Clear Form
MONTANA
Official Use Only
MW-3
Rev. 5-06
MW-3 – Montana Annual Withholding Tax Reconciliation – 2006
Office Use
Only
Pay Frequency _________________________
1. Number of W-2s Enclosed .......................
Due Date ______________________________
2. Number of 1099s with Montana state
FEIN _________________________________
withholding attached (paper required) .....
Acct ID _______________________________
3. Check applicable media:
Paper
Name ________________________________________
Electronic Filing (ePass)
Magnetic
Address ______________________________________
4. Type of return:
City, State, Zip Code ____________________________
Original
Amended
5. Total wages paid subject to
8A. If a difference results in an
overpayment, please refund.
withholding taxes ........................
6. Total Montana tax withheld per
8B. If a difference results in an
W-2s and 1099s ..........................
overpayment, please apply to a future
liability.
7. Withholding tax paid ....................
If a difference results in additional tax
8. Difference (line 6 minus line 7)....
due, please remit your payment with
the attached coupon.
Contact _________________________________________________ Telephone ________________________________
Name _________________________________ FEIN ___________________________Acct ID _____________________
Annual Reconciliation of Withholding Tax – 2006
(make additional copies if necessary)
A
B
C
Deposit Period End Date
Date Paid to the
Tax Withheld
Tax Paid
or Pay Date
Department of Revenue
ALL COLUMNS MUST BE COMPLETED
9. Total Tax Withheld (Column B) __________________
Please send MW-3, W-2s and applicable payment to:
Department of Revenue
10. Total Tax Paid (Column C)
__________________
PO Box 5835
11. Difference (B minus C)
__________________
Helena, MT 59604-5835
An explanation of the difference must be provided: _____________________________________________________