Form Ow-9-A - Oklahoma Employers Withholding Tax Payment Voucher

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ITW
3000401
000
Withholding Tax Payment Record
Semi-Weekly Payors Not Paying by EFT
Instructions...
The Witholding Tax Payment Voucher Must be Submitted with each payment by check for those
employers not making payments by electronic funds transfer (EFT).
How to Complete the Withholding Voucher...
Please verify any preprinted information. If any preprinted information is incorrect, please cross it out and
enter the correct information above the item crossed out. If any item is not preprinted, please complete
as follows:
A. Enter the Federal Employers Identification Number.
B. Enter the month and year of the reporting period.
C. Enter the date on which employees were paid.
D. Enter the amount of Oklahoma income tax withheld from the wages of your employees
for the pay period reported.
E. Enter the amount of withholding tax being paid with the voucher, including any interest
and penalty due.
Remember, you must also file an Oklahoma Employers Withholding Tax Report each month on or before
the 20th day of the following month. This report must be filed electronically. You may file your report by
using our QuickTax Business Tax Filing System which is on our website at Click on the
QuickTax logo. Please see additional
Record of Withholding Payments
instructions on reverse side.
month
date paid
amount
Write your Federal Employer Identification
Number on your check and mail it with your
completed voucher.
Please use the pre-addressed return envelope
provided. Do not send cash. Do not enclose any
other tax reports/correspondence in this envelope.
Mandatory inclusion of Social Security and/or Federal Employer
Identification Numbers is required on forms filed with the
Oklahoma Tax Commission pursuant to Title 68 of the
Oklahoma Statutes and regulations thereunder, for identification
purposes, and is deemed part of the confidential files and
records of the Oklahoma Tax Commission.
total
The Oklahoma Tax Commission is not required to give actual notice of changes in any state law.
special note...
To ensure that your voucher will be properly processed,
1 2 3 4 5 6 7 8 9 0 X
please print all figures as shown at the right.
ITW
3000401
000
Oklahoma Employers Withholding
Tax Payment Voucher
A
B
C
D
Taxpayer FEI
Reporting Period
Date Payroll Paid
Oklahoma Tax Withheld
E
Amount Paid
dollars
cents
Name • Address • City • State • Zip
OW-9-A Revised 1-2010

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