Form Ctb 105 - Reconciliation Of Earned Income Tax Withheld From Wages

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RECONCILIATION OF EARNED INCOME TAX WITHHELD FROM WAGES
CTB 105
1. TOTAL NUMBER OF WITHHOLDING
1.
STATEMENTS ENCLOSED.
2. TOTAL EARNED INCOME TAX WITHHELD
FROM WAGES. (INCLUDE ADDING MACHINE
2.
$
TAPE AS PROOF OF TOTAL)
3. TOTAL EARNED INCOME TAX WITHHELD
FROM WAGES AS REPORTED ON
QUARTERLY REPORT FORMS.
$
(A) QUARTER ENDING MARCH 31
TOTAL
(B) QUARTER ENDING JUNE 30
(C) QUARTER ENDING SEPTEMBER 30
PACKAGE ____________________ OF _______________________
3.
$
(D) QUARTER ENDING DECEMBER 31
RETURN ORIGINAL TO
EMPLOYER’S
INCOME TAX OFFICER
NAME
AND
ADDRESS
FOR OFFICE USE ONLY
DATE:___________________ QUARTER______
YEAR:_________ BY: _____________________
INSTRUCTIONS
1. This form is to be filed on or before February 28. The form must be accompanied by a Withholding Statement (W-2) for
each employee who was subject to the Tax and / or from whom earned income tax has been withheld. An additional copy
of a Federal form W-2 may be used in lieu of the withholding statement.
2. Any difference between the amounts shown on Totals 2 and 3 must be fully explained in an attached statement.
3. The total of earned income taxes withheld and reported on withholding forms (W-2’s) is to be entered on line 2. Please
Include an adding machine tape as proof of this total.
4. The total of earned income taxes withheld and paid on prior quarters must be entered in item 3.
5. Where the number of Withholding Statements is large, they may be forwarded in packages of convenient size. When this is
done, the packages should be identified with the name of the employer and consecutively numbered. Place this form in
package number 1 and the number of packages should be indicated under the employer’s name on this form.
RETAIN A COPY FOR YOUR RECORDS

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