Form Mw506a - Employer'S Return Of Income Tax Withheld

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MW506A
Employer’s Return of Income Tax Withheld
Amended Report
Comptroller of Maryland • Revenue Administration Division
110 Carroll Street, Annapolis, Maryland 21411-0001
Corrected for: Period _______ Year _________
Name: ____________________________________________________
FEIN
Registration No.
Previously Reported
Corrected Amounts
DOLLARS
CENTS
DOLLARS
CENTS
Maryland Income
Maryland Income Tax
Tax Withheld
Withheld
Remitted Amount
CREDIT/OVERPAYMENT
REFUND
Make checks payable to:
Comptroller of Maryland - WH Tax
Underpayment/
Remittance
I declare under the penalties of perjury that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge is a true,
correct and complete return.
Signature ____________________________________ Title ______________________________________ Date_____________________________________ Phone ____________________________________
COM/RAD-062
Rev. 07/11

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