Form 44-095 - Withholding Quarterly Return - Iowa Department Of Revenue And Finance

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Line-by-line Instructions for Completing Withholding Quarterly Return
Due Date: Quarterly returns are due the last day of the month following the end of the quarter.
Line 1: Withholding This Quarter – Enter the total tax withheld for the quarter. If no tax has been withheld, enter
zero on this line, sign and return this form.
Line 2: Less Monthly Deposits – Enter the amount of withholding tax deposited for the first two months of the
quarter.
Line 3: Less Adjustments – Enter any adjustments for prior periods. Submit an explanation of the error and identify
the period when the error(s) was made. Enter your total New Jobs Credit, Supplement Jobs Credit or Housing Assistance
Credit for the quarter here and identify the entry with the appropriate initials – NJC, SJC or HAC.
Line 4: Balance Due – Subtract line 2 and line 3 from line 1.
Line 5: Penalty – If you owe penalty, compute the penalty on the amount on line 4 and enter on line 5.
Line 6: Interest – If you owe interest, compute the interest on the amount on line 4 and enter on line 6.
Line 7: Amount Due – Add lines 4, 5 and 6. Make check payable to TREASURER-STATE OF IOWA.
Penalty for Failure to Timely File a Return or Deposit: A penalty of 10% of the tax due will be added for failure
to timely file a return or deposit if at least 90% of the correct amount of tax is not paid by the due date. The penalty can
only be waived under limited circumstances.
Penalty for Failure to Timely Pay the Tax Due or Penalty for Audit Deficiency: A penalty of 5% of the tax due
will be added if the return/deposit is mailed timely but 90% of the correct amount of tax is not paid by the due date. The
penalty can only be waived under limited circumstances.
If both penalties apply, only the failure to file penalty is charged.
Interest: Taxes payable during calendar year 2000 are subject to interest at a rate of 0.8% per month which accrues
on unpaid tax from the due date of the deposit or return. Any fraction of a month is considered a whole month for
purposes of computing interest. The interest rate varies on an annual basis.
Signature of Withholding Agent: The person signing the return must be the individual responsible for actually
withholding and remitting withholding taxes and can be held personally liable for unpaid taxes. The return must be
signed and dated to be complete.
Mail To: Iowa Department of Revenue and Finance, PO Box 10411, Des Moines IA 50306-0411.
Withholding Tax Guide: The current Iowa Withholding Tax Guide, dated January 1, 1998, and additional information
may be obtained by...
Web Site:
Tax Fax: 1-800-572-3943 to have forms faxed to you
Recorded Information: 1-800-351-4658 (Iowa only) or 515/281-4170
Telephone: 1-800-532-1531 (Iowa only) or 515/281-7239 to order forms and publications.
Taxpayer Services to talk to a tax specialist: 1-800-367-3388 (Iowa, Omaha, Rock Island/Moline) or 515/281-
3114 from out of state or Des Moines. Monday, Tuesday, Thursday: 8 a.m. - 4 p.m.; Wednesday, Friday: 9 a.m. - 4 p.m.
DETACH HERE
I OWA
Withholding Quarterly Return
d e p a r t m e n t o f R eve n u e a n d F i n a n c e
1. Total Tax
Withheld
This Quarter
2. This Quarter’s
Monthly
Deposits
3. Less
Employer ID Number
Period Ending
Adjustments/
Credits
4. Balance Due
Due Date
Subtract lines 2
and 3 from line 1.
5. Penalty
Name and Address
6. Interest
7. Amount Due
MAKE CHECK PAYABLE TO
Signature of Withholding Agent ___________________________ Date _________
TREASURER - STATE OF IOWA
Daytime Phone No.: ______________________
44-095a (10/99)

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