Instructions For Preparing Form W-3
Reconciliation of Income Tax Withheld From Wages



The original of this reconciliation form must be filed with the Income Tax Department - 100 N. Seltzer Street - Crestline, Ohio 44827 on or before February 28, unless written request for extension has been made to and granted (in writing) by the Administrator. This form must be accompanied by copes of employee's statement (Form W2) showing: (1) name and address of employee; (2) social security number; (3) gross earnings paid before any payroll deductions; (4) amount of Crestline and other village income tax withheld; and (5) name, address and Crestline ID number of employer. An adding machine tape, listing and amounts of Crestline income tax withheld, as indicated by individual employee's statements, should be attached thereto.


If amount reported in Medicare Wage Box is not the largest figure on W-2, employer shall file a written explanation.


If Line 5 indicates a balance due, the amount thereof should accompany this return.

Any person, firm or corporation required to file a W-3 Wage Reconciliation Form under section 181.05(e) and fails to do so by February 28 following the close of the calendar year shall be assessed a penalty of Ten Dollars ($10.00) for each W-2 covered or One Hundred Dollars ($100.00), whichever is greater.