Form Kw-5 - Kansas Withholding Tax Deposit
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1FOR OFFICE USE ONLY
KW-5
KANSAS
,
,
.
1. State Tax
Withheld
WITHHOLDING TAX
(Rev. 8/98)
DEPOSIT REPORT
THIS BOX FOR OFFICE USE ONLY
2.
Credit
FEDERAL EMPLOYER’S ID NUMBER
,
,
.
Applied
From Date
____/____/___
PAY DAYS FALLING ON AND BETWEEN
DUE DATE
FILING FREQUENCY
,
.
,
3.
Net
EMPLOYER’S NAME
Mark "X" in box if
Amount
name or address
has changed
,
.
,
If filled in, please
4.
Penalty
complete a KW-15
form
,
,
.
Business
Mark "X" in box if
Mark "X" in box if
5.
Interest
Discontinued
Amended return
Additional Return
Effective:
I certify this report is correct.
.
,
,
$
TOTAL
6.
SIGN
HERE
500199
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Parent category: Financial