Form Kw-5 - Kansas Withholding Tax Deposit Report - 2005
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1
2KANSAS
KW-5
FOR OFFICE USE ONLY
WITHHOLDING TAX
1. State Tax
,
,
.
Withheld
(Rev. 9/05)
DEPOSIT REPORT
this Period
Kansas Withholding Tax Account Number
Employer ID Number (EIN)
__ __ __ __ __ __ __ __ __ __ __
036-
F
2. Credit Applied
,
,
.
From
Due Date
Filing Frequency
Pay Days Falling On and Between
___/___/____
(Date)
Date
Daytime Phone
SIGN
Business Name and/or
HERE
Address change.
,
,
X
.
3. Net Amount
Mark this box
Name of Employer/Payor
and complete
the back of
this form.
4. Penalty
5. Interest
Withholding
,
, , , ,
Amended
Additional
$
.
Account
6. TOTAL
Return
Return
Closed On:
M
M
D
D
Y
Y
500104
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