Fillable Form 4: AMENDED Return with Payment WALTON HILLS (Village of Walton Hills)

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Form 4: AMENDED Return with Payment WALTON HILLS (Village of Walton Hills)

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Country of origin: US
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U.S.A. forms for Village of Walton Hills

BROWSE VILLAGE OF WALTON HILLS (OH) FORMS

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FEIN
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Number of employees represented on line No. 1 below
1. Taxable earnings paid all employees subject to
Village of Walton Hills, Ohio, 2.5% (.025) Income Tax
Is this a courtesy withholding? YES
Is this a final return? YES NO
If yes, attach explanation
2. Actual tax withheld in reporting period for Village
income tax
3. Adjustment of tax for prior quarter (see instructions)
6. Total – (Lines 2-5)
I hereby certify that the information and statements
contained herein are true and correct.
(Signed)
(Official Title)
Date
THIS RETURN MUST BE FILED
ON OR BEFORE THE DUE DA
TE SHOWN BELOW
MAKE CHECK OR MONEY ORDER PAYABLE TO:
WALTON HILLS - INCOME TAX
MAIL TO:
INCOME TAX DEPARTMENT
VILLAGE OF WALTON HILLS
7595 Walton Rd.
Walton Hills, OH 44146
Voice (440) 232-7800
VILLAGE OF WALTON HILLS OHIO, EMPLOYER’S RETURN OF TAX WITHHELD
FOR THE MONTH(S) OF
MUST BE RECEIVED BY
Notify the Income Tax Department promptly of any change in ownership.
FORM W1-1222
AMENDED Return with Payment
1
2
3
4
5
6
If receipt is desired, submit additional copy
and enclose self-addressed, stamped envelope.
4. Penalty (See Instructions)
5. Interest (See Instructions)
EMPLOYER NAME/ADDRESS
Phone
Fax (440) 232-4070
Reset Form
Print Form
Please change tax year if necessary
2017
Please select period below
View Instructions/Worksheet
$
IMPORTANT WITHHOLDING TAX CHANGES EFFECTIVE 1-1-2017
Please&read&carefully&to&understand&the&changes&mandated&by&Ohio&Revised&Code&(ORC)&Chapter&718&&
(House&Bill&5&–&Municipal&Income&Tax&Uniformity)&
DEPOSIT%FREQUENCY%REQUIREMENTS:%
MONTHLY$<$&L\RJYVKW$L[WN$KVLON$LJHNQRY$OI$PONQQJRSOHT$OH$NQV$
\KVZOJ[W$UMRVHSMK$YVMK$V`UVVSVS$a4"??$JK$OI$NQV$MLJ[HN$KVb[OKVS$
NJ$XV$PONQQVRS$S[KOHT$MHY$LJHNQ$JI$NQV$\KVZOJ[W$UMRVHSMK$b[MKNVK$
V`UVVSVS$a4##D$The%due%date%is%the%15
th
%of%the%following%month.%
QUARTERLY$<$&L\RJYVKW$UMH$KVLON$b[MKNVKRY$OI$NQVOK$PONQQJRSOHTW$
MKV$[HSVK$NQV$NQKVWQJRS$SVWUKOXVS$IJK$LJHNQRY$IORVKWD$The&due&date&
is&the&last&day&of&the&month&following&the&quarter&end.&
RECONCILIATION%DUE%DATE:%
9QV$KVUJHUOROMNOJH$S[V$SMNV$OW$NQV$RMWN$SMY$JI$:VXK[MKY$JI$NQV$
IJRRJPOHT$YVMKD$
INTEREST%AND %PENALTIES:%
Interest&for&2017$<$1c$\VK$MHH[L $]D!c$\VK$LJHNQ$JK$IKMUNOJH$JI$M$
LJHNQGD$!"#$%&%'$()'(*+'%,(-#($.%(/%,%&+0(&+$%(+#,(1+2(3.+#4%(
+##5+00267$
Late&Payment&Penalty&<$"D#c$\VK$LJHNQ$JK$IKMUNOJH$NQVKVJId$
\VHMRNY$UMHHJN$V`UVVS$!#c$JI$NQV$MLJ[HN$HJN$NOLVRY$\MOSD$
Late&File&Penalty$3$a4!$\VK$LJHNQ$JK$IKMUNOJH$JI$M$LJHN Q$PONQ$M$
LM`OL[L$JI$a2!#D$
Month Due
Ending Date Check# Date Amount
1/31 2/15 ________ ________ ________
2/28 3/15 ________ ________ ________
3/31 4/15 ________ ________ ________
or 1st qtr 4/30 ________ ________ ________
4/30 5/15 ________ ________ ________
5/31 6/15 ________ ________ ________
6/30 7/15 ________ ________ ________
or 2nd qtr 7/31 ________ ________ ________
Month Due
Ending Date Check# Date Amount
7/31 8/15 ________ ________ ________
8/31 9/15 ________ ________ ________
9/30 10/15 ________ ________ ________
or 3rd qtr 10/31 ________ ________ ________
10/31 11/15 ________ ________ ________
11/30 12/15 ________ ________ ________
12/31 1/15 ________ ________ ________
or 4th qtr 1/31 ________ ________ ________
Withholding Tax Worksheet
(Keep for your records – Do not file)
Withholding Tax Worksheet
(Keep for your records – Do not file)
$
$
$
$
$
$
$
$
Helpful&Information&for&Preparing&the&Monthly/Quarterly&Coupon&(Form&W1V1222)&
WHO&MUST&FILE:&
&MUQ$VL\RJYVK$RJUMNVS$PONQOH$JK$SJOHT$X[WOHVWW$PONQOH$NQV$eORRMTV$JI$
BMRNJH$/ORRW.$+QOJ$PQJ$VL\RJYW$JHV$JK$LJKV$\VKWJHW$OW$KVb[OKVS$NJ$
PONQQJRS$BMRNJH$/ORRW$;HUJLV$9M`D$9QV$BMRNJH$/ORRW$OHUJLV$NM`$JI$4D!c$OW$
KVb[OKVS$NJ$XV$PONQQVRS$IKJL$f[MROIYOHT$BMTVW$\MOS$NJ$MRR$VL\ RJ YVVW .$
regardless&of&ageD$
$
DEFINITION&OF&TAXABLE&EARNINGS:&
9QV$NVKL$g9M`MXRV$&MKHOHTWh$QMW$NQV$WMLV$LVMHOHT$MW$gf[MROIYOHT$BMTVWh$
MW$SVIOHVS$OH$+*E$@25D#"$]'GD$:JK$LJWN$VL\RJYVVW$NQOW$OW$NQV$g(VSOUMKV$
BMTVh$MLJ[HND$(VSOUMKV$&`VL\N$&L\RJYVVW$MKV$W[XiVUN$NJ$NQV$WMLV$
KVb[OKVLVHNW$VZVH$NQJ[T Q$C J` $!$JI$NQ V$B 34$OW$XRMH^D$
Includes:%
•! 0#2]jG.$0!@.$MHS$%[\\RVLVHNMR$6HVL\RJYLVHN$EJL\VHWMNOJH$
CVHVIONW$]%6C$\MYG$
•! )JHb[MROIOVS$,VIVKKVS$EJL\VHWMNOJH$=RMHW$
•! %NJU^$+\NOJHW$
Does%NOT%include:%
•! ;*%$%VUNOJH$24!$P M TV W$] E MIV NV KOM $=RM H WG$
Failure&to&File&Return&and&Pay&Tax&
'HY$OHSOZOS[MR.$IOKL$JK$UJK\JKMNOJH$PQJ$IMORW.$HVTRVUNW$JK$KVI[WVW$NJ$IORV$M$
KVN[KH.$PQJ$KVI[WVW$NJ$\MY$NQV$NM `.$\VH M RNOVW$MH S $OHNVKV WN$OL \ JWV S.$P Q J$
KVI[WVW$NJ$\VKLON$NQV$9M`$'SL OH OWNKMNJ K$JK$M HY $S[ RY$M[ NQ JKOk VS $MTVH N$J K$
VL\RJYVV$NJ$V`MLOHV$QOW$XJJ^W.$KVUJKSW$MHS$\M\VKW.$PQJ$^HJPOHTRY$LM^VW$
MH$OHUJL\RVNV.$IMRWV$JK$IKM[S[RVH N$KVN [KH .$J K$P Q J$M NNV L \ NW $NJ $SJ $M HY NQ OH T$
NJ$MZJOS$\MYLVHN$JI$NQV$PQJRV$JK$MH Y$\M KN$JI$NQV$NM `$WQM RR$XV$T[ORNY$JI$M $IOKWN$
SVTKVV$LOWSVLVMHJK$MHS$WQMRR$XV$IOHVS$HJN$LJKV$NQMH$a2.###$JK$
OL\KOWJHVS$IJK$HJN$LJKV$NQMH$1$LJHNQW.$JK$XJ N Q.$IJK$VMUQ$JIIVHWVD$9QV$
IMOR[KV$JI$MHY$NM`\MYVK$NJ$KVUVOZV$JK$\KJU[KV$:JKL$B232444$OW$HJN$
KVMWJHMXRV$UM[WV$IJK$IMOROHT$NJ $L M^V $\MY L VH N$MH S $IORV$M$KVN[KH .$JK$KVROV ZV$
YJ[$JI$YJ[K$JXROTMNOJHW$NJ$IORV$OH$M$NOLVRY$LMHHVKD$
$
'HY$UQVU^$OH$\MYLVHN$JI$NM`.$\VHMRNY$MHSlJK$OHNVKVWN$PQOUQ$OW$KVN[KHVS$NJ$
NQV$eORRMTV$LMK^VS$OHW[IIOUOVHN$I[HSW.$MUUJ[HN$URJWVS$JK$WNJ\$\MYLVHN.$WQMRR$
XV$W[XiVUN$NJ$M$a4#$UQMKTV$IJK$NQV$\[K\JWV$JI$SVIKMYOHT$MSSONOJHMR$
\KJUVWWOHT$V`\VHWVW$OHU[KKVS$XY$NQV$eORRMTVD$
$
9QV$VL\RJYVK$OW$KVW\JHWOXRV$IJK$\MYLVHN$JI$[HSVK3PONQQJRSOHTD$
$
$
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Form 4: AMENDED Return with Payment WALTON HILLS (Village of Walton Hills)

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Completed 17 July 2020

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