Form Wh-1601x - Withholding Tax Payment Form - Columbia

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THIS DOCUMENT CANNOT BE ACCEPTED BY A TELLER
WH-1601X
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 8/23/01)
SC WITHHOLDING TAX PAYMENT
3127
SC EMPLOYER NUMBER
Please Enter Quarter As Follows:
QTR
YEAR
ENTER PAYMENT AMOUNT
QTR
Pay Checks Dated
1 ...................
JAN, FEB, MAR
APR, MAY, JUN
2 ...................
JUL, AUG, SEP
3 ...................
t
14-0811
OCT, NOV, DEC
4 ...................
FEI NUMBER
This document cannot be deposited
at a Financial institution. It must be
mailed to the address below.
(
)
Phone No.
Date
Signature
Mail to: SC Department of Revenue, Withholding, Columbia SC 29214-0004
cut here
THIS DOCUMENT CANNOT BE ACCEPTED BY A TELLER
WH-1601X
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 8/23/01)
SC WITHHOLDING TAX PAYMENT
3127
SC EMPLOYER NUMBER
Please Enter Quarter As Follows:
QTR
YEAR
ENTER PAYMENT AMOUNT
QTR
Pay Checks Dated
1 ...................
JAN, FEB, MAR
APR, MAY, JUN
2 ...................
14-0811
JUL, AUG, SEP
3 ...................
t
OCT, NOV, DEC
4 ...................
FEI NUMBER
This document cannot be deposited
at a Financial institution. It must be
mailed to the address below.
(
)
Phone No.
Date
Signature
Mail to: SC Department of Revenue, Withholding, Columbia SC 29214-0004
cut here
THIS DOCUMENT CANNOT BE ACCEPTED BY A TELLER
WH-1601X
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 8/23/01)
SC WITHHOLDING TAX PAYMENT
3127
SC EMPLOYER NUMBER
Please Enter Quarter As Follows:
QTR
YEAR
ENTER PAYMENT AMOUNT
QTR
Pay Checks Dated
1 ...................
JAN, FEB, MAR
APR, MAY, JUN
2 ...................
JUL, AUG, SEP
14-0811
3 ...................
t
OCT, NOV, DEC
4 ...................
FEI NUMBER
This document cannot be deposited
at a Financial institution. It must be
mailed to the address below.
(
)
Phone No.
Date
Signature
Mail to: SC Department of Revenue, Withholding, Columbia SC 29214-0004

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