Form Mw-3 - Montana Annual Wage Withholding Tax Reconciliation - 2012
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1
2MONTANA
2012
MW-3
Rev 05 12
Montana Annual Wage Withholding Tax Reconciliation
-
_______________________________
FEIN
Name
______________________________
Account ID
W T
H
Address
________________________________
______________________________
City
Pay Frequency
________
___________________
0 2 2 8 2 0 1 3
Due Date
State
Zip
If this is an amended return, mark this box.
If your business has ceased and you would like your account closed, mark this box and indicate cease date ___ / ___ / _______.
1. Number of W-2s submitted to Montana
Paper
Electronic
2. Number of Forms 1099 with Montana withholding
reported and submitted to Montana
Paper
Electronic
.
3. Total Montana wages paid
.
4. Total Montana withholding tax withheld
per W-2s and Forms 1099
.
5. Total Montana withholding tax paid
.
6. Difference (line 4 minus line 5)
May we discuss this return with your tax preparer?
Yes
No
If yes, provide preparer name and telephone number below:
________________________________________________
Please complete columns below as described in instructions.
A Deposit Period
B Date(s) Paid to
C Montana Tax Withheld
D Montana Tax Paid
E Difference
End Date(s)
MT DOR
No slashes or dashes in dates please.
M M D D Y Y Y Y
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*11EH0101*
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*12EH0101*
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