Form Ct- 6559a Submitter Report For Form W-2 Magnetic Media Filing
ADVERTISEMENT
1Department of Revenue Services
Form CT- 6559A
State of Connecticut
Continuation Sheet for Form CT-6559
PO Box 2930
Hartford CT 06104-2930
Submitter Report for Form W-2 Magnetic Media Filing
Page ____ of ____
(Rev. 10/03)
See Form CT-6559 for instructions on how to complete this continuation sheet.
Year for which media are submitted
Submitter’s Connecticut Tax Registration Number
Submitter’s Federal Employer Identification Number
Name and address of submitter (include street, PO box, city, state, and ZIP Code)
13. Employer Summary of Form W-2 Magnetic Media Wage Information
13. Employer Summary of Form W-2 Magnetic Media Wage Information
Name of Employer
Name of Employer
Street Address
Street Address
City
State
ZIP
City
State
ZIP
Connecticut Tax Registration Number
Connecticut Tax Registration Number
Federal Employer ID Number
Federal Employer ID Number
Number of W-2s Submitted
Number of W-2s Submitted
Form W-2 - Connecticut Summary
Form W-2 - Connecticut Summary
Total Connecticut Wages Reported
Total Connecticut Wages Reported
Connecticut Tax Withheld From Wages
Connecticut Tax Withheld From Wages
13. Employer Summary of Form W-2 Magnetic Media Wage Information
13. Employer Summary of Form W-2 Magnetic Media Wage Information
Name of Employer
Name of Employer
Street Address
Street Address
City
State
ZIP
City
State
ZIP
Connecticut Tax Registration Number
Connecticut Tax Registration Number
Federal Employer ID Number
Federal Employer ID Number
Number of W-2s Submitted
Number of W-2s Submitted
Form W-2 - Connecticut Summary
Form W-2 - Connecticut Summary
Total Connecticut Wages Reported
Total Connecticut Wages Reported
Connecticut Tax Withheld From Wages
Connecticut Tax Withheld From Wages
13. Employer Summary of Form W-2 Magnetic Media Wage Information
13. Employer Summary of Form W-2 Magnetic Media Wage Information
Name of Employer
Name of Employer
Street Address
Street Address
City
State
ZIP
City
State
ZIP
Connecticut Tax Registration Number
Connecticut Tax Registration Number
Federal Employer ID Number
Federal Employer ID Number
Number of W-2s Submitted
Number of W-2s Submitted
Form W-2 - Connecticut Summary
Form W-2 - Connecticut Summary
Total Connecticut Wages Reported
Total Connecticut Wages Reported
Connecticut Tax Withheld From Wages
Connecticut Tax Withheld From Wages
13. Employer Summary of Form W-2 Magnetic Media Wage Information
13. Employer Summary of Form W-2 Magnetic Media Wage Information
Name of Employer
Name of Employer
Street Address
Street Address
City
State
ZIP
City
State
ZIP
Connecticut Tax Registration Number
Connecticut Tax Registration Number
Federal Employer ID Number
Federal Employer ID Number
Number of W-2s Submitted
Number of W-2s Submitted
Form W-2 - Connecticut Summary
Form W-2 - Connecticut Summary
Total Connecticut Wages Reported
Total Connecticut Wages Reported
Connecticut Tax Withheld From Wages
Connecticut Tax Withheld From Wages
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ct-6559 - Transmitter Report For Form W-2 Magnetic Media Filing - State Of Connecticut
Financial
Form Ct- 6559a - Submitter Report For Form W-2 Compact Disc (cd) Filing Continuation Sheet
Financial
Form Ct- 6559a - Continuation Sheet For Form Ct-6559 Submitter Report For Form W-2 Compact Disc (cd) Filing
Financial
Related Categories
Parent category: Financial