Transmittal For Virginia W-2 Information On Magnetic Media Form printable pdf download

Transmittal For Virginia W-2 Information On Magnetic Media Form

Boxes 1-6 and 9 MUST be completed. Payroll Services MUST ﬁ ll out page 2 of the transmittal.

1. Tax Year

____ ____ ____ ____

Transmittal for Virginia W-2 Information

on Magnetic Media

Total Virginia Taxes Withheld

(See reversed side for Instructions)

3. Number and type of reporting

2. Federal Employer Identiﬁ cation

4. Transmitter’s magnetic media

medium

Number of Transmitter

inventory numbers ( if any)

________

3480 or 3490 Cartridge

________

CD’s

________

Diskette(s)

5. Annual or Final Summary of Income Tax Withheld, Form VA-6, or

Business iFile conﬁ rmation, check one:

______ Enclosed

______ Sent by mail iFile

______ Will be mailed later

6. Name and address of transmitter, include street, city, state, and Zip code:

Telephone Number

( ____ ) _________________ ___

7. Name and address of payroll contact, if different from 6:

Telephone Number

( ____ ) _______________

8. Name and address of programming contact, if different from 6:

Telephone Number

( ____ ) _______________

9. I declare that I have examined this information and to the best of my knowledge and belief it is true, correct, and

complete.

______________________________________

____________________

SIGNATURE

DATE

Send magnetic media package with copy of transmittal to:

DEPARTMENT OF TAXATION

W-2 PROCESSING

P.O. BOX 1278

RICHMOND, VIRGINIA 23218-1278

Transmittal For Virginia W-2 Information On Magnetic Media Form

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