2020    FW-3                                                                                                               FW-3    
                                                  CITY OF FLINT
  EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD                                                                  2020
                                                                                                                              
1. EMPLOYER NAME AND ADDRESS                                               2. FEDERAL EMPLOYER IDENTIFICATION NUMBER

                                                                           DUE ON OR BEFORE

                                                                                                        2 8/2 /2021

                                                  SUMMARY OF WITHHOLDING TAX PAID
                    MONTH/QUARTER                       TAX WITHHELD                                    WITHHOLDING TAX PAID
                    January
                    February
                     March
                 FIRST QUARTER TOTAL
                     April
                         May
                     June
                 SECOND QUARTER TOTAL
                         July
                     August
                    September
                 THIRD QUARTER TOTAL
                    October
                    November
                    December
                 FOURTH QUARTER TOTAL
                                                        TOTAL WITHHOLDING TAX PAID                   3.
                                                  NUMBER OF W-2 FORMS ATTACHED                       4.
                                                        TOTAL TAX WITHHELD PER W-2(S)                5.
                                                                              BALANCE DUE            6.
                                                  OVERPAYMENT - ATTACH EXPLANATION*                  7.
                                                                           TOTAL PAYROLL             8.
                               *SUBMIT A LETTER EXPLAINING THE OVERPAYMENT AND REQUESTING A REFUND.
9. SIGNATURE                                      10. NAME AND TITLE (Please Print)                                        11. DATE

INSTRUCTIONS FOR EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD
• Check identification information in Box 1 and Box 2.  If incorrect, make corrections and file Notice of Change or Discontinuance, Form F-6-IT.
• Enter tax withheld and tax payment information in the Summary of Withholding Tax Paid section.
• Enter the total withholding tax paid in Box 3.
• Enter the number of W-2 forms attached in Box 4.
• Enter the amount of tax withheld per the W-2 forms attached in Box 5.  Attach an adding machine tape totaling the W-2 forms or include copies of the
  computer generated summary W-2 forms.
• If the withholding tax paid (Box 3) is less than the tax withheld per the W-2 forms (Box 5), enter the balance due in Box 6.  The balance due must be paid in
  full with this FW-3 form.  Make remittance payable to:  FLINT CITY TREASURER
• If the withholding tax paid (Box 3) is greater than the tax withheld per the W-2 forms (Box 5), enter the overpayment in Box 7.  To receive a refund of any
  overpayment, submit a letter explaining the overpayment and requesting a refund.
• If the withholding tax paid (Box 3) equals the tax withheld per the W-2 forms (Box 5), enter a zero (0) in Boxes 6 and 7.
• Sign the return in box 9; Print your name and title in Box 10; and Enter the date signed in Box 11.
• Attach the required copies of the W-2 forms (or electronic media) and payment for any balance due to the completed FW-3 form and mail to:
  CITY OF FLINT  INCOME  TAX DEPARTMEN WITHHOLDINGT,    TAX SECTION,              PO BOX,            529
  EATON RAPIDS, MI  48827-0529 OR PAY ONLINE AT: WWW.CITYOFFLINT.COM
  *PLEASE  VISIT www.cityofflint.com/IncomeTax/forms.asp FOR ELECTRONIC W2  FILING  SPECIFICATIONS