West Virginia Withholding Annual Reconciliation Form
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1STATE OF WEST VIRGINIA
State Tax Department, Fast Enterprises
210 Brooks Street
Charleston, WV 25301
Joe Manchin III, Governor
Virgil T. Helton, Tax Commissioner
ANY TAXPAYER
L1572454400
Letter ID:
123 ANY ST
02/9/2007
Issued:
ANY TOWN WV 55555-5555
9800-6536
Account ID:
WEST VIRGINIA WITHHOLDING ANNUAL RECONCILIATION
All returns should be carefully reviewed for accuracy prior to submission since errors delay the processing
of returns and may result in a recomputation notice. For information regarding recomp notices, visit our
website at
MAKE CHECKS PAYABLE TO:
MAIL TO:
WEST VIRGINIA STATE TAX DEPARTMENT
WEST VIRGINIA STATE TAX DEPARTMENT
INTERNAL AUDITING DIVISION
FOR ASSISTANCE CALL: (304) 558-3333
P.O. BOX 1667
TOLL FREE (800) 982-8297
CHARLESTON, WV 25326-1667
Visit our web site at for on-line filing information.
PLEASE CUT HERE. USE BLUE OR BLACK INK TO COMPLETE VOUCHER. DO NOT WRITE IN BARCODE AREA.
WITHHOLDING ANNUAL
WV/IT103 v.24
RECONCILIATION RETURN
Period:
Account ID #
Dec 31, 2007
1. FIRST QUARTER
,
,
.
Due:
Feb 28, 2008
9800-6536
2. SECOND QUARTER
,
,
.
ANY TAXPAYER
3. THIRD QUARTER
,
,
.
123 ANY ST
ANY TOWN WV 55555-5555
4. FOURTH QUARTER
,
,
.
,
,
.
5. TOTAL FOR THE YEAR
SIGNATURE
DATE
6. NUMBER OF W-2 STATEMENTS TRANSMITTED
7. TOTAL WV TAX SHOWN
,
,
.
AS WITHHELD BY ALL
STATEMENTS TRANSMITTED
00013009735685
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