Form 5335 - Withholding Compensation Worksheet
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1MISSOURI DEPARTMENT OF REVENUE
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TAXATION DIVISION
FORM
WITHHOLDING COMPENSATION WORKSHEET
5335
This form is to assist employers in tracking the timely compensation
deduction for employer withholding tax. It should not be submitted
(REV. 03-2011)
to the Department of Revenue.
TAXPAYER RECORD
TOTAL
1ST $5,000 AT
2ND $5,000 AT
OVER $10,000 AT
TOTAL AMOUNT
TAX WITHHELD
MONTH
COMPENSATION
2% DEDUCTION
1% DEDUCTION
1/2% DEDUCTION
PAID
DEDUCTION
JANUARY
00
00
00
00
00
00
FEBRUARY
00
00
00
00
00
00
MARCH
00
00
00
00
00
00
APRIL
00
00
00
00
00
00
MAY
00
00
00
00
00
00
JUNE
00
00
00
00
00
00
JULY
00
00
00
00
00
00
AUGUST
00
00
00
00
00
00
SEPTEMBER
00
00
00
00
00
00
OCTOBER
00
00
00
00
00
00
NOVEMBER
00
00
00
00
00
00
DECEMBER
00
00
00
00
00
00
(CANNOT EXCEED)
(CANNOT EXCEED)
0
0
0
0
00
00
00
00
TOTALS
$50.00
$100.00
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