Withholding Tax
WH-1
0805
State Form 44468
Check here if location permanently closed.
Date closed
.
Total Indiana State and County
W
,
,
▲
▲
▲
Taxes Withheld ................................................. 1.
.
,
,
Phone # (
)
Date
▲
▲
▲
IN Advance EIC Payments ............................... 2.
.
Line 1 minus Line 2. If no tax is due enter (.00)
,
,
▲
▲
▲
on Line 3 ........................................................... 3.
If late, penalty is greater of $5 or 10% of Line 3,
.
,
,
▲
▲
▲
plus interest ....................................................... 4.
.
The 2006 annual interest rate is
%.
.
$
,
,
▲
▲
Total Amount Due ....................... 5.
INDIANA DEPARTMENT OF REVENUE
P. O. BOX 7221
INDIANAPOLIS, IN 46207-7221
Fold on perforation before tearing
Withholding Tax
WH-1
0805
State Form 44468
Check here if location permanently closed.
Date closed
.
W
Total Indiana State and County
,
,
▲
▲
▲
Taxes Withheld ................................................. 1.
.
,
,
Phone # (
)
Date
▲
▲
▲
IN Advance EIC Payments ............................... 2.
.
Line 1 minus Line 2. If no tax is due enter (.00)
,
,
▲
▲
▲
on Line 3 ........................................................... 3.
If late, penalty is greater of $5 or 10% of Line 3,
.
,
,
▲
▲
▲
plus interest ....................................................... 4.
.
The 2006 annual interest rate is
%.
.
$
,
,
▲
▲
Total Amount Due ....................... 5.
INDIANA DEPARTMENT OF REVENUE
P. O. BOX 7221
INDIANAPOLIS, IN 46207-7221
Fold on perforation before tearing
Withholding Tax
WH-1
0805
State Form 44468
Check here if location permanently closed.
Date closed
.
W
Total Indiana State and County
,
,
▲
▲
▲
Taxes Withheld ................................................. 1.
.
,
,
Phone # (
)
Date
▲
▲
▲
IN Advance EIC Payments ............................... 2.
.
Line 1 minus Line 2. If no tax is due enter (.00)
,
,
▲
▲
▲
on Line 3 ........................................................... 3.
If late, penalty is greater of $5 or 10% of Line 3,
.
,
,
▲
▲
▲
plus interest ....................................................... 4.
.
The 2006 annual interest rate is
%.
.
$
,
,
▲
▲
Total Amount Due ....................... 5.
INDIANA DEPARTMENT OF REVENUE
P. O. BOX 7221
INDIANAPOLIS, IN 46207-7221