Form Tc-679a - Transmitter Report Of Magnetic Media Filing

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Clear form
NOTE: This form can be filled in
Utah State Tax Commission
using your computer keyboard.
TC-679A
210 North 1950 West • Salt Lake City, UT 84134 •
You will then need to print it and
Transmitter Report of Magnetic Media Filing
mail it to the Tax Commission.
Rev. 11/05
for Tax Year _________________
Beginning Jan. 1, 2007, annual filing of W-2 forms by magnetic media will be discontinued. Magnetic media for 1099R and TC-675R will
still be accepted. See Pub 32 for more information.
1. Name of transmitter
Transmitter FEIN
Office Use Only
Address
City
State
Zip code
2. Name of person to contact about this magnetic media file
Office Use Only
Address
City
State
Zip code
3. Telephone number of contact person
Email address of contact person
4. Number and type of media:
5. Type of submission (check one only):
W-2s
1099-Rs
TC-675Rs
_____ CD(s)
Original
_____ Diskette(s)
Corrected (amended)
_____ Cartridge(s) (1099Rs only)
Test
Summary of Employers Included on Magnetic Media
Federal
Utah
Total Utah
Name of Employer
Employer
Withholding
Number
Total Utah Wages
Withholding per
Identification
Account
of
per W-2s, 1099-Rs
W-2s, 1099-Rs
Number (FEIN)
Number
Forms
or TC-675Rs
or TC-675Rs
$
$
Attach additional pages if needed to report all employees included on the magnetic media.

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