Form A-3 - Annual Reconciliation Of Alabama Income Tax Withheld

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PLEASE NOTE
The Alabama Department of Revenue requires employers submitting 25 or more W-2’s
to electronically submit both the Form A-3 and W-2’s on-line.
Please click here to electronically file your Form A-3 and W-2’s on-line.
INSTRUCTIONS FOR PREPARING FORM A-3
DUE DATE – Form A-3, Annual Reconciliation of Income Tax Withheld, is due on or before the last day of February following the end of the year being filed.
Forms W-2 and 1099 with Alabama income tax withheld must be submitted with Form A-3. Employers submitting 25 or more W-2’s are required to file these
electronically.
STEP 1 – Enter the amounts of Alabama income tax withheld in the appropriate spaces in Column 1 on the right side of Form A-3. You must list monthly
amounts if (a) you withheld $1000 or more during any single month of the year, or (b) you filed on a monthly basis during the year. Otherwise, you may list
only quarterly amounts.
STEP 2 – Enter in the appropriate spaces in Column 2 the amounts of Alabama withholding tax actually remitted. Include in these amounts credits claimed
on Line 5 of Form A-1 or Form A-6 for overpayment of withholding tax for any prior year. (Caution: Amounts listed in Columns 1 and 2 should include only
Alabama withholding tax. Do not include delinquent penalty and/or interest charges.)
STEP 3 – Add amounts listed in Step 2 (Column 2). Show total in Block 1.
STEP 4 – Enter in Block 2 the total Alabama income tax withheld on employee W-2’s (or 1099’s if applicable) to be transmitted with Form A-3. This total
must be supported by an adding machine tape. Note: Employers submitting 25 or more statements are required to file electronically. Please visit our web-
site at: for more information.
STEP 5 – Compare the amounts in Blocks 1 and 2. If the amount in Block 1 is larger, your account is overpaid. Show amount of overpayment in Block 4
and indicate whether you want a refund or will claim credit on a future return. Overpayments of less than $100.00 will be issued as a credit unless written
request for a refund is submitted with Form A-3 and W-2 Forms. If the amount in Block 2 is larger, your account is underpaid. Show amount of underpay-
ment in Block 3 and enclose a check or money order for such amount with Form A-3 when filed. Mail Form A-3 and wage and tax information to: Alabama
Department of Revenue, Withholding Tax Section, P.O. Box 327480, Montgomery, AL 36132-7480 (telephone 334-242-1300).
Revised 3/11
PLEASE CUT HERE
COL 1 – TAX WITHHELD
COL 2 – TAX REMITTED
FORM A-3
STATE OF ALABAMA
JANUARY
$
$
YEAR
ANNUAL RECONCILIATION OF ALABAMA
FEBRUARY
$
$
INCOME TAX WITHHELD
MARCH (1st QTR)
$
$
APRIL
$
$
NUMBER OF EMPLOYEE WAGE STATEMENTS AND/OR
MAY
$
$
INFORMATION RETURNS TRANSMITTED WITH THIS FORM
JUNE (2nd QTR)
$
$
ALABAMA WITHHOLDING TAX ACCOUNT NUMBER
DATE DUE
JULY
$
$
AUGUST
$
$
SEPTEMBER (3rd QTR)
$
$
NAME AND ADDRESS
OCTOBER
$
$
NOVEMBER
$
$
DECEMBER (4th QTR)
$
$
1
$
TOTAL TAX REMITTED (COL 2)
TOTALAL TAX ON WAGE STATEMENTS AND/OR INFORMATION RETURNS.
IF AL TAX HAS BEEN REPORTED ON 1099’S OR OTHER INFORMATION
2
RETURNS, SUCH RETURNS MUST BE SUBMITTED WITH FORM A-3 AND
$
_________________________________________
AMOUNT OF AL TAX INCLUDED IN THE AMOUNT SHOWN IN BLOCK #2.
3
SIGNATURE
DATE
$
ADDITIONAL TAX DUE ENCLOSED REMITTANCE
NOTE: DO NOT send without W-2’s. A-3 received
4
OVERPAYMENT REFUND
CREDIT
$
without W-2’s WILL BE RETURNED.
OVERPAYMENTS LESS THAN $100.00 WILL BE ISSUED A CREDIT.

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