Form Va-6h - Household Employer'S Annual Summary Of Virginia Income Tax Withheld
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1Household
Employer’s Annual Summary of Virginia Income Tax Withheld Instructions
completed Form R-3, Registration Change Request, or a letter to the
General: Effective for taxable years beginning on or after January
Virginia Department of Taxation, P.O. Box 1114, Richmond, Virginia
1, 2009, certain employers of household service employees may
23218-1114. Form R-3 is available at , or by
elect to file and pay the Virginia income tax withheld from their
calling the Forms Request Unit at (804) 440-2541.
employees’ salaries on an annual basis at the same time they submit
the employees’ Forms W-2 for the year. In order to qualify for the
Questions: If you have any questions about this return, call (804)
annual filing, an employer must have a total payroll in each calendar
367-8037 or write the Virginia Department of Taxation, P.O. Box
quarter that does not exceed $5,000, regardless of the number of
1115, Richmond, Virginia 23218-1115.
persons providing the domestic service. The employment must consist
Worksheet: Complete this worksheet and transfer line entries to
exclusively of domestic service in the private home of the employer.
the corresponding line numbers on Form VA-6H below. Retain the
The first annual return and payment under the new filing status will be
worksheet for your records.
due on February 28, 2010. See Tax Bulletin 08-12, available on the
Lines 1 - 4: Enter the total quarterly wages in Column B and the total
Tax Policy Library at .
quarterly Virginia income tax withheld in Column C.
To register for this annual filing option, go to the Department’s website
Line 5: Enter the total of Virginia income tax withheld in Lines 1C
at and use iReg or complete and file Form
through 4C.
R-1H, also available on the Department’s website.
Line 6: Enter the amount of payments submitted during the period in
If total payroll exceeds $5,000 for any calendar quarter during the year,
Column C.
file and pay withholding taxes periodically during the year following
Line 7: Enter the net amount due in Column C.
the rules for businesses. Visit our website at
Line 8: Enter the total number of W-2 statements (state copy) sent
for more information.
with this return in Column C.
Form VA-6H must be filed by all employers registered to file and
C. Virginia Tax
pay household withholding annually. The Form VA-6H must be
A. Quarter
B. Total Wages
Withheld
accompanied by a Wage and Tax Statement (Form W-2, State copy)
1. First Quarter
for EACH employee the employer had during the year (including those
(January - March)
from whom no taxes were withheld).
2. Second Quarter
(April - June)
Filing Procedure: File form VA-6H and Form W-2, by February 28 of
3. Third Quarter
the year following the calendar year in which taxes were withheld from
(July - September)
employees. File and pay electronically using eForms or Business iFile
4. Fourth Quarter
at , or mail Form VA-6H with your payment to
(October - December)
the Virginia Department of Taxation, P.O. Box 27736, Richmond,
5. Total Virginia Income Tax Withheld Add lines 1C through 4C
Virginia 23261-7736. A return must be filed even if no tax is due.
If you file the return and/or pay the tax after the due date, a penalty
6. Payments (if any) Made During Period
will be assessed. The penalty is 6% of the tax due for each month or
7. Net Amount Due - Line 5 minus Line 6. If you overpaid, fill in the
fraction of a month, not to exceed 30%. For late filing and payment,
refund box on line 7C of Form VA-6H.
interest is assessed at the rate established in Section 6621 of the
8. Total Number of Statements - Enter the total number of
Internal Revenue Code, plus 2%.
W-2 statements sent with this return
Payments returned by the bank will be subject to a returned payment
Preparation of Return: Transfer the entries from the worksheet above
fee in addition to any other penalties that may be incurred.
to the corresponding line numbers on the Form VA-6H.
Change of Address/No Longer Employ Household Staff: If you
Declaration and Signature: Be sure to sign and date the return.
change your address or no longer employ household staff, send a
File and pay online at . It’s fast, easy and secure. Plus it’s free!
DETACH AT DOTTED LINE BELOW. DO NOT SEND ENTIRE PAGE.
Household Employer’s Annual Summary of Virginia Income Tax Withheld
Form VA-6H
Due February 28
VA Department of Taxation
(DOC ID 366)
For assistance, call (804)367-8037.
P.O. Box 27736
Richmond VA 23261-7736
Calendar Year
FEIN
1B. First Quarter Wages
2B. Second Quarter Wages
0000000000000000 3668888 00000
3B. Third Quarter Wages
4B. Fourth Quarter Wages
ACCOUNT NUMBER
5C. Total VA Tax Withheld
NAME
6C. Previously Submitted Payments
PHYSICAL ADDRESS
7C. Net Amount
Due from Line 7
CITY STATE ZIP
PHONE NUMBER
.
Refund
I declare that this return (including accompanying schedules and statements) has been examined by me and to the best
8C. Total Number of Statements
of my knowledge and belief is true, correct and complete.
Number of W-2 statements sent
with this return
Signature
Date
Do not write in the space to the right.
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