at 2%,” 
                                                                                                                                                                                                                                                                                                                                                      enter the amount of wages for which wages “Subject to tax at less than 2%,” 
                   ReconciliationCode, without regard toSectionthe Social3121(a) of theWagesInternal Revenue                                                                                                                                                                                                                                                                                                   andandandand“Subject“Subject“Subject“Subjecttototototaxtaxtaxtaxatatatatlesslesslesslessthanthanthanthan2%”                                                                   2%”2%”2%” 
                                                                                                                                                                                                    CantonCantonCantonCityCityCityIncomeIncomeIncome TaxTaxCantonisis imposedimposedis notCantonreceivingCityenterIncomethethefullamountTax2%is imposedof wagesTax isforimposedwhich 
                     InstructionsInstructionsInstructionsInstructionsIf you are notSecurityfiling digitally,wage limitation,Code, withoutadjustedregardas                                                                                                                                                                                    to the Social                                                     shouldTheshouldshouldshouldtaxableaddaddaddaddupwagesupupuptotototothisarethisthisthisreconciledamount. amount. amount. amount. ForForForwithFor 
                                                                                                                                                                                                            Canton City Income Tax is imposed on 
      If you areInstructionsnot filing digitally,                                                                                                                                                   onon“qualifying“qualifyingwages”wages”asastaxdefineddefined(i.e., whenininCantonon “qualifyingresidentslocalCantontaxiswithholdingsarewages”not receivingas definedby thereportingfullin                                                                                                                                                                                                       2% 
                                                                                                                                                                                                                                                                                                                                                                                                               wages “Subject to tax at less than 2%,” wages “Subject to tax at less than 2%,” wages “Subject to tax at less than 2%,” 
                                         either on magneticfollows:                                                                                 media orSection“qualifyingonSectionSecurity“qualifying3121(a)3121(a)ofwageofwages”thethelimitation,wages”InternalInternalas definedas definedRevenueadjustedRevenuein SectionSectioninas                                                                   3121(a)separatelyof the Internalthe wageRevenueamount subject to 
                                                                                                                                                                                                                                                                                                                                                                                                               entertaxenterwagesenter(i.e.,thethethe“SubjectamountwhenamountamountCantontooftaxofofresidentswagesatwageswageslessforforforthanarewhichwhichwhich2%,” 
      either on magnetic media or                                                                                                                                                                   Code,3121(a)Sectionfollows:Code,withoutwithout3121(a)ofoftheregardregardtheInternalInternaltototheworkingtheRevenueSocialSocialRevenueinCode,aCode,citywithoutwhereCanton’stheregardtaxtax. toratetheUseSocialthe red blocks to report 
                                         electronically, please fill out                                                                                                                                                                                                                                                                                                                                       enter the amount of wages for which 
                                                                                           DEDUCT:                                                                                                          Code, without regard toisthelessSocialthan 2%, andCantontheworkingCantonCantondifferenceisisisinnotnotnotareceivingcityreceivingreceivingwherethethethethefullfulltaxfullrate2%                                                                                                                                                                                                        2%2% 
      Ifelectronically,you are not filing digitally,please fillIf you areoutnotwithoutfilingregarddigitally,to the Social,                                                                                                                                                                                                                                           Security                                  Canton is not receiving the full 2% 
   If youIfIfyouyouareareare,thisandnotnotnotfilefilingformfilingfilingit completelydigitallydigitally,digitally,                                                                                   SecurityDEDUCT: SecuritySecuritywagewagewagelimitation,limitation,limitation,betweenadjustedadjustedadjustedthatascity’sasas Securityratewagesis lessandwageif you2%thanislimitation,filedbeing2%,quarterly,and theadjusteddifferencethe greenas 
                                                                                                                                                                                                                                                                                                                                                                                                               tax (i.e., when Canton residents are tax (i.e., when Canton residents are tax (i.e., when Canton residents are 
   eithereithereitherthisonformononmagneticonmagneticmagneticcompletelyor beforemediathemediamedia anylast,amountandordayororfileincludedofeitherinitwagesFebruary. if                             follows:onwagefollows:follows:follows:magneticlimitation,mediaadjustedwithheldoras follows:and remittedandbetweentoredCanton). blocksthat city’sif youratefiledandmonthly,2% is beingand 
      either on magnetic media or                                                                                                                                                                                                                                                                                                                                                                              workingworkingtaxworking(i.e.,ininwheninaaacitycityCantoncitywherewherewhereresidentsthethethetaxtaxtaxarerateraterate 
                                                                                                                                                                                                                                                                                                                                                                                                               all the blocks if you filed semi-monthly. 
   electronicallyonelectronically,or before the last daypleasethe amountof February. constitutesfillcompensationout electronically,DEDUCT: any amount  included in wages if                                                                                                                                                                          pleaseEnter the percentagefill outiswhich, pleasewithheldisworkingislesslesslessrepresentsthaninandthanthanafill2%,cityremitted2%,2%,andandandoutwherethethethetodifthedifferencedifferenceCanton). tax rate                                         ference 
      electronically,You may mailpleaseit to the Cantonfill outCityDEDUCTDEDUCT:  DEDUCT:  :  
   thisYouelectronically,mayformmailcompletelyit to thepleaseattributableCanton, and, ,andCityfilefiletofillititaandplanoutorfileprogramtheitamount constitutes compensationthe difference betweenbetweenShowEnterbetweenisbetweenCanton’slessthethethatthatthatwagepercentagethancity’city’scity’sand2%, andtaxrateratewhichthetotalsanddifferenceandrepresentson2%2%isisthebeingbeing s rate and 2% is being 
      this formIncomecompletelythisTax Department,formPOcompletelyBox 9940,DEDUCT:  
   onthisonIncomethisororbeforformbeforeformTaxcompletelycompletelyDepartment,the last daydescribed in SectionofPO,,February. andand125 ofBoxthefilefile9940,itit                      onor3attributable anybefore  anyanyamountamountamounttheincludedtoinincludedlastwagesin wagesaifincludeddayif plan oranyofprogramtaxamountFebruary. rateinincludedwagesin wages(2%) andifeifthethelasttaxwithheldappropriatethewithheldbetweenwithhelddayratedifferenceofofandthatFebruary. andandtheline.remittedcity’sremittedremittedAddbetweenratethetotoCanton’stoCanton). taxandCanton). Canton). from2% isbothbeing 
                                         Canton OH 44711-9940, or hand 
   YouonCantononYouormayormaybeforebeforemailOHmail44711-9940,theittheittotolastlastthethedaydayCantonInternalCantonofoforRevenueFebruary. February. Code.handCityCity You maythethethedescribedmailamountin Sectionanyamountamountamount125itofconstitutestotheconstitutestheincludedconstitutesin wagesCantoncompensationifcompensationotherCitythecompensationamountcity forconstituteswhichcompensationEnterdatetaxestaxEnterwithheldEnterperiodstheratethethehavepercentageandpercentage(2%)percentageandbeentoremittedgetthethetaxwhichwhichwhichtotalratetorepresentsCanton). representstaxrepresentsofliabilitythe 
                                         deliver it to our office at 424 Market 
   IncomeYouIncomeYoudelivermaymayTitTaxmailmailto ourDepartment,itittoofficetothetheCantonatCanton424POMarketBoxCityCity9940, IncomeattributableattributableattributableInternalthe amountTaxRevenue Code.                                                                        Department,toconstitutestoatoaplanaplancompensationorplanor programwithheld. POor programBoxattributable9940,Add theaxtotwoDepartment,athefortaxothertheEnterplanthedif2023.ordifferenceamountsdifferenceprogram thecitypercentagePOforprogramtoBoxwhichbetweenbetween9940,whichtaxesCanton’sCanton’srepresentshave beenference between Canton’s 
                   TheAve.,formNorthmust                                    (4th Floor).  
   CantonIncomeAve.,IncomeCantonNorthOHTaxTaxOH4471(4thDepartment,44711-9940,Department,Floor). ADD:ThePOPOorformhandBoxBoxmust9940,9940,CantondescribedOHdescribeddescribedattributablein Sectionin44711-9940,Section125 of125 ofthetheintodescribedSectionain Sectionorplan125handorofprogramdetermine125the1-9940,of thetheor“TotalhandCantontaxwithheld. thetaxtaxratedifferencerateIncomerate(2%) and(2%)Add(2%)andandthethethethebetweentwotaxtaxtaxtaxrateraterateCanton’samountsofofofthethetheto 
                                         be signed, and all W-2s and 1099’s (or 
   deliverCantonCantondeliverbe signed,ititOHOHtoandtoourall44711-9940,our44711-9940,officeofficeW-2satat424and424oror1099’sMarkethandhand  Marketdeliver(ordeliverInternalInternalInternalADD:describeditin SectiontoRevenue Code.      Revenueour125Code.InternalofRevenuetheofficeRevenue Code.                     at 424Code.TaxMarketdue.”  Add tax withheldotherPartdeterminetaxotherotherforcityratecity4cityCanton,(2%)fortheandfor    for“TotalDepositswhichthewhichwhichtaxCantontaxestaxestaxesratehaveIncomehaveDetailsofhavebeenthebeenbeen                                                          
                                         a detailed computer print-out of each             
   Ave.,itAve.,deliverto ourNorthitofficeto(4thouratofficeFloor). 424 MarketatThe anyThe424Ave.,formamountMarketAve.,NorthmustnotNorthTheincluded(4thinformwages                                    Floor). mustInternalformRevenue Code.Northmust(4th Floor).                                                                                                                                                 withheld. Taxwithheld. otherwithheld. due.” cityAddAddAddfortaxthethewithheldwhichtwotwotaxtaxestaxforamountsamountshaveCanton,beentoto Add the two tax amounts to 
                                         employee’s W-2/1099 information) 
      Ave.,a detailedNorthcomputer(4th Floor). print-outbecause theThe formamountofmusteacharises from the any amount not included in wages                                                                                                                                                                                                          from “block 21” of all subjectwithheld. W-2s,Add the two tax amounts to 
   be(4thbeemployee’sbesigned,signed,signed,Floor).andandandallallallW-2/1099The formW-2sW-2smustsale,information)beandandexchange,signed,1099’s1099’sbeor othersigned, (ordisposition (or (or andof(orallADD:ADD:ADD:ADD:ADD:because theW-2samountandarises1099’sW-2sfrom thetoandderive1099’s                                                                                “Total CantondetermineIncomefromdeterminedeterminedetermine“blockTaxthethethetheotal21”“T        of“Total“Total“TotalallCantonCantonCantonCantonsubjectIncomeIncomeIncomeIncomeW-2s, 
,mustor thebe attachedfiling cannot                                                                                                                                                                                                                                                                                                                                                                            Use the red blocks to report deposits if 
   aandmustaadetaileddetaileddetailedallbe attachedW-2scomputercomputercomputerand,1099’sorprint-outprint-outprint-outthea stock (orfilingoption,ofaofofdetailedcannoteachoreacheachthe sale,a detailedexchange,sale, any  anyanyexchange,amountcomputeramountamountor othernotnotnotdispositionincluded inincludedincludedprint-outwagesininofwages wages anywithheld.”amountof eachnot included in wages TaxtoTaxTaxTaxdue.” derivedue.” due.” due.” AddAddAdd“TotaltaxtaxtaxCantonwithheldwithheldwithheldIncomeforforforCanton,Canton,Canton,Tax                                                   Add tax withheld for Canton, 
                                         be accepted.  Feel free to call our office 
   employee’computeremployee’semployee’sprint-outW-2/1099W-2/1099oforeachinformation)information)otheremployee’sdisposition of stockemployee’sbecause3abecausebecausethe thethestockanyamountW-2/1099amountamountoption,amountorarisesthearisesarisesfrinformation)sale,fromfromnotexchange,thetheincludedbecause thesamountW-2/1099in wagesarises frominformation)fromyouwithheld.”fromfromthefromremittedom“blockthe“block“block“block21” of21”21”21”quarterly,ofofofallallallallsubjectsubjectsubjectsubjectthe greenW-2s,W-2s,W-2s,andW-2s, 
      be accepted. withFeelany questionsfree to call(430-7900),our office                                                                                                                           or visit 
   mustW-2/1099mustmustbebebeattachedattachedmustattachedinformation), or, orthebethepurchasedattachedmustfilingfilingunder abecannotstockattachedcannotoption.                 .                   sale,becauseorsale,sale,otherexchange,exchange,exchange,ordispositionorortheofotherotherstockamountdispositiondisposition ofof sale,arisesPartexchange, or4otherfromdispositiontheof Reconciliationothertoreddispositiontototoderiveofblocksderivederivederive“T“Total“Totalif“TotalyouCantonCantonCantonremittedIncomeIncomeIncomemonthly,TaxTaxTax otal Canton Income Tax 
     uswww.cantonincometax.comwithonline:any questions., or(430-7900),the filing cannotor visit , or,                                                                                                       the filing cannot 
   beoraccepted. the filingFeelcannotfr                                             be accepted. Feel                                                                                               asale,astockstockoption,exchange,option,or                                     or the sale,orexchange,othera stockdispositionoption, or theofsale,of Depositswithheld.”exchange, andwithheld.”withheld.”allthethesale,blocksexchange,                                                               if you remitted semi-
      beus online:accepted. www.cantonincometax.comFeel free to call our office bepurchasedaccepted. under a stock option.Feel free to call our office ee tomonthly.  callPartour4 officeShow theReconciliationdeposit totals on the 
      free to call our office with any questions                                                                                                                                                            a stock option, or the sale, exchange, 
   with(430-7900),withbe accepted. anyanyquestionsquestionsorFeelvisit(430-7900),free(430-7900),usonline:to anycallemployeeorourcontributionorvisitofficevisitor                       withorororaanyotherstockotherquestionsoption,disposition ofdispositionorstocktheorsale,(430-7900),otherexchange,dispositionofofstockstock orothervisitdisposition of stockappropriatewithheld.”line. Addof Depositsthe lines together 
                                                                                                                                                                                                            
   uswithusonline:online:usanywwwquestionswww.cantonincometax.comwww.cantonincometax.com.cantonincometax.comonline:(430-7900),elective deferral thator visit.is not..                               includedpurpurchasedor other anyunder aemployeedispositionstockcontributionofoption.purchasedstock orunder a stockAddoption.chasedquarterlyunder a stockamountsoption.                                     ParttoPartofgettax4total4 remitteddepositsPartReconciliationReconciliation4for2023.                                                                                                Reconciliation 
      www.cantonincometax.com.us online:www.cantonincometax.comin wages if the amount is.an amountpurchasedelectivepurchaseddeferralunder a stockthatoption.underis notaincluded stockto Canton,option.to calculateAddPartquarterly“Total4 CantonamountsReconciliationof tax remitted 
Account                                 Part 1                                                                                                                                                                                                                                                                                                                                                                                                                                       ofofDepositsDepositsof Deposits
      Part 1                                                                Account                                 described in Section 401(k) or 457 of                                       3in wagesany  anyanyifemployeeemployeethecontributionemployeecontributionamountor                     or is ananycontributionamountemployeeIncomecontribution or Taxorpaid.”  SubtractSubtractto Canton,fromtotaltothisdepositscalculateof Depositsfrom“TotaltotalCantontax 
InformationPart 1     Account                                                                                                                                                                      electiveelectiveelectivedescribeddeferralin Sectionanydeferralemployee401(k)thatorthatdeferralcontribution457 of is notoris notthatincluded included electiveisdeferralnotthatincludedis not included     liability.IncomeIfTaxthepaid.” differenceSubtractis afrompositivethis 
                                                                                Informationthe Internal Revenue Code.                                                                                                                                                                                                                                 amount, the greater of the “Total tax Add quarterly amounts of tax remitted Add quarterly amounts of tax remitted Add quarterly amounts of tax remitted 
   Part 1                                                                 A                                                                                                                       in wagesininelectivethewagesifwagesInternaldeferralifthetheamountthatRevenueamountifCode.theis anisisamountnotanamountamountincluded              due”isinorwagesan“Totalifamountthetaxamountwithheld”is anAddamount,amountquarterlyfromthePartamountsgreaterto Canton,ofofthetotaxcalculate“Totalremittedtax                                                                                                           “Total Canton to Canton, to calculate “Total Canton to Canton, to calculate “Total Canton 
EnterEIN, andPartcurrentany1 otherEINPart Account                                 1                                                                                                                                                                                                            Account                                  ccount                                  
      PartEnter current1                                           EINInformationAccount                                 , and anyany supplementalotherEIN unemployment                        describeddescribedininwagesSectionin Sectionif401(k)theor401(k) oramount457 of described inisSectionan401(k)amountor 457 of  457 of                                                                        Incomenumber,todue”IncomeCanton,or “TotalyouTaxtopaid.” taxhavecalculatewithheld”aSubtractbalancefrom“Totalfromdue.CantonPartRemitthis Income Tax paid.”  Subtract from this Tax paid.”  Subtract from this 
      used by afordirectlyCantonInformationInformationInformationInformationrelatedCity IncomecompanyTax reportingdescribed in Section 401(k) or 457 of                                                                                                                                                                                                                                                        payment3.                              with this form.
                                         used by a directly related company                                                                                                                                                                                                                                                                         3.  
                                                                                           compensation benefits not included in                                                                            described in Sectionany supplemental401(k) or 457 ofunemployment                                                                                                                                   Income Tax paid.”  Subtract from this 
                                                                                                                                                                                                            the Internal Revenue Code.the Internal Revenue Code.
      Enter current EIN, and any other EIN                                                                                                                                                          the Internal Revenue Code.the Internal Revenue Code.compensation benefits not included in                                                                                                                  amount, the greater of the “Tamount, the greater of the “Total tax amount, the greater of the “Total tax otal tax 
      usedfor Cantonby a directlyCityEINEINEINIncome,related,andandwages,anyTaxanycompanydescribedreportinginotherSectionotherEIN3402(o)                EINEIN,for  and anythe Internalother  Revenue Code.                                                                                                                                           If the differencedue”Ifisamount,due”theoraordifferencenegative“T                           “Totalthetaxgreaternumber,iswithheld”a negativeof thefromnumber,“TotalParttaxdue”youor “Total tax withheld” from Part otal tax withheld” from Part 
                                         purposes in the past year.Enter current3wages, any  anyanydescribedsupplementalEntersupplementalin Sectionsupplemental3402(o)                                                                                                          unemploymentcurrentunemployment Enterany supplementalunemploymentcurrentunemployment                                        If the difference is a negative number, 
   usedCantonusedpurposesEnterbybycurrentaCityadirectlyindirectlytheIncomeEINpast,relatedrelatedandTax(2)year.ofanythereportingcompanycompanyInternalotherEINRevenue Code. used by a directly relatedyoucompanyhave a balance due. 3. have3. due”3. Pleaseoroverpaid“Totalremittaxyourwithheld”withholdingfrom Partfor the 
                                                                                                                                                                                                             any supplemental unemployment 
      used by aIfdirectlyan entityrelatedis actingcompanyas acompensationpaycompensationcompensation(2) of theagentbenefitsInternalbenefitsnotfornotRevenueincludedCode.                                                                                                                       inincluded inbenefitscompensationpaymentbenefitsnotnotincludedincluded inwith thisin                            reconciliation.year.3. you haveIf theaoverpaymentbalance due. isPleasegreaterremitthan 
   forpurposesforIfforCantonanCantonCantonentityaffiliatedinCityCityCityRev.theIncomeisIncomeIncomepastactingyear.companies,TaxTaxasreportingreportinga paypursuantforagentCantonforto                                                   City Income Tax reporting Tax reportingpayment with this reconciliation.
                                                                                                                                                                                                            
   purposes in the past yearpurposes in the past year.purposes in the past year..solely because the employee was wages, described in Section 3402(o) any amount excluded from wages If the difference is a positive number, If the difference is a negative number, 
                                                                                            any amount excluded from wageswages,wages,compensationwages,describeddescribedin SectioninbenefitsSectiondescribed3402(o)                                                             3402(o)wages,not includeddescribedinin Sectionin3402(o)            Section 3402(o)(2)                                       If$10.00,Ifthetheitdifdifferencewill be refunded.is a negative number, If the difference is a negative number, ference is a negative number, 
   Proc., pleaseIfpurposesaffiliatedan70-06entityattachinisthecompanies,actingapastlistasyear.aofpaypursuanttheagentRev.forto                                                                       (2) ofof(2) ofthethetheInternalInternalInternalRevenue Code.                       Revenue Code.(2) ofRevenuethe Internal RevenueCode.Code.                                                                youyouhavehaveaabalancebalancedue. due. PleasePleaseremitremit you have a balance due.  Please remit 
                                                                                                                                                                                                            solely because the employee was                                                                                                                                                                    If the difference is a positive number, 
   IfaffiliatedIfProc.anan70-06entityentitycompanies,,ispleaseisactingactingpursuantattachemployed byastheasaemployeraatopaylist Rev.payprior toagentofagentthefor(2)forof theIfInternalanRevenue Code.                                                                                        entity isyouactinghave overpaidas a payyourpaymentagentyoupaymentwithholdinghaveforwithawithbalancethisthisreconciliation.due. reconciliation.paymentPlease remit                                                                                                                                                            with this reconciliation.
   affiliatedProc.affiliatedIfnamesan70-06,andentitycompanies,EINspleasecompanies,isofactingattachtheAprilaffiliates1,pursuantpursuant1986. aaslistaofRevpayRev.thetotowhichagentRev.affiliated.forany amountcompanies,excludedpursuantforfromthe year. towagesThe overpaymentAnypaymentdifferencewillwithbetweenthis reconciliation.wages and the 
                                         names and EINs of the affiliates3employed any  whichbyanyamounttheamountemployerexcludedpriorfrexcluded fromto                                                                                                                                                                         wages  any amount excluded from wages om wagesyou have overpaid your withholding 
   PrnamesaffiliatedProc. 70-06Proc.andareEINs,activecompanies,pleaseof70-06oc.theaccounts,attachBeaffiliatessurepursuant70-06atoinlistwhichnote,Rev.Canton.toofonthethe,solelyplease,appropriatepleasebecauseattachattachthea listaemployeelistofofthewasthe                                                                                                                                                  applicablebe used toCantoncredit subsequenttax rate willpayrollbe billable 
                                         currently are conducting business,solely becauseAprilsolelybecause1, theoranythe1986. employeeamountemployeewaswasexcludedsolelyfrombecause thewagesemployee was                                                                                                                                                                                                     IfforIfthethethedifdifferenceyear.  The overpaymentis a positivewillnumber, If the difference is a positive number, ference is a positive number, 
      currently are conducting business, or                                                                                                                                                                                                                                                                                                           be used to credit subsequent payroll 
   namescurrentlynamesareProc.activeand70-06andareEINsaccounts,,EINsconductingpleaseofofthetheaffiliatesattachinaffiliatesbusiness,Canton.a listorwhichwhichofarethenamesemployedBe sureandto note,byEINstheofonemployerthethewithholdings. affiliatesappropriateprior towhich(Transferto theCredit)employer.
                                                                                                                                                                                                    employed by the employersolely because the employee was employed by the employer prior to employed by the employer prior to  prior to                                                                      you have overpaid your withholding you have overpaid your withholding you have overpaid your withholding If the difference is a positive number, 
                                                                                           line, the number of W-2sAprilAprilemployed1,1,1986. bybeingthe1986.  Aprilemployer1,totaled1986. prior to                                                                                                                                                                                                           forforyouwithholdings. thehavetheyearyear. overpaid(TransferTheyouroverpaymentwithholdingCredit)                                                         will for the year.  The overpayment will .  The overpayment will 
   Entercurrentlyactivenamescurrentlyaccountaccounts,andarearetype.EINsconductingconductingofin Canton.the affiliatesbusiness,business,orwhichor currentlyAprilline, the1,arenumber1986.conductingof W-2sbusiness,being totaledor 
                                                                                           and reconciled, and the number of April 1, 1986.                                                                                                                                                                                                                                                                    for the year.  The overpayment will 
      currentlyEnter accountaretype.conducting business, or                                                                                                                                                                                                                                                                                           If there will be nobeBemorebesureusedusedwith-holdings,tototofillcreditcreditoutsubsequentallsubsequent4 partspayrollpayrollof the formbe used to credit subsequent payroll 
   areareactiveactiveEnteraccounts,accounts,contactinFormsininformation. Canton.Canton.are1099MISCactiveMostandBeaccounts,issuesBeandtheirsursurereconciled,totaltoinnote,dollarCanton.andon thethetheappropriatenumberoverpaymentof                                                                                                                                                                     BecansureCOMPLETELYbebeIftorefunded. usednote,theretoonwillcreditthe.beappropriatesubsequentno more with-holdings,payrolle to note, on the appropriate 
      Enter account type.                                                                                                                                                                                                                                                                                                                                                                                      withholdings.  (Twithholdings.  (Transfer Credit)withholdings.  (Transfer Credit)ransfer Credit)
      areEnteractivecontactaccounts,information. amount.in Canton.Most issues                                                                                                                       line,line,FormsBe surethethenumber1099MISCtonumbernote,ofonofWandtheW-2sPleasetheirappropriatebeingprovidetotaltotaleddollara detailedline,thetheoverpaymentstatementnumber ofofW-2scanbeingbe refunded. totaled -2s being totaled 
                                         and questions we have regarding the                                                                                                                                                                                                                                                                                                                                   withholdings.  (Transfer Credit)
   EnterEnterandEnteraccountquestionsaccountaccountAnnualtype.wetype.type.EnterPayrollhave regardingaccountReconciliationtype.the                                          can Beamount.sure to indicate theexplanation.number of W-2s                                                                                                                                                                         NoPleasetaxes ofprovideless thanatendetaileddollars ($10.00)statementshall be                                                                                                               of 
      Enter contact information. Most issues                                                                                                                                                        andbeingandline,r             reconciled,thetotalednumberandandofreconciled,W-2sthe numberbeingandtotaledoftheand reconciled,IfcollectedIftherethereor refundedandwillwillthebe.                                                                                                     benumbernonomoremoreofwith-holdings,with-holdings,econciled, andIfthetherenumberwillofbe no more with-holdings, 
                                         be addressed with a quick phone call              Part 3 —   Reconciliation 
   EnterandEnterAnnualcontactquestionscontactPayrollinformation. information. weReconciliationhave regardingMostMostcanissuestheissues EnterFormsnumberandFormscontactreconciled,1099MISC1099MISCof Formsinformation. andand1099andthetheirtheirandnumberMosttotalthetotalissues1099dollarofdollar FormstheIfexplanation.theoverpaymentoverpayment1099MISCthere willcanbeandcannobetheirmoreberefunded. refunded. totalwith-holdings,dollarthe overpayment can be refunded.  
                                         or e-mail.  Please help us to be more                                                                                                                                                                                                                                                                                                                                 Be sure to fill out all 4 parts of the 
   andAnnualEnterbeandaddressedquestionsquestionscontactPayrollwewithweinformation. haveReconciliationhavearegardingquickregardingphoneMostcallthecantheissuesand questionsamount.totalamount.amount.FormsPartdollar3we1099MISChaveamount.regardingReconciliationandBetheirsurethe                                                                                totalto filldollarout allPleasePleasethe4 partsoverpaymentprovideprovideof theaadetaileddetailedcan bestatementrefunded. statementofof Please provide a detailed statement of 
                                         efficient, by including this important 
   AnnualbeandorAnnualaddressede-mail. questionsPayrollPayrollPleaseReconciliationwithweReconciliationhavehelpa quickregardingus tophonecanbecanmorethecallAnnualof TaxPayrollamount.WithheldReconciliationof TaxcanformWithheldCOMPLETELY.                                                                                                                                                                    explanation.explanation.explanation.formPleaseCOMPLETELY.provide a detailed statement of 
   information.
   beorAnnualefficient,beaddressedaddressede-mail.PayrollPleasewithbywithReconciliationincludingahelpaquickquickusThephonetaxablephonetothisbecallcanmorecallimportantwagesbe addressedarePartreconciledPart3with3 awithPartquickReconciliationReconciliationphone3 Nocalltaxes of less thanReconciliationone dollarexplanation.($1.00) shall be 
                                                                                                                                                                                                                                                                                                                                                                                                               BeBesureBesuresuretototofillfillfilloutoutoutallall44partspartsofofthethe all 4 parts of the 
   or e-mail.  Please help us to be more efficient, by including this important or e-mail.  Please help us to be more separately the wage amount subject to local tax withholdings by  reporting of Tax Withheld                                                                                                                                                                                               collected or refunded.form COMPLETELY.
                                                                                                                                                                                                                                                                                                                                                                                                               Be sure to fill out all 4 parts of the 
      orbeinformation.addressede-mail.  Pleasewithhelpa quicklocalusphoneto betaxcallmorewithholdingsor e-mail. PartThe taxableby Please3reportinghelpwagesusofReconciliationofareT                                                                                                                                             toTaxbereconciledcollectedWithheldofmore    or refunded.withTax WithheldaxformNoformformtaxesCOMPLETELCOMPLETELY..Y.COMPLETELYofWithheldless than one dollar ($1.00) shall be 
   efficient,information.efficient,by byincludingincludingthisthisimportantimportant efficient, by including this important 
   information.efficient, by including this important2TheseparatelyThetaxabletaxablewageswagesthearewagearereconciledreconciledamount subjectwithwithtoThe taxableNo taxesNo taxesofwagesoflesslessthanarethanonereconciledtenonedollardollarsdollar($1.00) shall($1.00) shallwithbebe No taxes of less than one dollar ($1.00) shall be 
      information.information.
      information.                                                                                                                                                                                  localThe taxabletax withholdingswages are2reconciledby  reportingwith                                                                                                                                      collectedNocollectedtaxes ofororrefunded.lessrefunded.collectedthan one dollaror($1.00)refunded.shall be 
                                                                                                                                                                                                            local tax withholdings by  reporting local tax withholdings by  reporting local tax withholdings by  reporting                                                                                     collected or refunded.
                                                                                                                                                                                                    separately the wage amount subject to separately the wage amount subject to separately the wage amount subject to 
                                                                                                                                                                                                            separately the wage22 2amount subject to 
                                                                                                                                                                                                                                                                                                                                             2



- 3 -
PLEASE FILE YOUR PAYROLL RECONCILIATION DIGITALLY, EITHER 
ON A CD OR FLASH DRIVE, OR BY UPLOADING THE FILE ELECTRONICALLY TO
             https://cantonincometax.com/tax/w3upload.php

W3 Formats

There are four acceptable formats for electronic filing.

Federal Filing Format – MMREF and EFW2 
Information about the Federal MMREF and EFW2 format is available on the Social Security  
Administration website at: www.ssa.gov/employer  Both formats are very similar and can both be read.

Note that the record with local information is not required for filing federally. The RS record must be 
included to provide city information.

Old Federal Formats – 1A and A 
The previous Federal formats continue to be supported.

CityTax Proprietary Format (CTP) 
This is a simple format for a single employer. It may be created using Microsoft Excel. It is a Comma 
Delimited format. Details are on a later page.

The following table lists critical fields, with the location in that format

                                     MMREF              1A                 A   CTP
             Record                  RS                 2S                 S   CTW
Local Entity 
             Start Position          5                  82                 219 12
Code
             Length                  5                  5                  5   --
             Record                  RS                 2S                 S   CTW
Local 
             Start Position          320                96                 233 13
Withholding
             Length                  11                 7                  9   --
             Record                  RS                 2S                 S   CTW
Local 
             Start Position          309                87                 224 11
Taxable
             Length                  11                 9                  9   --

                                              3



- 4 -
CityTax Proprietary 
This is a comma-delimited format. That means that each field is separated by a comma. See below for instructions on creating 
this file from Microsoft Excel. All text must be in upper case. If leading zeros on TaxIds or Zipcodes do not show, this is all right.
FIRST LINE: EMPLOYER
A.  CTE                      text exactly as shown
B.  Employer FEIN or TaxID   9 digits no spaces or punctuation
C.  Tax Year                 4 digits
D.  Employer name
E.  Corporate                C if a corporation, blank otherwise
F.   Employer street address No commas
G.  Employer City
H.  Employer State           2 characters
I.   Employer Zipcode        5 digits (or 6 characters if foreign country)
J.   Employer Plus4          4 digits

REMAINING LINES: ONE PER EMPLOYEE
A.  CTW                      text exactly as shown
B.  Employee SSN             9 digits no spaces or punctuation
C.  Employee Last Name
D.  Employee First Name
E.  Employee Middle Name
F.   Employee street address No commas
G.  Employee City
H.  Employee State           2 characters
I.   Employee Zipcode        5 digits (or 6 characters if foreign country)
J.   Employee Plus4          4 digits
K.  Federal Wages            Box 1
L.  Local Entity Code        See table above
M. Local Withholding         Entered as normal number with decimal point
N.  Social Security Wages    Box 3
O.  Medicare Wages           Box 5
P.   Local Wages             Box 18
Q.  Total Deferred           Included in Box 12

How to Create CTP format using Microsoft Excel
NOTE: All dollar amounts should be entered as normal number with decimal point, such as 15100.50
1. Open a new spreadsheet.
2.  On the first line, enter the Employer data as specified above, entering one value per column. The letter shown at the start of 
each line must match the letter at the top of the column in Excel. Skip the column if blank. Insure all entries are upper case. To 
start, enter ‘CTE’ in the first column.
3. For each employee, enter another line, entering CTW in the first column (A) and entering one field per column.
4   Click on the Save button (or select Save from the File menu). At the bottom is a drop down box for Save as type.  
  Click on this drop-down and select:  ‘CSV (Comma delimited)(*.csv)’    Then enter a file name and click save.
5. Copy this file to a diskette or compact disc and send to the Income Tax office.
Mailing the formats to Employers
The following page mirrors the information above, and is intended to be sent to Employers when desired. It does not include the 
older formats that should not be used any longer.
There are certain options that each site should modify before sending:
The Local Entity should be set to the site abbreviation (maximum of five letters), such as ‘ERAPD’ for Eaton Rapids. Set this in 
the table on the front page, and in the CTP instructions on the second page.
For CTP:
Columns N through Q are optional, and should be removed if the site does not use the extra wage information.
                                                  4



- 5 -
                                        The City of Canton, Ohio
Submitting W2s electronically 
The following formats are acceptable for filing W2 information electronically.
Federall Filing Format - MMREF-1 or EFW2

Information about the Federal MMREF and EFW2 formats are available on the Social Security Administration website at: 
www.ssa.gov/employer

Note that the record with local information is not required for filing federally. The RS record must be included to provide city 
information. 

CityTax Proprietary Fromat (CTP)

This is a simple format for a single employer. It may be created using Microsoft Excel. It is a Comma Delimited format. 
Details are shown below.

The following table lists critical fields with local information in that format

                                                      MMREF                    CTP
                        Local Entity  Record          RS                       CTW
                        Code          Start Position  5                        12
                                      Length          5                        --
                                      Value           {{Entity}}               {{Entity}}
                        Local         Record          RS                       CTW
                        Withholding   Start Position  320                      13
                                      Length          11                       --
                        Local Taxable Record          RS                       CTW
                                      Start Position  309                      11
                                      Length          11                       --

                                                     5



- 6 -
                                                The City of Canton, Ohio

Using Excel to Submit W2s electronically 
- All text must be in upper case.
- If leading zeros on Social Security Numbers or Zipcodes do not show, this is all right.
- All dollar amounts should be entered as normal number with decimal point, such as 15100.50  
- Do not leave blank lines between information.

1.  Open a new spreadsheet.
2.   On the first line, enter the Employer data as specified below, entering one value per column. The letter shown at the start 
of each line must match the letter at the top of the column in Excel. Skip the column if blank. Insure all entries are upper 
case. To start, enter ‘CTE’ in the first column.
3.  For each employee, enter another line, entering CTW in the first column (A) and entering one field per column.
4.   Click on the Save button (or select Save from the File menu). At the bottom is a drop down box for  
Save as type.  Click on this drop-down and select 
             ‘CSV (Comma delimited)(*.csv)’ 
             Then enter a file name and click save.
5.  Copy this file to a diskette or compact disc and send to the Income Tax office.

FIRST LINE: EMPLOYER
A. CTE                           text exactly as shown
B.  Employer FEIN or Tax ID  9 digits no spaces or punctuation
C. Tax Year                      4 digits
D. Employer name
E. Corporate                     C if a corporation, blank otherwise
F. Employer street address       No commas
G.  Employer City
H. Employer State                2 characters
I. Employer Zipcode              5 digits (or 6 characters if foreign country)
J. Employer Plus4                4 digits

REMAINING LINES: ONE PER EMPLOYEE
A. CTW                           text exactly as shown
B. Employee SSN                  9 digits no spaces or punctuation
C. Employee Last Name
D. Employee First Name
E.  Employee Middle Name
F.  Employee street address      No Commas
G.  Employee City
H. Employee State                2 characters
I.  Employee Zipcode             5 digits (or 6 characters if foreign country)
J.  Employee Plus4               4 digits
K. Federal Wages                 from Box 1
L.  Local Entity Code            {{Entity}}
M. Local Withholding
N. Social Security Wages         from Box 3
O. Medicare Wages                from Box 5
P.  Local Wages                  from Box 18
Q.  Total Deferred               Included in Box 12

                                                      6






PDF file checksum: 1906815241

(Plugin #1/9.12/13.0)