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                     IMPORTANT TAX INFORMATION
CITY OF DUBLIN, OHIO 
DIVISION OF TAXATION
PO Box 9062
Dublin OH 43017-0962

           EMPLOYER QUARTERLY WITHHOLDING BOOKLET



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                                     SPECIFIC INSTRUCTIONS – READ CAREFULLY

• An employer is required to withhold only on “qualifying wages,” which are     • The IRS requires, but currently does not enforce, the inclusion of incentive
  wages as defined in Internal Revenue Code Section 3121(a), generally the      stock option and employee stock purchase plan option income in Medicare
  Medicare Wage Box of the Form W-2.                                            Wages.  You must comply with the IRS requirements regarding these types
MEDICARE EXEMPT EMPLOYEES – are subject to the requirements                   of stock option income when calculating “qualifying wages” based on
  for “qualifying wages” in the Medicare Wage Box of the Form W-2 even          Medicare wages.  Please consult your tax advisor regarding your specific
  though that box will remain blank.                                            compensation program and its effect on calculating “qualifying wages.”
CAFETERIA PLANS – Internal Revenue Codes Section 125 wages are                LINE 1 –  Enter total compensation PAID to all Dublin taxable employees
  not included in the definition of Medicare wages and no modification from            during the period for which return is made.
  the amount reported is necessary for City tax reporting purposes.             LINE 2 –  Enter total Actual tax withheld from taxable employees during the
401 (K), 457 AND SUPPLEMENTAL UNEMPLOYMENT COMPENSATION                              period for City of Dublin Income Tax.
  BENEFITS – These items should all be included in the Medicare Wage Box        LINE 3 –  Adjust current payment of actual tax withheld for underpayment 
  and are subject to withholding requirements.                                         in previous period.  If claiming an overpayment from a prior 
NONQUALIFIED DEFERRED COMPENSATION PLAN – Income from the                            period, attach a letter requesting the overpayment be transferred 
  nonqualified plans is included in the definition of “qualifying wages” at the        to this period.
  time the income is deferred and is subject to withholding requirements.       LINE 4 – Penalty – 50%
STOCK OPTIONS – Income from the exercise of stock options is                  LINE 5 –  Interest – .50% per month 
  included in the definition of “qualifying wages” and is subject to            LINE 6 –  Total (lines 2-5)
  withholding requirements.



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           CITY OF DUBLIN, OHIO, EMPLOYER’S                                                                                               Print        Reset Form
           QUARTERLY RETURN OF TAX WITHHELD                                                                              AMENDED            RETURN WITH PAYMENT
1. Taxable Earnings paid all Employees subject                                                     DO NOT ROUND          I hereby certify that the information and statements
   to City of Dublin, Ohio, 2% (.02) Income Tax............................... 1.                                        contained herein are true and correct.
   Is this a courtesy withholding?..........................         YES                                                 (Print Name) 
   Is this a final return?.......................................... YES  NO
   If yes, attach explanation                                                                                            (Signed) 
2. Actual Tax Withheld in month/quarter for City Income Tax                                                              (Official Title)                      Date 
   2a.  Amount of Dublin Tax Withheld............................................. 2a.
   2b.  Amount of Residence Tax Withheld...................................... 2b.                                       Federal ID no. 
3. Adjustment of Tax for prior quarter (see instructions).................. 3.                                           Phone 
4. Penalty (50%)................................................................................ 4.
5. Interest (.50% per month) ............................................................ 5.                             MAKE CHECK OR MONEY ORDER PAYABLE TO 
                                                                                                                                          CITY OF DUBLIN 
6. Total – (Lines 2-5).......................................................................... 6.
                                                                                                                                          MAIL TO:
NAME AND ADDRESS                                                                                   FOR THE PERIOD ENDING                  DIVISION OF TAXATION
                                                                                                   MARCH 31, 2020                         CITY OF DUBLIN            1
                                                                                                                                          P.O. BOX 9062
                                                                                                   DUE ON OR BEFORE                       DUBLIN, OHIO 43017-0962
                                                                                                   APRIL 30, 2020                     TELEPHONE (614) 410-4460
Notify the Income Tax Division promptly of any change in ownership or name and address shown above.                      If receipt is desired, submit additional copy 
FORM DWQ-1                                                                                                               and enclose self-addressed, stamped envelope.



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           CITY OF DUBLIN, OHIO, EMPLOYER’S
           QUARTERLY RETURN OF TAX WITHHELD                                                                              AMENDED            RETURN WITH PAYMENT
1. Taxable Earnings paid all Employees subject                                                     DO NOT ROUND          I hereby certify that the information and statements
   to City of Dublin, Ohio, 2% (.02) Income Tax............................... 1.                                        contained herein are true and correct.
   Is this a courtesy withholding?..........................         YES                                                 (Print Name) 
   Is this a final return?.......................................... YES  NO
   If yes, attach explanation                                                                                            (Signed) 
2. Actual Tax Withheld in month/quarter for City Income Tax                                                              (Official Title)                      Date 
   2a.  Amount of Dublin Tax Withheld............................................. 2a.
   2b.  Amount of Residence Tax Withheld...................................... 2b.                                       Federal ID no. 
3. Adjustment of Tax for prior quarter (see instructions).................. 3.                                           Phone 
4. Penalty (50%)................................................................................ 4.
5. Interest (.50% per month) ............................................................ 5.                             MAKE CHECK OR MONEY ORDER PAYABLE TO 
                                                                                                                                          CITY OF DUBLIN 
6. Total – (Lines 2-5).......................................................................... 6.
                                                                                                                                          MAIL TO:
NAME AND ADDRESS                                                                                   FOR THE PERIOD ENDING                  DIVISION OF TAXATION
                                                                                                   JUNE 30, 2020                          CITY OF DUBLIN            2
                                                                                                                                          P.O. BOX 9062
                                                                                                   DUE ON OR BEFORE                       DUBLIN, OHIO 43017-0962
                                                                                                   JULY 31, 2020                      TELEPHONE (614) 410-4460
Notify the Income Tax Division promptly of any change in ownership or name and address shown above.                      If receipt is desired, submit additional copy 
FORM DWQ-1                                                                                                               and enclose self-addressed, stamped envelope.



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           CITY OF DUBLIN, OHIO, EMPLOYER’S
           QUARTERLY RETURN OF TAX WITHHELD                                                                              AMENDED            RETURN WITH PAYMENT
1. Taxable Earnings paid all Employees subject                                                     DO NOT ROUND          I hereby certify that the information and statements
   to City of Dublin, Ohio, 2% (.02) Income Tax............................... 1.                                        contained herein are true and correct.
   Is this a courtesy withholding?..........................         YES                                                 (Print Name) 
   Is this a final return?.......................................... YES  NO
   If yes, attach explanation                                                                                            (Signed) 
2. Actual Tax Withheld in month/quarter for City Income Tax                                                              (Official Title)                      Date 
   2a.  Amount of Dublin Tax Withheld............................................. 2a.
   2b.  Amount of Residence Tax Withheld...................................... 2b.                                       Federal ID no. 
3. Adjustment of Tax for prior quarter (see instructions).................. 3.                                           Phone 
4. Penalty (50%)................................................................................ 4.
5. Interest (.50% per month) ............................................................ 5.                             MAKE CHECK OR MONEY ORDER PAYABLE TO 
                                                                                                                                          CITY OF DUBLIN 
6. Total – (Lines 2-5).......................................................................... 6.
                                                                                                                                          MAIL TO:
NAME AND ADDRESS                                                                                   FOR THE PERIOD ENDING                  DIVISION OF TAXATION
                                                                                                   SEPTEMBER 30, 2020                     CITY OF DUBLIN            3
                                                                                                                                          P.O. BOX 9062
                                                                                                   DUE ON OR BEFORE                       DUBLIN, OHIO 43017-0962
                                                                                                   OCTOBER 31, 2020                   TELEPHONE (614) 410-4460
Notify the Income Tax Division promptly of any change in ownership or name and address shown above.                      If receipt is desired, submit additional copy 
FORM DWQ-1                                                                                                               and enclose self-addressed, stamped envelope.



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           CITY OF DUBLIN, OHIO, EMPLOYER’S
           QUARTERLY RETURN OF TAX WITHHELD                                                                              AMENDED            RETURN WITH PAYMENT
1. Taxable Earnings paid all Employees subject                                                     DO NOT ROUND          I hereby certify that the information and statements
   to City of Dublin, Ohio, 2% (.02) Income Tax............................... 1.                                        contained herein are true and correct.
   Is this a courtesy withholding?..........................         YES                                                 (Print Name) 
   Is this a final return?.......................................... YES  NO
   If yes, attach explanation                                                                                            (Signed) 
2. Actual Tax Withheld in month/quarter for City Income Tax                                                              (Official Title)                      Date 
   2a.  Amount of Dublin Tax Withheld............................................. 2a.
   2b.  Amount of Residence Tax Withheld...................................... 2b.                                       Federal ID no. 
3. Adjustment of Tax for prior quarter (see instructions).................. 3.                                           Phone 
4. Penalty (50%)................................................................................ 4.
5. Interest (.50% per month) ............................................................ 5.                             MAKE CHECK OR MONEY ORDER PAYABLE TO 
                                                                                                                                          CITY OF DUBLIN 
6. Total – (Lines 2-5).......................................................................... 6.
                                                                                                                                          MAIL TO:
NAME AND ADDRESS                                                                                   FOR THE PERIOD ENDING                  DIVISION OF TAXATION
                                                                                                   DECEMBER 31, 2020                      CITY OF DUBLIN            4
                                                                                                                                          P.O. BOX 9062
                                                                                                   DUE ON OR BEFORE                       DUBLIN, OHIO 43017-0962
                                                                                                   FEBRUARY 1, 2021                   TELEPHONE (614) 410-4460
Notify the Income Tax Division promptly of any change in ownership or name and address shown above.                      If receipt is desired, submit additional copy 
FORM DWQ-1                                                                                                               and enclose self-addressed, stamped envelope.



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                                    GENERAL INFORMATION

1. Each employer located or doing business within the City of Dublin, Ohio,    3. The failure of any employer to receive or procure form DWQ-1 is not
who employs one or more persons is required to withhold the tax of 2.0%           reasonable cause for failing to make payment and to file a return. If you
from all employee compensation at the time of payment and shall remit tax         temporarily discontinue paying wages but anticipate future wages, you
to the City of Dublin Income Tax Division. Note: As an employer, if the           must nevertheless file a return. If you no longer expect to pay wages
Medicare Wage Box is not the largest wage figure on the W-2 form, a               subject to the tax reportable on this form, you must file a “final return.” If at
written explanation is required.                                                  some future date you resume paying wages subject to Dublin municipal
Deposit requirements:                                                             income tax, notify this office to receive the proper forms. Failure to receive
                                                                                  the required form does not relieve you of your obligations to file timely.
• Quarterly – if less than $200 per month is withheld, the deposit must be
received by the City of Dublin by the last day of the month following the      4. Any person, including corporations, partnerships, employers, estates and
end of a quarterly period.                                                        trusts who files 250 or more information returns of form W-2 for any
                                                                                  calendar year must file these returns using magnetic media or such other
• Monthly – if more than $200 but less than $1,000 is withheld for a              process as determined acceptable to the Director of Taxation. All
monthly period, the deposit must be received by the City of Dublin by             requirements apply separately to both original and corrected forms.
the 15th day of the following month.
                                                                               5. An annual reconciliation is required to be filed with copies of federal form 
• Semi-monthly – if more than $1,000 per month is withheld (or $12,000            W-2 according to IRS guidelines following each calendar year.
per year) the deposits must be received by the City of Dublin within 
three banking days after the 15th and the last day of each month.              6. Online Tax Calculation is now available through the City of Dublin
                                                                                  Website. Log on and click the Online Tax Tool link. Follow the
2. Delinquent returns and payments shall be subject to penalty and interest at    instructions to create a new account. The information you need is
the rate of 50% penalty and .50% per month, or fraction thereof, for interest.    included on your withholding coupons.



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          CITY OF DUBLIN ANNUAL                       JANUARY        JULY                ALL SECTIONS 
          RECONCILIATION RETURN                                                  MUST BE COMPLETED
                                                      FEBRUARY       AUGUST
                                                                                 1. TOTAL NUMBER 
W-2’S MUST BE ATTACHED                                                           DUBLIN W-2’S
MAIL TO:  DIVISION OF TAXATION                        MARCH          SEPTEMBER   2. DUBLIN WAGES 
                                                                                 SUBJECT TO 
          CITY OF DUBLIN                              1ST QUARTER    3RD QUARTER WITHHOLDING TAX      $
          P.O. BOX 9062                                                          3. AMOUNT OF DUBLIN 
          DUBLIN, OHIO 43017-0962                                                TAX WITHHELD         $
          PHONE: (614) 410-4460                       APRIL          OCTOBER     4. AMOUNT OF 
                                                                                 RESIDENCE 
FOR TAX YEAR ENDING 2020        DUE FEBRUARY 28, 2021 MAY            NOVEMBER    TAX WITHHELD         $
          PAYMENT ENCLOSED                                                       5. ADJUSTMENTS       $
          REFUND REQUESTED                            JUNE           DECEMBER    6. PAYMENTS 
                                                                                 ALREADY MADE         $
                        SEE INSTRUCTIONS              2ND QUARTER    4TH QUARTER 7. TOTAL DUBLIN 
                                                                                 TAX DUE              $
NAME & ADDRESS (Below):         FIN:
                                                      I hereby certify that the information and statements contained herein are true and correct.
                                                      Print Name 
                                                      Signed Title 
                                                      Federal ID no.                             Date 
FORM D-W3                                             Phone no. 






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