Clear Form
MONTANA
2011
MW-3
Rev 06 11
Montana Annual Wage Withholding Tax Reconciliation
-
_______________________________
FEIN
Name
______________________________
Account ID
W T
H
Address
________________________________
______________________________
City
Pay Frequency
________
___________________
0 2 2 8 2 0 1 2
Due Date
State
Zip
May we discuss this return with your tax preparer?
Yes
No
X
◄ If this is an amended return,
mark this box.
If yes, provide preparer name and telephone number
below.
◄ If you would like your account closed,
__________________________________________
X
mark this box.
1. Number of W-2s submitted to Montana
Paper
Electronic
Number of 1099s with Montana withholding reported
2.
and submitted to Montana
Paper
Electronic
If you were not required to withhold Montana wage withholding tax in 2011, please do not complete lines 3 through 7.
.
3. Total Montana wages paid subject to withholding tax
.
Total Montana wage withholding tax withheld
4.
per W-2s and 1099s
.
5. Total Montana wage withholding tax paid
.
6. Difference (line 4 minus line 5)
If you have an overpayment on line 6, please
7.
Please send refund
Please apply to a future liability
X
mark the appropriate box
Please complete columns A and B below using the date format shown.
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*
*11EH0101*