Form Wa - Oregon Agricultural Annual Withholding Tax Return
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2FORM
OREGON AGRICULTURAL ANNUAL WITHHOLDING TAX RETURN
Year
WA
For 1996 and Subsequent Tax Years
Agricultural employers who qualify to file annually may use this form. Use your federal Form 943 and your
Revenue Use Only
Oregon withholding tax records to complete this information. REMEMBER — the due dates for paying
Date Received
your Oregon withholding taxes are the same as the due dates for making your federal deposits.
THIS RETURN IS DUE BY
NO PAYROLL: If you had no payroll write -0- in Box 1
and Box 2. Sign Form WA and file by the due date.
Business name and address
Business ID Number
BOX 1
Fill in Oregon gross payroll for the calendar year. Include total
1
Fill in Oregon
wages, salaries, commissions, bonuses, fees, etc.
gross payroll paid
BOX 2
Total Oregon
2
Enter total Oregon tax withheld from employees pay this year
tax withheld
(from Sections A and B).
3
Total Oregon
BOX 3
Enter total Oregon tax paid this year.
tax paid
4
BOX 4
AMOUNT DUE—If Box 3 is less than Box 2, enter difference in Box 4.
AMOUNT DUE
Include payment and payment coupon (Form OTC) with this return.
5
CREDIT
BOX 5
CREDIT—If Box 3 is more than Box 2, enter difference in Box 5.
Section A: Complete if you are a monthly depositor. Enter Oregon tax liability in column next to the month liability was incurred.
Tax Liability for Month
Tax Liability for Month Deposit Period Ending
Tax Liability for Month
Deposit Period Ending
Deposit Period Ending
A January 31 ..................
F June 30 .......................
K November 30 ..............
B February 28 ................
G July 31 .......................
L December 31 ..............
C March 31 ....................
H August 31 ...................
Total for year .................
(Enter here and in Box 2 above)
D April 30 .......................
I September 30 .............
E May 31 ........................
J October 31 .................
Section B: You must complete this section if you are required to deposit on a semiweekly basis, or if your federal tax liability
on any day is $100,000 or more. Enter Oregon tax liability here, not deposits.
A. Daily Tax Liability — January
B. Daily Tax Liability — February
A. Daily Tax Liability — March
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Total Liability for Month A ➛
Total Liability for Month B ➛
Total Liability for Month C ➛
1. Total for Quarter (Add lines A, B, and C) ........................................................................................................................................ ➛
Second, third, and fourth quarter information on page 2
150-206-013-1 (Rev. 01-12)
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