Form Wt-7 - Employers Annual Reconciliation

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WT-7
EMPLOYERS
Form
ANNUAL RECONCILIATION
Wisconsin
of Wisconsin Income Tax Withheld
Department of Revenue
2015
<< If not 2015
change year
Please enter 15-digit number (NO DASHES)
Business Name
Wisconsin Tax Account Number
Legal Name
Check here if this is an AMENDED
Mailing Address - Street or PO Box
return
Check here if W-2c is included
City
State
Zip Code
Check if address changed
Use BLACK INK Only
DUE DATE:
February 1, 2016
Check if business discontinued
Change date above if needed. Normally due January 31 following
(enter discontinuation date below)
the calendar year, unless January 31 falls on a weekend.
(MM DD YYYY)
Please complete this form if you have an active account even if you
Federal Employer Identification Number
did not have employees this year.
NO COMMAS
Print numbers like this
Not like this
1. Enter the number of employee W-2s . . . . . . . . . . . . . . . . .
1
2. Enter the number of 1099-MISCs . . . . . . . . . . . . . . . . . . .
2
3
3. Enter the number of other informational returns . . . . . . . .
4. Total (Add lines 1, 2, and 3) . . . . . . . . . . . . . . . . . . . . . . . .
4
5. Total Wisconsin tax withheld shown on W-2s and other information returns . . . . . . . . . . . .
5
6. Wisconsin tax withheld according to payroll records for:
a. Quarter ended March 31 (Months of Jan, Feb, Mar) . . . . . . . . . . . . . . . . . . . . . . . 1
Qtr 6a
st
b. Quarter ended June 30 (Months of Apr, May, June) . . . . . . . . . . . . . . . . . . . . . . .2
Qtr 6b
nd
Qtr 6c
c. Quarter ended September 30 (Months of July, Aug, Sept) . . . . . . . . . . . . . . . . . . 3
rd
d. Quarter ended December 31 (Months of Oct, Nov, Dec) . . . . . . . . . . . . . . . . . . . . 4
Qtr 6d
th
e. Total (Add lines 6a, 6b, 6c, and 6d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL 6e
7. Enter the amount from line 5 or 6e. If the amounts are not equal, enter the larger amount .
7
8
8. Total withholding reported on Deposit Reports (Forms WT-6 or EFT) . . . . . . . . . . . . . . . . .
9. If line 7 is more than line 8, enter the difference on line 9. This is the TAX AMOUNT DUE
9
10. If line 8 is more than line 7, enter the difference as the amount OVERPAID . . . . . . . . . . . . . 10
NOTE: If you are an annual filer, payment should accompany this form.
Phone: (608) 266-2776
Mail your return to:
Email: dorwithholdingtax@revenue.wi.gov
Wisconsin Department of Revenue
PO Box 8981, Madison WI 53708-8981
Website: revenue.wi.gov
I hereby declare that this Reconciliation is true and complete to the best of my knowledge and belief.
Contact Person (please print clearly)
Signature
Phone Number
Date
W-107 (R. 9-14)
Print completed form and remember to add your signature.
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