Form Mw 506a - Employer'S Return Of Income Tax Withheld

Employer’s Return of Income Tax Withheld

MW 506A

Amended Report

Comptroller of Maryland

COM/RAD-062

Revenue Administration Division

Rev. 11/02

Annapolis, Maryland 21411-0001

Correction for: _____ Period ____ Year ____

FEIN

: _____________________________________________

Name

Registration No.

Correct Reported

Previously Reported

Maryland

Maryland

State Income

State Income

Tax Withheld

Tax Withheld

Remitted

Amount

Overpayment

Make checks payable to:

Underpayment/

Comptroller of Maryland - WH Tax

Remittance

I declare under the penalties of perjury that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and belief is a true, correct and complete report.

PN: 00253 (11/03)

Signature _____________________________________ Title _________________________________ Date ___________________________ Telephone no. ____________________________