Arizona Form A1-Apr - Arizona Annual Payment Withholding Tax Return

1999

Arizona Annual Payment Withholding Tax Return

ARIZONA FORM

A1-APR

For the calendar year 1999

305

Mail to: Arizona Department of Revenue, PO Box 29009, Phoenix AZ 85038-9009

310

Make checks payable to: Arizona Department of Revenue

B/D

State withholding number

Federal employer identification number

For DOR Use Only

Amended

0499

Check this box to cancel withholding account. Complete the explanation section on page 2. (See

P/M

instructions). Enter date final wages paid _________________________________________

Arizona Withholding Tax Liability

1. 1st quarter withholding .........................................................................................................

......

2. 2nd quarter withholding .........................................................................................................................

3. 3rd quarter withholding ..........................................................................................................................

4. 4th quarter withholding ..........................................................................................................................

5. Total withholding liability for 1999 - Original Returns: Total should equal amount on line 14.

Amended Returns: See instructions ...................................................................................................................................

......

Tax Payments

6. Withholding tax payments previously made for 1999 - See instructions ...............................................

7. Amount of tax paid when filing extension request (Form A1-APR EXT) - see instructions ...................

8. Total payments - see instructions .......................................................................................................................................................

9. Balance of tax due - If line 5 is larger than line 8, enter balance of tax due. Skip line 10.

Payment must accompany return. .......................................................................................................................................................

10. Overpayment of tax - If line 8 is larger than line 5, enter overpayment of tax ...................................................................................

Ext. Code

Federal Form Transmittal Information for an Original Form A1-APR

11. Number of employees in 1999. ...........................................................................................................................................................

12. Total wages paid to employees for 1999. ...........................................................................................................................................

13. Number of federal Forms W-2, W-2c, W-2G, and 1099-R submitted. ................................................................................................

14. Total amount of Arizona income tax withheld (as shown on federal Forms W-2, W-2c, W-2G, and 1099-R). ...................................

ADOR 03-0007 (99)