Form Wh-1601 - Withholding Tax Coupon Page 4

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THIS IS NOT A RETURN.
1.
Only use black ink on this form and on your check.
2.
You must enter the SC withholding file number. This is a nine digit number beginning with "25".
3.
Enter the Federal Employer Identification Number (FEIN).
4.
Place an X in the box by the quarter for which this payment is to be applied. The date on the employee's
paycheck determines the quarter.
5.
Enter the tax year for the payment, "YYYY".
6.
Enter the payment amount. Do not enter a dollar sign $. If entering a whole dollar amount, you must
enter “00” in the cents field. (Example: 154.00)
7.
IMPORTANT - Print the business name and address in the space under the FEIN.
8.
Provide contact name and date. Include a daytime telephone contact number including the area code.
Make check payable to SCDOR and enter the quarter, year and SC withholding file number in the memo section of the
check. Coupon must accompany payment. Do not staple the check to the coupon. Do not fold coupon or check. Only use an
original coupon. Do not send a photocopy.
THIS IS NOT A RETURN.
1.
Only use black ink on this form and on your check.
2.
You must enter the SC withholding file number. This is a nine digit number beginning with "25".
3.
Enter the Federal Employer Identification Number (FEIN).
4.
Place an X in the box by the quarter for which this payment is to be applied. The date on the employee's
paycheck determines the quarter.
5.
Enter the tax year for the payment, "YYYY".
6.
Enter the payment amount. Do not enter a dollar sign $. If entering a whole dollar amount, you must
enter “00” in the cents field. (Example: 154.00)
7.
IMPORTANT - Print the business name and address in the space under the FEIN.
8.
Provide contact name and date. Include a daytime telephone contact number including the area code.
Make check payable to SCDOR and enter the quarter, year and SC withholding file number in the memo section of the
check. Coupon must accompany payment. Do not staple the check to the coupon. Do not fold coupon or check. Only use an
original coupon. Do not send a photocopy.
THIS IS NOT A RETURN.
1.
Only use black ink on this form and on your check.
2.
You must enter the SC withholding file number. This is a nine digit number beginning with "25".
3.
Enter the Federal Employer Identification Number (FEIN).
4.
Place an X in the box by the quarter for which this payment is to be applied. The date on the employee's
paycheck determines the quarter.
5.
Enter the tax year for the payment, "YYYY".
6.
Enter the payment amount. Do not enter a dollar sign $. If entering a whole dollar amount, you must
enter “00” in the cents field. (Example: 154.00)
7.
IMPORTANT - Print the business name and address in the space under the FEIN.
8.
Provide contact name and date. Include a daytime telephone contact number including the area code.
Make check payable to SCDOR and enter the quarter, year and SC withholding file number in the memo section of the
check. Coupon must accompany payment. Do not staple the check to the coupon. Do not fold coupon or check. Only use an
original coupon. Do not send a photocopy.

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