Form Wtqm - Withholding Tax Return

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WITHHOLDING TAX RETURN
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
QUARTERLY/MONTHLY
DIVISION OF TAXATION - DEPT#200 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
TEMPORARY
Use in lieu of preprinted coupon booklet
WTQM
NAME
ADDRESS
FEDERAL
IDENTIFICATION
NUMBER
CITY, STATE, ZIP CODE
RETURN FOR
QUARTER/MONTHLY
PERIOD ENDING
TAX AMOUNT
I HEREBY CERTIFY THAT THIS RETURN TO THE BEST OF MY KNOWLEDGE AND
,
,
.
DUE AND PAID
BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN.
SIGNATURE OF OWNER, PARTNER OR AUTHORIZED AGENT
TITLE
DATE
WITHHOLDING TAX RETURN
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
QUARTERLY/MONTHLY
DIVISION OF TAXATION - DEPT#200 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
TEMPORARY
Use in lieu of preprinted coupon booklet
WTQM
NAME
ADDRESS
FEDERAL
IDENTIFICATION
NUMBER
CITY, STATE, ZIP CODE
RETURN FOR
QUARTER/MONTHLY
PERIOD ENDING
TAX AMOUNT
I HEREBY CERTIFY THAT THIS RETURN TO THE BEST OF MY KNOWLEDGE AND
,
,
.
DUE AND PAID
BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN.
TITLE
SIGNATURE OF OWNER, PARTNER OR AUTHORIZED AGENT
DATE
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DEPARTMENT OF REVENUE
DIVISION OF TAXATION
INSTRUCTIONS FOR PREPARING QUARTERLY/MONTHLY RETURN
DUE WITHIN THREE (3) BANKING DAYS AFTER THE LAST DAY OF THE QUARTER/MONTHLY PERIOD
GENERAL INSTRUCTIONS
WHO MUST USE THIS FORM
a. Enter the employer’s name and address in the appropriate sections above.
This form must be used by employers who withhold $600 or more, but less than $24,000
from employees’ wages for a calendar month.
b. Enter the employer’s Federal Identification Number in the section marked “FEDERAL
IDENTIFICATION NUMBER”.
Consecutive returns for each quarter/monthly period accounting for all taxes withheld
during the year must be filed by an employer required to report quarter/monthly. If no tax
c. Enter the quarter/monthly period covered by this return in the section marked “RETURN
was withheld during a particular quarter/monthly period, a return is still required to be
FOR QUARTER/MONTHLY PERIOD ENDING”. Returns and remittances should be for all
filed for such period. In this case, enter $0 in the “TAX AMOUNT DUE AND PAID” box.
income taxes withheld from wages paid during the quarter/monthly period.
If the amount withheld reaches or exceeds $24,000.00 for any calendar month, the
d. Enter the amount withheld and remitted in the section marked “TAX AMOUNT DUE
employer must begin to the file daily. Daily filings are due the next banking day after the
AND PAID”.
payroll is paid.
e. The return must be signed. The person signing must also identify themselves as
An annual reconciliation of tax withheld must be filed by the employer with the Division of
“owner”, “partner”, or in the case of a corporation, “treasurer” etc.
Taxation on or before February 28th.
Electronic Funds Transfer (EFT) is mandated for some taxpayers. Both ACH credit and ACH debit methods are available. For information or authorization
on Electronic Funds Transfer, please call (401) 574-8732 or (401) 574-8901 . You can also visit for more information.

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