Form R-1h - Virginia Household Employer Registration Form

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FORM R-1H
Register online using iReg
at
Virginia Household Employer Registration Form
Quick As A Click
Effective for taxable years beginning on or after January 1, 2009, employers of household service employees may elect to
file and pay the Virginia income tax withheld from their 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 annual filing, an employer must have a total payroll in each calendar quarter that does not exceed
$5,000, regardless of the number of persons providing the domestic service. The employment must consist exclusively of
domestic service in the private home of the employer as defined in the Federal Employment Tax Regulations. The first annual
return and payment under the new filing status will be due on February 28, 2010. Form VA-6H will be mailed to you in late
2009 for you to report your household withholding by February 28, 2010.
Household Employees Include:
- Baby sitters
- Health aides
- Caretakers
- Housekeepers
- Cleaning people
- Maids
- Domestic workers
- Nannies
- Drivers
- Private nurses
- Yard workers
Instructions for Completing Form R-1H
Step 1 - If you are a household employer and you qualify for the annual filing, check the appropriate box on Form R-1H:
New Household Employer. Use this box to indicate you are a new household employer registering with the
v
Virginia Department of Taxation.
Convert My Existing Account. Use this box if you are currently registered with the Virginia Department of Taxation,
v
only have household employees and would like to change to an annual filing status.
Create a New Account. Use this box if you are currently registered with the Virginia Department of Taxation, your
v
current account includes both household and non-household employees and you would like to change to an annual
filing status for the household employees only.
Step 2 - Enter your name, Federal ID Number, Social Security Number, physical location, mailing address and phone
number.
Step 3 - Sign and date the form.
Step 4 - Mail the completed form to:
Virginia Department of Taxation
P.O. Box 1114
Richmond, Virginia 23218-1114
(804) 367-8057
for office use only
FORM R-1H
HOUSEHOLD EMPLOYER ANNUAL WITHHOLDING REGISTRATION FORM
Use this form to notify the Department of Taxation that you are a household employer who will be filing and paying withholding
taxes on an annual basis. You can also register online using iReg at .
New household employer beginning ___________________________
/
/
Convert my existing account. I only have household employees.
month
/
day
/ year
Create a new withholding account. My current withholding account includes more than household employees.
Effective for taxable years beginning on or after January 1, 2009. The first annual return and payment will be due on February 28, 2010, for wages paid in 2009.
NAME OF HOUSEHOLD EMPLOYER
FEDERAL ID NUMBER
SOCIAL SECURITY NUMBER
PHYSICAL STREET ADDRESS
CITY
STATE
ZIP
MAILING ADDRESS (if different from physical address)
CITY
STATE
ZIP
I certify that I qualify as a household employer and my total payroll in each calendar quarter does not exceed $5,000. This registration form must be signed by the above applicant.
SIGNATURE
DATE
TELEPHONE NUMBER
(
)

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