Form Tc-679a - Transmitter Report Of Magnetic Media Filing
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Utah State Tax Commission
NOTE: This form can be filled in
TC-679A
210 North 1950 West • Salt Lake City, UT 84134 •
using your computer keyboard.
You will then need to print it and
Transmitter Report of Magnetic Media Filing
Rev. 9/02
mail it to the Tax Commission.
for Tax Year _________________
1. Name of transmitter
Office Use Only
Address
City
State
Zip code
2. Name of person to contact about this magnetic media file
Office Use Only
Address
City
State
Zip code
3. Telephone number of contact person
4. Number and type of media:
5. Type of submission (check one only):
W-2s
1099-Rs
TC-675Rs
_____ Magnetic tape(s)
Original
_____ Cartridge(s)
Corrected (amended)
_____ CD(s)
Test
_____ Diskette(s)
Tapes and Cartridges Only
A.
B. Character Set:
C. Tape Density:
D. Block Size:
Non-label, or
EBCDIC
800
6250
___________
IBM OS/VS Standard Label
ASCII
1600
Tape name if labeled: _____________________
Summary of Employers Included on Magnetic Media
Utah
Total Utah
Total Withholding
Name of Employer
Withholding
Number
Total Utah Wages
Withholding per
Reported and
Account
of
per W-2s, 1099-Rs
W-2s, 1099-Rs
Paid to Utah
Number
Forms
or TC-675Rs
or TC-675Rs
during Year
$
$
$
Attach additional pages if needed to report all employees included on the magnetic media.
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Parent category: Financial