Form 44-101 - Withholding Monthly Deposit
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1Line-by-line Instructions for Completing Withholding Deposit - Monthly
Due Date:
Line 1:
Line 2:
Line 3:
Line 4:
Line 5:
Line 6:
Penalty for Failure to Timely File a Return or Deposit:
Penalty for Failure to Timely Pay the Tax Due or Penalty for Audit Deficiency:
If both penalties apply, only the failure to file penalty is charged.
Interest:
Signature of Withholding Agent:
Mail To:
u Withholding Tax Guide:
u Web Site:
u E-mail:
u Tax Fax:
u Telephone:
u Questions?
u E-mail:
u Call:
u Recorded Information:
DETACH HERE
Iowa Department of Revenue
Withholding Monthly Deposit
1. Withholding
This Period
2. Less Credits/
Adjustments
3. Balance Due
s
s
Employer ID Number
Period Ending
4. Penalty
Due Date
s
5. Interest
Name and Address
s
6. Amount Due
s
MAKE CHECK PAYABLE TO
TREASURER - STATE OF IOWA
Signature of Withholding Agent ___________________________ Date _________
44-101 (9/16/03)
Daytime Phone No.: ______________________
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Parent category: Financial