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                              CITY OF HIGHLAND PARK INSTRUCTIONS FOR HP-941/501
A monthly payment of Highland Park income tax withheld is required for each month in which the amount withheld exceeds $100.00 Payment is due on or before 
the last day of the month following the month in which the taxes were withheld
A quarterly payment is allowed when the amount withheld does not exceed $100.00 per month. Payment of withholding on a quarterly basis is due on or before 
the last day of the month following the quarter in which the taxes were withheld.
Lines 1, 2, & 3 reflect the amount of taxes withheld for each month of the period
Line 4 reflects the total tax withheld for the quarter.
Lines 5 & 6, if applicable see below.
Line 7 is amount to be paid with this return.
Note: This form must be filed. If you have not withheld during the quarter, you must nevertheless file a return with the notation “None” on line 7. Checks should be 
made payable to “Treasurer, City of Highland Park and mailed to: City of Highland Park, Income Tax, c/o P.O. Box 239 Eaton Rapids, Mi 48827-0239.
Adjustment of Income Tax Withheld Lines 5 & 6 is used to correct errors made on prior returns for the current calendar year. DO NOT MAKE ADJUSTMENTS FOR 
UNDERCOLLECTIONS OR OVERCOLLECTIONS APPLICABLE TO A PRIOR YEAR. CONSULT THE INCOME TAX BY CALLING (313) 800-5233, Ext 363.
Employer I.D. #-Your Federal Employer Identification Number is used by the City of Highland Park and is printed on your Form HP-941/501. If a new employer has 
not received a Federal Identification Number, the City will assign a temporary one. This will be in effect until the Federal number is assigned. A Federal Identification 
Number may be obtained from any Internal Revenue district office by filing Form SS-4. IN NO CASE SHOULD AN EMPLOYER USE A NUMBER ASSIGNED TO 
A PRIOR OWNER.
Correcting Preprinted Data-If your payment is for a different period than indicated or employer identification number is incorrect, the necessary corrections should 
be made on the face of the form. Address change may be made on separate address change voucher.
Final Return-If you do not expect to pay wages subject to tax in the future you must file a HP-941/501. Complete Forms W-2, Withholding Tax Statement and  W-3 
Reconciliation of Income Tax Withheld, and mail within 30 days to City of Highland Park Income Tax, c/o P.O. Box 239 Eaton Rapids, Mi 48827-0239.
Sale or Transfer of Business-If a business is sold or transferred, each employer must file a separate return. Neither employer should report wages paid by the 
other employer.
If a statutory merger or consolidation occurs, the  continuing corporation will file in the same manner as it does for Federal withholding.

                        INSTRUCTIONS FOR HPW-3
Who must file – Every employer must file for HPW-3 for the previous year on or before 
the last day of February. (Please note that the remittance of fourth quarter tax withheld is        RETAIN AS EMPLOYER’S
due on or before January 31).                                                                      WORK SHEET TO RECORD
      Form HPW-3 serves as the transmittal statement for Form W-2 Copy A.
                                                                                                    DETAILS ON HP-941/501
      W-2 must be submitted for each Employee
      a.  From whom Highland Park tax has been withheld during the year, or                  _____________________________
      b.  Who earned wages in Highland Park or lived in Highland Park during the year,         JANUARY                                                                           
        even though no income tax was withheld.                                              ____________________
                                                                                               FEBRUARY
Information Required                                                                         ____________________
      Form W-2 must set forth employer’s name, address, identification number and               MARCH
                                                                                             ____________________
        1.  Employee’s name and address
                                                                                               QUARTER ENDED MARCH 31  $
        2.  Employee’s social security number                                                ___________________. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
        3.  Total compensation paid during the year                                            APRIL
                                                                                             ____________________
        4.  Amount of Highland Park Income Tax withheld.
                                                                                               MAY
      This information must be furnished to the City on Copy A or Copy 1                     ____________________
      of approved W-2.                                                                         JUNE
                                                                                             ____________________
Reconciliation – The reconciliation or Form HPW-3 applies only to City of Highland Park 
income taxes withheld. Line 1 must be supported by a detailed listing (such as an adding       QUARTER ENDED JUNE 30                      $
                                                                                             ___________________. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
machine tape) indicating the total of taxes as shown on W-2s. Line 2 must state the total      JULY
amounts paid as per the summary on the reverse side of Form HPW-3. Do not list               ____________________
payments for more than one calendar year. Each year is reconciled separately.                  AUGUST
                                                                                             ____________________
Filing – Form HPW-3 must be filed. If line 1 is greater than line 2 payment must  
accompany Form HPW-3 (Make checks payable to “Treasurer, City of Highland Park).               SEPTEMBER
                                                                                             ____________________
If line 2 is greater than line 1 attach an explanation and request a refund of the             QUARTER ENDED SEPT 30                      $
overpayment. DO NOT TAKE CREDIT ON ANY HP941/501, a refund will be issued                    ___________________. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
by the City after verification of the facts.                                                    OCTOBER
                                                                                             ____________________
Mailing – Mail completed form HPW-3 with forms W-2 to: City of Highland Park, Income 
Tax, c/o P.O. Box 239 Eaton Rapids, Mi 48827-0239. Postal rules require that this material     NOVEMBER
                                                                                             ____________________
be sent First Class mail. Large numbers of Form W-2 may be forwarded in more than one          DECEMBER
package. Packages should be numbered serially as part of a group (E.G. 1 of 5, 2 of 5, 3 of  ____________________
5, 4 of 5, 5 of 5) and be clearly marked with the name of the employer account to which they   QUARTER ENDED DEC. 31                      $
belong.                                                                                      ___________________. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
Employers desiring further information may call (313) 800-5233, Ext 363.
                                                                                                      TOTAL PAID $ __________________






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