Form Kw-5 - Kansas Withholding Tax Deposit Report
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3Return is located at the bottom of this page
and
the backside is located at the bottom of the next page.
KW-5
KANSAS
FOR OFFICE USE ONLY
WITHHOLDING TAX
1. State Tax
Withheld
DEPOSIT REPORT
(Rev. 9/05)
this Period
Kansas Withholding Tax Account Number
Employer ID Number (EIN)
2. Credit Applied
From
Due Date
Filing Frequency
Pay Days Falling On and Between
___/___/____
(Date)
SIGN
Date
Daytime Phone
Business Name and/or
HERE
Address change.
X
3. Net Amount
Mark this box
Name of Employer/Payor
and complete
the back of
this form.
4. Penalty
5. Interest
Withholding
Amended
Additional
$
Account
6. TOTAL
Return
Return
Closed On:
M
M
D
D
Y
Y
500104
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Parent category: Financial