Form W1a 9301 - Withholding Tax Return - Delaware Division Of Revenue - 2017

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DELAWARE DIVISION OF REVENUE
*DF60016019999*
WITHHOLDING TAX RETURN
FORM W1A 9301
DF60016019999
FOR OFFICE USE ONLY
ACCOUNT NUMBER
TAX PERIOD ENDING
DUE ON OR BEFORE
W8
06-03-17
0-000000000-000
06-07-17
JUN 2017
00890608000000000000006031706071700000000000000000000F
Reset
IMPORTANT: MONTHLY AND QUARTERLY FILERS MUST FILE EACH RETURN REGARDLESS
OF THE AMOUNT OF DELAWARE TAXES WITHHELD DURING THE PERIOD INDICATED.
Print Form
If you have questions,
CHANGES MUST BE MADE ON THE REQUEST FOR CHANGE
call (302) 577-8779.
FORM. CHECK THE BOX IF YOU ARE FILING A CHANGE FORM.
1.
DELAWARE INCOME
$
STATE OF DELAWARE
TAX WITHHELD
Mail This Form With
DIVISION OF REVENUE
Remittance Payable To:
P.O. BOx 830
2.
AMOUNT REMITTED
$
WILMINGTON, DE 19899-0830
M M D D
Y Y
If Line 2 does not equal Line 1, indicate the Tax Period End
for which an adjustment is being made and write an explanation on the back of this form.
TELEPHONE NUMBER
M M
D D Y Y
DATE
EMAIL ADDRESS
X
AUTHORIZED SIGNATURE
I declare under penalties of perjury that this is
a true, correct and complete return.
2017 Delaware 8th-Monthly Withholding - Form W1A
FILE THE ENCLOSED EIGHTH MONTHLY RETURNS
2017 on an EIGHTH-MONTHLY basis. This means that within three working days following the end of any deposit or return period during which any
ending dates are: 3rd, 7th, 11th, 15th, 19th, 22nd, 25th and the LAST DAY OF THE MONTH. If your payroll does not end on one of these dates,
use the next succeeding date. For example, for January 2017 the Friday dates are 6, 13, 20, and 27. You use the following coupons - January
7th, 15th, 15th, 22nd and 31st. DO NOT FILE any other January returns. If the date falls on a weekend or holiday, the due date moves to the next
business day.
MANDATORY ELECTRONIC FUNDS TRANSFER PROGRAM (EFT) - Any employer who was required under the Internal Revenue Code to
Electronic Funds Transfer Authorization Agreement and mail it to: PO Box 8911, Wilmington,DE 19899-8911. You may contact the EFT Department
at (302) 577-8231 for further information. The EFTprogram is also available on a voluntary basis.
FILE YOUR ANNUAL RECONCILIATION RETURN - The Annual Reconciliation return is due January 31st following the taxable year and must
1.
Enter your Account Number in the space provided on the form below.
2.
Select the correct tax period ending date. If your payroll date does not fall on the 3rd, 7th, 11th, 15th, 19th, 22nd, 25th or the last day of the
month, use the next succeeding date to report and remit the tax withheld. Your Due Date will automatically appear in the Due On or Before box.
3.
Enter your current business name and mailing address in the space marked Business Name and Mailing Address.
4.
Check the Request for Change Box if you have changes to your Delaware Division of Revenue account information and are remitting a
Request for Change form with this return.
5.
Enter the amount of Delaware Income Tax Withheld during the period in the boxes provided on Line 1.
Enter the amount of tax you are sending with this return on Line 2. If this amount is different from Line 1, indicate the tax period that you are
6.
adjusting in the space provided below Line 2 and write an explanation on the back of the return. If you underpaid tax on a previous return,
add that amount to Line 1 and remit the entire amount with this return. If you overpaid on a previous return,deduct that amount from Line 1
and remit the net amount with this return.
PLEASE NOTE: No credit or refund will be made to any employer if the employer was required and deducted Delaware withholding
withheld income taxes. If the amount of the overpayment is more than what could reasonably be expected to be used throughout
7.
Enter your e-mail address, telephone number and today’s date. Sign the return and send with payment in full (if applicable) to:
State of Delaware, Division of Revenue, PO Box 830, Wilmington, DE 19899-0830

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