1 Q                 2020

Mail to:
City of Pontiac Withholding Payments
P.O. Box 530
Eaton Rapids, MI 48827-0530

                                    TAX YEAR       2020
                                    PAYROLL PERIOD 1-1-2020 THRU 3-31-2020
                                    DUE DATE       April 30, 2020

                                             2 Q                 2020

Mail to:
City of Pontiac Withholding Payments
P.O. Box 530
Eaton Rapids, MI 48827-0530

                                    TAX YEAR       2020
                                    PAYROLL PERIOD 4-1-2020 THRU 6-30-2020
                                    DUE DATE       July 31, 2020

                                             3 Q                2020

Mail to:
City of Pontiac Withholding Payments
P.O. Box 530
Eaton Rapids, MI 48827-0530

                                    TAX YEAR       2020
                                    PAYROLL PERIOD 7-1-2020 THRU 9-30-2020
                                    DUE DATE       October 31, 2020

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           _______________________                                                                                                                                _______________________
                                                                                                                                                                                                                                                  __________________________                                                                   __________________________                  _________________________ _________________________                                                                                                                               _________________________                                                                                    _________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                               ___________________________                                                                                                                             ___________________________
                                                                                                                                                Business permanently discontinued Business temporarily discontinued Operations will be resumed on (Date)                     Still operating – Ceased paying wages Wages will be paid starting (Date)                     Business sold to Name                      Street                    City                        State__________________________ Zip Code                Moved out of Pontiac                      Street                    City                       State__________________________ Zip Code                Other:                   ______________________________                               ______________________________
Last pay period on which Pontiac Taxes were withheld___________________________ Check reason for “Final Return” and answer applicable questions �                                 �                                                                                          �                                                                                            �                                                                                                                                                        �                    Your current address                                                                                                             �
1.                                                                              2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3.                                                                                                                                4.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           _______________________                                                                                                                                _______________________
                                                                                                                                                                                                                                                  __________________________                                                                   __________________________                  _________________________ _________________________                                                                                                                               _________________________                                                                                    _________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                               ___________________________                                                                                                                             ___________________________
                                                                                                                                                Business permanently discontinued Business temporarily discontinued Operations will be resumed on (Date)                     Still operating – Ceased paying wages Wages will be paid starting (Date)                     Business sold to Name                      Street                    City                        State__________________________ Zip Code                Moved out of Pontiac                      Street                    City                       State__________________________ Zip Code                Other:                   ______________________________                               ______________________________
Last pay period on which Pontiac Taxes were withheld___________________________ Check reason for “Final Return” and answer applicable questions �                                 �                                                                                          �                                                                                            �                                                                                                                                                        �                    Your current address                                                                                                             �
1.                                                                              2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3.                                                                                                                                4.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           _______________________                                                                                                                                _______________________
                                                                                                                                                                                                                                                  __________________________                                                                   __________________________                  _________________________ _________________________                                                                                                                               _________________________                                                                                    _________________________
                                                                                                                                                                                                                                                                                                                                                                                                                                               ___________________________                                                                                                                             ___________________________
                                                                                                                                                Business permanently discontinued Business temporarily discontinued Operations will be resumed on (Date)                     Still operating – Ceased paying wages Wages will be paid starting (Date)                     Business sold to Name                      Street                    City                        State__________________________ Zip Code                Moved out of Pontiac                      Street                    City                       State__________________________ Zip Code                Other:                   ______________________________                               ______________________________
Last pay period on which Pontiac Taxes were withheld___________________________ Check reason for “Final Return” and answer applicable questions �                                 �                                                                                          �                                                                                            �                                                                                                                                                        �                    Your current address                                                                                                             �
1.                                                                              2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3.                                                                                                                                4.

                                                                                                                                       4 Q               2020

                               Mail to:
                               City of Pontiac Withholding Payments
                               P.O. Box 530
                               Eaton Rapids, MI 48827-0530

                                                                                                                       TAX YEAR                   2020
                                                                                                                       PAYROLL PERIOD             10-1-2020 THRU 12-31-2020
                                                                                                                       DUE DATE                   January 31, 2021

                               CITY OF PONTIAC-INCOME TAX DIVISION
                               RECONCILIATION OF PONTIAC INCOME TAX WITHHELD                                                           Copies of PW-2s must accompany this document.
2020                                                                                                                                                                                                                                                                        2020
PW-3                            1. TOTAL PONTIAC TAX WITHHELD DURING YEAR AS SHOWN ON FORMS PW-2 OR W-2 ENCLOSED                     $                (A)                                                                                                                   PW-3
                                2. TOTAL NUMBER OF WITHHOLDING TAX STATEMENTS (FORMS PW-2 OR W-2) TRANSMITTED HEREWITH
                                                                                                                       QUARTER ENDED
IMPORTANT                       3. TOTAL PONTIAC TAX WITHHELD AS SHOWN ON FORMS P-941                                  MARCH 31      $                                                                                                                                      DUE ON
INFORMATION                                 (use other side if forms P-941 were filed monthly)                         QUARTER ENDED                                                                                                                                        OR 
                                                                                                                       JUNE 30
                               THE NAME ADDRESS AND IDENTIFICATION NUMBER ON THIS FORM MUST BE THE SAME AS USED ON     QUARTER ENDED                                                                                                                                        BEFORE
GROSS PAYROLL                                            FORMS P-941 AND PW-2 OR W-2.  IF NOT CORRECT , PLEASE CORRECT SEPTEMBER 30                                                                                                                                         2/28/2021
USED TO CALCULATE                                                                       NAME AND ADDRESS               QUARTER ENDED
PAYROLL TAX                                                                                                            DECEMBER 31
                                                                                                                       TOTAL PAYMENTS
                                                                                                                       TO PONTIAC    $                (B)
                                                                                                                       DIFFERENCE    $                (A-B)
$ ____________________________                                                                                         EMPLOYER IDENTIFICATION NO.

                                                                  SIGNATURE                                                      TITLE                                                                             DATE                                              PHONE #

                                                              4.                                                                                                                                                          3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2.                                                                                                                        1.
                                                              �                                                                                                                                                           Your current address           �                                                                                                                                                                                                         �                                                                                                          �                                                                                                                              �                                                                                                   �       applicable questions Check reason for “Final Return” and answer withheld___________________________                                            Last pay period on which Pontiac Taxes were
______________________________ ______________________________ Other:                    Zip Code                State__________________________ City                        Street                                                                       Moved out of Pontiac        Zip Code                    State__________________________                     City                            Street                        Name                            Business sold to                     (Date)                           Wages will be paid starting          Still operating – Ceased paying wages                                   (Date) Operations will be resumed on                   Business temporarily discontinued                                  Business permanently discontinued
                                                                                                                                                ___________________________                                                                                                                                                                                          ___________________________
                                                              _________________________                                                                                     _________________________                                                                                                                                                                                                _________________________     _________________________                                            __________________________                                                                                          __________________________
                                                                                        _______________________                                                                                                                                                                      _______________________

                               YEARLY TOTAL $                 4TH QUARTER TOTAL $       DECEMBER                NOVEMBER                        OCTOBER                                               3RD QUARTER TOTAL $                      SEPTEMBER                      AUGUST                        JULY                                 2ND QUARTER TOTAL $                            JUNE                           MAY                           APRIL                  1ST QUARTER TOTAL $                            MARCH                             FEBRUARY                                       JANUARY                                                                                  LIST PAYMENTS MADE WITH P941
                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Eaton Rapids, MI 48827-0530
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           EMPLOYER’S RETURNS
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Income Tax Division
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 SUMMARY                                                                                                                                                                                           P.O. Box 530                    City of Pontiac