Form W1a - Withholding Tax Return - 2012

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DELAWARE DIVISION OF REVENUE
W8
WITHHOLDING TAX RETURN - FORM W1A 9301
ACCOUNT NUMBER
TAX PERIOD ENDING
DUE ON OR BE FORE
Reset
0089-06
DEC 2012
0-000000000-000
12-03-12
12-06-12
Print Form
008906080000000000000
12031212061200000000000000000000
C
IMPORTANT: MONTHLY AND QUARTERLY FILERS MUST FILE EACH RETURN REGARDLESS
OF THE AMOUNT OF DELAWARE TAXES WITHHELD DURING THE PERIOD INDICATED.
CHANGES MUST BE MADE ON THE
REQUEST FOR CHANGE
FORM.
If you have questions,
CHECK THE BOX IF YOU ARE FILING A CHANGE FORM.
call (302) 577-8779.
STATE OF DELAWARE
$
1. DELAWARE INCOME TAX WITHHELD
Mail This Form With
DIVISION OF REVENUE
Remittance Payable To:
P.O. BOX 8754
$
2. AMOUNT REMITTED
WILMINGTON, DE 19899-8754
Business Name and Mailing Address
If Line 2 does not equal Line 1, indicate the Tax Period End
for which an adjustment is being made and write an explanantion on the back.
X
AUTHORIZED SIGNATURE
I declare under penalties of perjury that this is a true, correct and complete return.
TELEPHONE NUMBER
If desired, provide an E-mail address where we may contact you regarding this return.
DATE
2012 Delaware 8th-Monthly Withholding - Form W1A
FILE THE ENCLOSED EIGHTH MONTHLY RETURNS - Use the form above if you are required to file and pay your Delaware
Withholding Tax for 2012 on an EIGHTH-MONTHLY basis. This means that within three working days following the end of any
deposit or return period during which any payments subject to Delaware withholding tax are made, Form W1-A must be filed regardless
of the amount of tax due. The eighth-monthly period ending dates are: 3rd, 7th, 11th, 15th, 19th, 22nd, 25th and the LAST DAY OF
THE MONTH. If your payroll does not end on ones of these dates, use the next succeeding date. For example, for January 2012
the Friday dates are 6, 13, 20, and 27. You use the following coupons - 7th, 15th, 22nd, and 31st. DO NOT FILE any other
January returns. If the date falls on a weekend or holiday, the due date moves to the next business day.
MANDATORY ELECTRONIC FUNDS TRANSFER PROGRAM (EFT) - Any employer who was required under the Internal
Revenue Code to deposit Federal employment taxes by Electronic Funds Transfer this past year, must file electronically for Delaware
this upcoming year as well. If you met this requirement, you must continue filing electronically or face up to a $500 penalty. If you meet
this requirement, complete the enclosed Electronic Funds Transfer Authorization Agreement and mail it to: PO Box 8911, Wilmington,
DE 19899-8911. You may contact the EFT Department at (302) 577-8231 for further information. The EFT program is also available
on a voluntary basis.
FILE YOUR ANNUAL RECONCILIATION RETURN - The Annual Reconciliation return is due February 28th following the taxable
year and must be filed with copies of W-2s and/or 1099s to the address on the form. All employers who are required to file W-2s and
1099s on magnetic media for federal purposes are now required to file those returns on magnetic media for Delaware.
Specific Filing Instructions for 8th-Monthly Filers - Form W1A
1. Enter your Account Number in the space provided on the form below.
2. Select the correct tax period ending date. If your payroll date does not fall on the 3rd, 7th, 11th, 15th, 19th, 22nd, 25th or the last
day of the month, use the next succeeding date to report and remit the tax withheld. Your Due Date will automatically appear in the
Due On or Before box.
3. Enter your current business name and mailing address in the space marked Business Name and Mailing Address.
4. Check the Request for Change Box if you have changes to your Delaware Division of Revenue account information and are
remitting a Request for Change form with this return.
5. Enter the amount of Delaware Income Tax Withheld during the period in the boxes provided on Line 1.
6. Enter the amount of tax you are sending with this return on Line 2. If this amount is different from Line 1, indicate the tax period
that you are adjusting in the space provided below Line 2 and write an explanation on the back of the return. If you underpaid tax
on a previous return, add that amount to Line 1 and remit the entire amount with this return. If you overpaid on a previous return,
deduct that amount from Line 1 and remit the net amount with this return.
PLEASE NOTE: No credit or refund will be made to any employer if the employer was required and deducted Delaware withholding taxes from its
employees. In such case, the employee must file a Delaware personal income tax return to claim the over-withheld income taxes. If the amount of the
overpayment is more than what could reasonably be expected to be used throughout the rest of the calendar year, you may request a refund by filing a
Claim For Revision form (Form 10949W8001). Contact our office at (302) 577-8779 for a claim form. You can also download the form from our web site
at:
7. Enter your e-mail address, telephone number and today’s date. Sign the return and send with payment in full (if applicable) to:
State of Delaware, Division of Revenue, PO Box 8754, Wilmington, DE 19899-8754

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