Form K-96t - Kansas Magnetic Media Transmittal Required W-2 And 1099 Information

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K-96T
KANSAS MAGNETIC MEDIA TRANSMITTAL
TAX YEAR
W-2 and 1099 INFORMATION
(Rev. 11/04)
REQUIRED
Page 1 of
TRANSMITTER EIN (Employer Identification Number)
EMPLOYER IDENTIFICATION NUMBER
TRANSMITTER Name and Address
EMPLOYER Name and Address
CONTACT Name and Telephone and Email Address
Kansas Withholding Account Number
(This information is required)
Total Kansas Wages
Kansas Income Tax Withheld
TYPE OF MEDIA
W-2 MMREF - 1
1099
RECORD SIZE
512
750
TOTAL NUMBER OF CARTRIDGES OR DISKETTES
NUMBER OF ANNUAL WITHHOLDING REPORTS SUBMITTED
COMMENTS
FOR STATE USE ONLY
Times Run
#1
#2
#3
Notes
MAIL MAGNETIC MEDIA TO:
Valid ( V )
Withholding Tax
Invalid ( I )
Kansas Department of Revenue
915 SW Harrison Street
Date Received
Topeka, KS 66625-1000
Uploaded by
Questions regarding the filing of magnetic media?
Reformatted by
EMAIL:
Audit_DiscoveryTeam@kdor.state.ks.us
Date
TELEPHONE:
785-296-0626
Confirmed
CHANNEL MANAGEMENT MEDIA NUMBER

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