PDF document
- 1 -
                      2018   CITY OF FLINT

EMPLOYER’S WITHHOLDING TAX FORMS AND INSTRUCTIONS

Dear Employer,
All necessary forms for reporting and remitting City of Flint Income Tax withholding for calendar year 2018 
are enclosed.  Monthly deposit forms and quarterly return forms will no longer be mailed separately. 
PAYMENTS CAN BE MAILED OR PAID ONLINE AT WWW.CITYOFFLINT.COM
Please review the pre-printed forms to see that the correct name, address and Federal Employer Identification
Number are listed.  If an error is noted, file a Notice of Change or Discontinuance.

WHEN PREPARING W-2 FORMS, CLEARLY IDENTIFY THE LOCALITY IN THE APPROPRIATE
BOX OF THE FORM AS            FLINT OR FL.  THIS WILL HELP AVOID CONFUSION WITH OTHER
MICHIGAN CITIES WITH AN INCOME TAX.

WHO IS REQUIRED TO WITHHOLD?
                                                                                                   QUESTIONS?
Every employer who:                                                                                WEBSITE:
1. Has a location in the City of Flint; or                               WWW.CITYOFFLINT.COM
2. Is doing business in the City of Flint.                                                         OR
                                                                                                   CALL
WITHHOLDING RATES:                                                                                 (810) 766-7015

Use 1%  for:
1. Residents of the City of Flint working in Flint.
2. Residents of the City of Flint working outside of Flint who are not subject to withholding for the city where they work.

Use 0.5%  for:
1. Nonresidents of the City of Flint working in Flint.
2. Residents of the City of Flint working in the following cities that also have a city income tax:
                  ALBION                   HIGHLAND PARK MUSKEGON HEIGHTS
                  BATTLE CREEK             HUDSON        PONTIAC
                  BIG RAPIDS               IONIA         PORT HURON
                  DETROIT                  JACKSON       PORTLAND
                  GRAND RAPIDS             LANSING       SAGINAW
                  GRAYLING                 LAPEER        SPRINGFIELD
                  HAMTRAMCK                MUSKEGON      WALKER

                                                                    827-0529  48EATON,             RAPIDS MI
                                                                                                   529PO BOX 
                                                                    ATTN: WITHHOLDING SECTION 
                                                                  CITY OF FLINT INCOME TAX DEPT
                                                                                                     RETURN TO:



- 2 -
                                          CITY OF FLINT
                               INCOME TAX DEPARTMENT

YEAR 2018 INCOME TAX WITHHOLDING FORMS AND INSTRUCTIONS

THIS BOOKLET CONTAINS THE FOLLOWING FORMS AND INSTRUCTIONS:

NOTICE OF CHANGE OR DISCONTINUANCE.

EMPLOYER’S MONTHLY DEPOSIT OF INCOME TAX WITHHELD, FORM F-501 (USED FOR MAKING
DEPOSIT OF TAX WITHHELD DURING FIRST OR SECOND MONTH OF A QUARTER).

EMPLOYER’S QUARTERLY RETURN OF INCOME TAX WITHHELD, FORM F-941 (USED FOR REPORTING
QUARTERLY INCOME TAX WITHHELD).

EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD, 
FORM FW-3.  THIS FORM MUST BE FILED ON OR BEFORE FEBRUARY 28,2019

INSTRUCTIONS FOR EMPLOYER’S MONTHLY DEPOSIT OF INCOME TAX WITHHELD, FORM F-501, AND
EMPLOYER’S QUARTERLY RETURN OF INCOME TAX WITHHELD, FORM F-941.

A monthly deposit is required for the first and/or second month of a quarter when the amount withheld during
the month exceeds $100.00.  Form F-501 is used to make monthly deposits.  Use Form F-941, quarterly return,
to report withholding for a quarter and to remit withholding not deposited during the first or second month of
the quarter.

                     IF TAX WITHHELD DURING A MONTH EXCEEDS $100
                  MONTHLY DEPOSITS, FORM F-501, ARE DUE AS FOLLOWS:
            MONTH             DUE DATE           MONTH                        DUE DATE
            JANUARY           02/     28/2018    JULY                         08/31/2018
            FEBRUARY          03    /31/2018     AUGUST                       09/30/2018
            **MARCH           04/30/2018         **SEPTEMBER                  10/31/2018
            APRIL             05/     31/2018    OCTOBER                      11/30/2018
            MAY               06/30/2018         NOVEMBER                     12/31/2018
            **JUNE            07/     31/2018    **DECEMBER                   01/31/2019

            **USE QUARTERLY FORM F-941

                QUARTERLY RETURNS, FORM F-941, ARE DUE AS FOLLOWS:
            QUARTER           DUE DATE           QUARTER                      DUE DATE
            FIRST             04/30/2018         THIRD                        10/31/2018
            SECOND            07/     31/2018    FOURTH                       01/31/2019

If the necessary forms are not included in this booklet, contact the Income Tax Department via phone at 
(810) 766-7015, or send a letter to:  PO Box 529, Eaton Rapids, MI 48827-0529.

PREPARING W-2 FORMS – IF THE LOCALITY BOX OF THE W2 FORM IS LEFT BLANK OR DOES
NOT CLEARLY IDENTIFY THE LOCALITY AS FLINT OR FL, YOUR EMPLOYEES WILL EXPERI-
ENCE A DELAY IN THE PROCESSING OF THEIR RETURNS.



- 3 -
CITY OF FLINT INCOME TAX DEPT CITY OF FLINT INCOME TAX DEPT
ATTN: WITHHOLDING SECTION     ATTN: WITHHOLDING SECTION
PO BOX   529                  PO BOX 529 
EATON RAPIDS MI 48827-0529    EATON RAPIDS MI 48827-0529 

CITY OF FLINT INCOME TAX DEPT CITY OF FLINT INCOME TAX DEPT
ATTN: WITHHOLDING SECTION     ATTN: WITHHOLDING SECTION
PO BOX 529                    PO BOX 529 
EATON RAPIDS MI 48827-0529    EATON RAPIDS MI 48827-0529 

CITY OF FLINT INCOME TAX DEPT CITY OF FLINT INCOME TAX DEPT
ATTN: WITHHOLDING SECTION     ATTN: WITHHOLDING SECTION
PO BOX 529                    PO BOX 529 
EATON RAPIDS MI 48827-0529    EATON RAPIDS MI 48827-0529 

CITY OF FLINT INCOME TAX DEPT CITY OF FLINT INCOME TAX DEPT
ATTN: WITHHOLDING SECTION     ATTN: WITHHOLDING SECTION
PO BOX 529                    PO BOX 529 
EATON RAPIDS MI 48827-0529    EATON RAPIDS MI 48827-0529 

CITY OF FLINT INCOME TAX DEPT CITY OF FLINT INCOME TAX DEPT
ATTN: WITHHOLDING SECTION     ATTN: WITHHOLDING SECTION
PO BOX 529                    PO BOX 529 
EATON RAPIDS MI 48827-0529    EATON RAPIDS MI 48827-0529 

CITY OF FLINT INCOME TAX DEPT CITY OF FLINT INCOME TAX DEPT
ATTN: WITHHOLDING SECTION     ATTN: WITHHOLDING SECTION
PO BOX 529                    PO BOX 529 
EATON RAPIDS MI 48827-0529    EATON RAPIDS MI 48827-0529 

CITY OF FLINT INCOME TAX DEPT CITY OF FLINT INCOME TAX DEPT 
ATTN: WITHHOLDING SECTION     ATTN: WITHHOLDING SECTION 
PO BOX 529                    PO BOX 529 
EATON RAPIDS MI 48827-0529    EATON RAPIDS MI 48827-0529 



- 4 -
                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1. IDENTIFICATION NUMBER                        2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                           TAXPAYER NAME AND ADDRESS                                                         PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                      MONTH                       YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT   
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT 
                                                                                                                                                                                                             ATTN: WITHHOLDING SECTION
                                  PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -EATON-RAPIDS- - - - - - - - - - - - -,-MI - - -4-8827-529- - --0- - - - - - - - - - -  - -  
CUT ON DOTTED LINE

                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1.      IDENTIFICATION NUMBER                   2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                       MONTH                      YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT
                                                                                                                                                                                                            ATTN: WITHHOLDING SECTION
                                 PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
                                                                                                                                                                                                                 EATON RAPIDS                         , MI  48827 529            -0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  
CUT ON DOTTED LINE

                                 F-941                                                                             FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-941
                                                                                                 EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD 

                                                             1. IDENTIFICATION NUMBER                        2. RETURN PERIOD                              3. DUE ON OR BEFORE                       4. TAX WITHHELD THIS QUARTER

                                                                                                                                                                                                     5. ADJUSTMENTS
                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM
                                                                                                                                                                                                     6. ADJUSTED TAX WITHHELD

                                                                                                                                                                                                     7a. TAX PAID FIRST 
                                                                                                                                                                                                           MONTH OF QUARTER 
                                                                                                                                                                                                     7b. TAX PAID SECOND 
                                                                                                                                                                                                            MONTH OF QUARTER 
                                                                                                                                                                                                     8. AMOUNT DUE 
                                                                                                                                                                                                       (Line 6 less lines 7a and 7b)
                                                                                                                                                                                                       PAY THIS AMOUNT 
                                 SIGNATURE                                                                    TITLE                                                      DATE                          PAY TO:                    TREASURER, CITY OF FLINT FLINT 
                                                                                                                        If final return, check here and                                               MAIL TO:                   CITY OF FLINT INCOME TAX DEPT. 
                                 PRINTED NAME OF SIGNER                                                                  complete Notice of Change or                                                                             ATTN: WITHHOLDING SECTION 
                                                                                                                         Discontinuance in return booklet.                                                                        PO BOX 529
                                                                                                                                                                                                                                  EATON RAPIDS, MI  48827-0529



- 5 -
                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1. IDENTIFICATION NUMBER                        2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                           TAXPAYER NAME AND ADDRESS                                                         PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                      MONTH                       YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT   
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT 
                                                                                                                                                                                                             ATTN: WITHHOLDING SECTION
                                  PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -EATON-RAPIDS- - - - - - - - - - - - -,-MI - - -4-8827-529- - --0- - - - - - - - - - -  - -  
CUT ON DOTTED LINE

                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1.      IDENTIFICATION NUMBER                   2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                       MONTH                      YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT
                                                                                                                                                                                                            ATTN: WITHHOLDING SECTION
                                 PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
                                                                                                                                                                                                                 EATON RAPIDS                         , MI  48827 529            -0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  
CUT ON DOTTED LINE

                                 F-941                                                                             FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-941
                                                                                                 EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD 

                                                             1. IDENTIFICATION NUMBER                        2. RETURN PERIOD                              3. DUE ON OR BEFORE                       4. TAX WITHHELD THIS QUARTER

                                                                                                                                                                                                     5. ADJUSTMENTS
                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM
                                                                                                                                                                                                     6. ADJUSTED TAX WITHHELD

                                                                                                                                                                                                     7a. TAX PAID FIRST 
                                                                                                                                                                                                           MONTH OF QUARTER 
                                                                                                                                                                                                     7b. TAX PAID SECOND 
                                                                                                                                                                                                            MONTH OF QUARTER 
                                                                                                                                                                                                     8. AMOUNT DUE 
                                                                                                                                                                                                       (Line 6 less lines 7a and 7b)
                                                                                                                                                                                                       PAY THIS AMOUNT 
                                 SIGNATURE                                                                    TITLE                                                      DATE                          PAY TO:                    TREASURER, CITY OF FLINT FLINT 
                                                                                                                        If final return, check here and                                               MAIL TO:                   CITY OF FLINT INCOME TAX DEPT. 
                                 PRINTED NAME OF SIGNER                                                                  complete Notice of Change or                                                                             ATTN: WITHHOLDING SECTION 
                                                                                                                         Discontinuance in return booklet.                                                                        PO BOX 529
                                                                                                                                                                                                                                  EATON RAPIDS, MI  48827-0529



- 6 -
                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1. IDENTIFICATION NUMBER                        2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                           TAXPAYER NAME AND ADDRESS                                                         PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                      MONTH                       YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT   
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT 
                                                                                                                                                                                                             ATTN: WITHHOLDING SECTION
                                  PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -EATON-RAPIDS- - - - - - - - - - - - -,-MI - - -4-8827-529- - --0- - - - - - - - - - -  - -  
CUT ON DOTTED LINE

                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1.      IDENTIFICATION NUMBER                   2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                       MONTH                      YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT
                                                                                                                                                                                                            ATTN: WITHHOLDING SECTION
                                 PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
                                                                                                                                                                                                                 EATON RAPIDS                         , MI  48827 529            -0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  
CUT ON DOTTED LINE

                                 F-941                                                                             FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-941
                                                                                                 EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD 

                                                             1. IDENTIFICATION NUMBER                        2. RETURN PERIOD                              3. DUE ON OR BEFORE                       4. TAX WITHHELD THIS QUARTER

                                                                                                                                                                                                     5. ADJUSTMENTS
                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM
                                                                                                                                                                                                     6. ADJUSTED TAX WITHHELD

                                                                                                                                                                                                     7a. TAX PAID FIRST 
                                                                                                                                                                                                           MONTH OF QUARTER 
                                                                                                                                                                                                     7b. TAX PAID SECOND 
                                                                                                                                                                                                            MONTH OF QUARTER 
                                                                                                                                                                                                     8. AMOUNT DUE 
                                                                                                                                                                                                       (Line 6 less lines 7a and 7b)
                                                                                                                                                                                                       PAY THIS AMOUNT 
                                 SIGNATURE                                                                    TITLE                                                      DATE                          PAY TO:                    TREASURER, CITY OF FLINT FLINT 
                                                                                                                        If final return, check here and                                               MAIL TO:                   CITY OF FLINT INCOME TAX DEPT. 
                                 PRINTED NAME OF SIGNER                                                                  complete Notice of Change or                                                                             ATTN: WITHHOLDING SECTION 
                                                                                                                         Discontinuance in return booklet.                                                                        PO BOX 529
                                                                                                                                                                                                                                  EATON RAPIDS, MI  48827-0529



- 7 -
                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1. IDENTIFICATION NUMBER                        2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                           TAXPAYER NAME AND ADDRESS                                                         PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                      MONTH                       YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT   
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT 
                                                                                                                                                                                                             ATTN: WITHHOLDING SECTION
                                  PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -EATON-RAPIDS- - - - - - - - - - - - -,-MI - - -4-8827-529- - --0- - - - - - - - - - -  - -  
CUT ON DOTTED LINE

                                 F   -501                                                                          FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-501
                                                                                                   EMPLOYER'S MONTHLY DEPOSIT OF INCOME TAX WITHHELD 

                                                               1.      IDENTIFICATION NUMBER                   2. DEPOSIT PERIOD                               3. DUE ON OR BEFORE                       4.  WITHHOLDING TAX DEPOSIT

                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM                                                       MONTHLY DEPOSIT OF INCOME TAX 
                                                                                                                                                                                                         IS REQUIRED IF TAX WITHHELD IN FIRST 
                                                                                                                                                                                                         OR SECOND MONTH OF A QUARTER 
                                                                                                                                                                                                         EXCEEDS $100. 
                                                                                                                                                                                                                                            IMPORTANT 
                                                                                                                                                                                                           5.      IF DEPOSIT IS FOR A                       MONTH                      YEAR 
                                                                                                                                                                                                                   PERIOD OTHER THAN 
                                                                                                                                                                                                                   BOX 2, ENTER THE
                                                                                                                                                                                                                   CORRECT PERIOD.
                                                                                                                                                                                                                 MAKE REMITTANCE PAYABLE 
                                                                                                                                                                                                               TO: TREASURER, CITY OF FLINT
                                 SIGNATURE                                                                   TITLE                                                             DATE              MAIL TO: CITY OF FLINT INCOME TAX DEPT
                                                                                                                                                                                                            ATTN: WITHHOLDING SECTION
                                 PRINTED NAME OF SIGNER                                                                                                                                                                                         BOX 529
                                                                                                                                                                                                                 EATON RAPIDS                         , MI  48827 529            -0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  
CUT ON DOTTED LINE

                                 F-941                                                                             FLINT INCOME TAX DEPARTMENT                                                                                                                                 F-941
                                                                                                 EMPLOYER'S QUARTERLY RETURN OF INCOME TAX WITHHELD 

                                                             1. IDENTIFICATION NUMBER                        2. RETURN PERIOD                              3. DUE ON OR BEFORE                       4. TAX WITHHELD THIS QUARTER

                                                                                                                                                                                                     5. ADJUSTMENTS
                                 TAXPAYER NAME AND ADDRESS                                                   PAYABLE ONLINE AT WWW.CITYOFFLINT.COM
                                                                                                                                                                                                     6. ADJUSTED TAX WITHHELD

                                                                                                                                                                                                     7a. TAX PAID FIRST 
                                                                                                                                                                                                           MONTH OF QUARTER 
                                                                                                                                                                                                     7b. TAX PAID SECOND 
                                                                                                                                                                                                            MONTH OF QUARTER 
                                                                                                                                                                                                     8. AMOUNT DUE 
                                                                                                                                                                                                       (Line 6 less lines 7a and 7b)
                                                                                                                                                                                                       PAY THIS AMOUNT 
                                 SIGNATURE                                                                    TITLE                                                      DATE                          PAY TO:                    TREASURER, CITY OF FLINT FLINT 
                                                                                                                        If final return, check here and                                               MAIL TO:                   CITY OF FLINT INCOME TAX DEPT. 
                                 PRINTED NAME OF SIGNER                                                                  complete Notice of Change or                                                                             ATTN: WITHHOLDING SECTION 
                                                                                                                         Discontinuance in return booklet.                                                                        PO BOX 529
                                                                                                                                                                                                                                  EATON RAPIDS, MI  48827-0529



- 8 -
2018    FW-3                                                                                                               FW-3    
                                                  CITY OF FLINT
  EMPLOYER’S ANNUAL RECONCILIATION OF INCOME TAX WITHHELD                                                                  2018
                                                                                                                              
1. EMPLOYER NAME AND ADDRESS                                              2. FEDERAL EMPLOYER IDENTIFICATION NUMBER

                                                                          DUE ON OR BEFORE

                                                                                                       2/28 2019/

                                                  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 DEPARTMENT, WITHHOLDING TAX SECTION, 529BOX PO              ,
  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



- 9 -
                                                                                                                                 F-6-IT
                                                  CITY OF FLINT
                                                  INCOME TAX DEPARTMENT

                                 NOTICE OF CHANGE OR DISCONTINUANCE
ACCOUNT NUMBER (FEIN)                                         CHANGES EFFECTIVE ON (Date)

CURRENT LEGAL NAME                                            CHANGE LEGAL NAME TO:

DBA                                                           CHANGE DBA TO:

CURRENT LEGAL BUSINESS ADDRESS                                CHANGE LEGAL BUSINESS ADDRESS TO:

MAILING ADDRESS                                               CHANGE MAILING ADDRESS TO:

                   Instructions:  Place an “X” in all boxes that apply.  Complete all information for that change.
                                 Write any comments or explanations on back of form.

‰ 1. The Internal Revenue Service assigned us Federal Employer Identification Number: ____________________________________

‰ 2. Our Federal Employer Identification Number is wrong.  The correct number is: _________________________________________

‰ 3. We have incorporated.  Our corporate name is: __________________________________________________________________

‰ 4. Our new corporate Federal Employer Identification Number is: ______________________________________________________

‰ 5. Discontinue our withholding tax registration:

    ‰ We no longer have any business activity in the City of Flint.

    ‰ We closed our business on: ___________________

    ‰ We sold our entire business on: ________________        We sold our business to:

    ‰ We sold part of our business on: _______________        _______________________________________
                                                              _______________________________________
                                                              _______________________________________

                                                              Their FEIN is: ____________________________

‰ 6. Address and phone number where we may be reached following discontinuance of business:

    ______________________  _____________________  _____________  ____  _________  _____________
     CONTACT PERSON              STREET ADDRESS               CITY                 STATE  ZIP CODE                PHONE

‰   7. Change in ownership.  (Please explain on back)

‰   8. Effective _________________, we changed our fiscal year ending from __________ to __________
                      MONTH/YEAR                                                         MONTH       MONTH

‰   9. Other changes.  (Please explain on back)
SIGNATURE OF PREPARER            PRINTED NAME OF PREPARER                   DATE PREPARED      PREPARER’S PHONE NUMBER

                                                                                   (      )         -MAIL THIS NOTICE

AND ANY CORRESPONDENCE TO:  CITY OF FLINT  INCOME TAX  DEPT., Attn: Withholding Section, PO Box 529, Eaton Rapids, MI  48827-0529



- 10 -
                       CITY OF FLINT
                       INCOME TAX DEPARTMENT

INSTRUCTIONS FOR FORM F-501, EMPLOYER’S MONTHLY DEPOSIT OF INCOME TAX WITHHELD,
AND FORM F-941, EMPLOYER’S QUARTERLY RETURN OF INCOME TAX WITHHELD

A. MONTHLY DEPOSITS AND QUARTERLY RETURNS
1. Monthly deposits of Flint income tax withheld are required for each month in which the amount withheld exceeds $100.00.
Monthly deposits are made using Form F-501.  Remittance in full payable to the Flint City Treasurer is required.  Monthly
deposits are due on the last day of the month following the month withheld.  Example:  The monthly deposit, Form F-501,
for May is due June 30.
2. Quarterly returns of Flint income tax withheld are filed using Form F-941.  Remittance payable to Flint City Treasurer is
required.  Quarterly returns and payments are due on the last day of the month following the end of the quarter.  The
quarterly return, Form F-941, for the first quarter is due April 30.
3. Mail monthly deposits, Form F-501, and quarterly returns, Form F-941, to the City of Flint Income Tax Department,
Attn: Withholding Section, PO Box 529, Eaton Rapids, MI  48827-0529. Or pay online at: www.cityofflint.com
4. Withholdings of less than $100.00 per month can be deposited on a quarterly basis using Form F-941.
5. If there are no withholdings for the month, Form F-501 is not required to be filed.

B. INITIAL RETURNS
1. Registration via phone accepted at (810) 766-7015.  Withholding forms and an employer’s registration packet will be
mailed immediately.  Blank forms are available on our website, www.CityofFlint.com
2. If you cannot wait for forms to timely file your first return, include a letter with your withholding tax payment providing
the following information: Name of Business Owner(s), Type of Ownership, Federal Employer Identification Number
(FEIN), d.b.a., address, mailing address and period covered.
3. If you have applied for, but not yet received, an FEIN, write “FEIN Pending” in place of the FEIN.  A temporary number
will be assigned.  Notify the Income Tax Department as soon as you receive your FEIN.
4. If a business is sold or transferred at any point during a reporting period, both the old and new employer must file returns
for the period.  Neither employer should report tax withheld by the other, both employers should use their own FEIN
numbers.   Also see instructions for Final Returns.

C. FINAL RETURNS – NOTICE OF CHANGE OR DISCONTINUANCE
1. If no wages are to be paid in the future, complete and file a Notice of Change or Discontinuance.
2. If the business has been sold or transferred, provide the name of the new owner(s), the date transferred and their FEIN.
Also, provide the name, address and telephone number of the person who will have custody of the books and records of the
discontinued business.
3. When discontinuing a business, the Employer’s Annual Reconciliation of Income Tax Withheld, Form FW-3, and a W-2
form for each employee must be filed.  These forms are due by the end of the month following the end of the quarter of
discontinuance.

D. ALL EMPLOYERS
1. Pre-printed forms should be used in filing returns.  If you do not have forms for filing, contact the Income Tax Department
at (810) 766-7015 so forms can be mailed to you prior to the due date.
2. Verify the name, address and FEIN on the monthly deposit and quarterly return forms (F-501 and F-941).  If an error is
noted, the necessary corrections should be made on the form, and a Notice of Change or Discontinuance should be completed
and filed.
3. Form F-941 provides a space for adjustments to correct mistakes made on prior returns from the current calendar year.
When an adjustment is reported it must be accompanied by a statement explaining the adjustment.       DO NOT TAKE
CREDIT FOR A PRIOR YEAR’S OVERPAYMENT!  You must file a claim for refund of any prior year’s overpayment.






PDF file checksum: 3342511121

(Plugin #1/9.12/13.0)