Form Mw-1 - Withholding Payment Form printable pdf download

Form Mw-1 - Withholding Payment Form

Attention

Montana Department of Revenue Cashier

Withholding Payment Form

Complete the coupon below to ensure proper credit of your payment. If you are paying taxes for

multiple years or periods, submit a separate check or money order and a separate coupon for

each tax year or period.

Boxes 1 through 3 - Print an ”X” in one box only for payment frequency.

Box 1, if your payment frequency is accelerated

Box 2, if your payment frequency is monthly

Box 3, if your payment frequency is annual

Box 4, is the period your payment is for

Box 5, federal employer identification number

Box 6, amount paid

Business Name

Address

Contact Name

Phone

Mail this entire form with your check and return to:

Department of Revenue

PO Box 5805

Helena, MT 59604-5805

Questions? Call (406) 444-6900

Make checks payable to the Department or Revenue

Form MW-1

Withholding Payment Form

month

day

year

4. Period End Date

Payment Frequency

Federal Employer

1. Accelerated

Identification

Number (FEIN)

2. Monthly

3. Annual

6. Amount Paid

Form Mw-1 - Withholding Payment Form