Form 44-100 - Withholding Amended Return

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Line-By-Line Instructions for Completing the Withholding Amended Quarterly Return
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DETACH HERE
Iowa Department of Revenue
Withholding Amended Return
1. Total Tax
Withheld
This Quarter
2. This Quarter’s
Monthly
Deposits
3. Less
s
s
Employer ID Number
Period Ending
Adjustments/
Credits
4. Balance Due
Due Date
Subtract lines 2
and 3 from line 1.
5. Penalty
Name and Address
s
6. Interest
s
7. Amount Due
s
MAKE CHECK PAYABLE TO
Signature of Withholding Agent ___________________________ Date _________
TREASURER - STATE OF IOWA
Daytime Phone No.: ______________________
44-100 (9/16/03)

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