Owner, Partner, Member, President, Treasurer
Form MW3
CITY OF GENEVA – INCOME TAX DEPARTMENT
44 NORTH FOREST STREET, GENEVA, OH 44041
PHONE: (440) 466-3913 • www.genevaohio.org
1. Number of W-2’s attached ..............$_________________
2. Number of employees working
in Geneva at year end .....................$_________________
3. Total payroll for the year ..................$_________________
4. Less payroll not subject to tax ........$_________________
Attach explanation
5. Payroll subject to tax.......................$_________________
6. Withholding tax liability at
1.5% of Line 5.................................$_________________
7. Total Geneva tax withheld
per W-2’s .........................................$_________________
8. Quarter ended March 31 .................$_________________
9. Quarter ended June 30....................$_________________
10. Quarter ended September 30..........$_________________
11. Quarter ended December 31...........$_________________
12. Credits from prior year.....................$_________________
13. Total remitted for year......................$_________________
14. Amount due or overpaid*.................$_________________
Difference between Lines 6 and 13
FID#
I hereby certify that the information and statements contained herein are
true and correct.
Signed By _________________________________________________________
Date ______________________________________________________________
Print Name ________________________________________________________
Official Title________________________________________________________
Non-resident Employers
Do you withhold tax as a
courtesy or because the
employee(s) works(s) in the
City of Geneva?
Courtesy
Works in Geneva
*Refunds are NOT automatically issued.
If refund of overpayment is requested
please attach explantation. If additional
tax is due, enclose payment with return.
EMPLOYER NAME/ADDRESS
Account No.
Email
Phone
WITHHOLDING TAX RECONCILIAT ION
RETURN
FOR TAX YEAR
MUST BE RETURNED WITH W-2’S BY THE END OF FEBRUARY
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2017
Please change tax year if necessary
GENERAL INFORMATION
On or before the end of February of each year, each employer must file a withholding reconciliation on the City of Geneva Form MW3.
Copies of all W-2 forms applicable to the reconciliation must be attached. All W-2’s must furnish the name, address, social security number,
gross wages, city tax withheld, name of city for which tax was withheld, and any other compensation paid to the individual. If copies of
the W-2 forms are not available, each employer must provide a listing of all employees subject to Geneva tax. The listing shall require
the same type of information as is required on the W-2 form.
Any individual(s) or business entity compensating individuals on a commission or contract labor basis must furnish copies of the
1099 or appropriate earning statement on or before the end of February of each year. All 1099’s or earnings statements shall require the
same type of information as is required on the W-2 forms as stated above.
SPECIFIC FILING INFORMATION
The front of the Form MW3 must show a breakdown of all withholding payments made quarterly, or monthly, in the boxes provided.
Lines 1-7 must be completed. The total tax paid should be equal to 1.5% of line 5. The completed MW3 form and all attachments must
be submitted to the Income Tax Department, City of Geneva, 44 North Forest St., Geneva, OH 44041, on or before the end of February
of each year. Any questions in completing the Form MW3 should be referred to the Income Tax Department at (440) 466-3913.
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