Form Wh-102 - Mtq - Montana Employer'S Quarterly Tax Report - Withholding Only

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MTQ – Montana Employer’s Quarterly
Quarter End
Due Date
Tax Report – Withholding Only (WH-102)
Customer Id
Federal Id (FEIN)
A report must be filed to avoid penalties. Please refer to MTQ instructions for information on completing this form.
Step 1. Check box(es), if applicable, and provide information requested.
No wages paid for the quarter covering this report
Sold business - name and address of new owner:
Ceased employing - last payroll date ____/_____/____
Change in name, address, telephone number and/or identification number (list corrections here):
Amended report
Step 2. This step does not apply to this form.
State Income Tax
Step 3. Calculate Tax
Withholding (WH)
1.
Total wages paid this quarter ……………………………………
1b
Lines 2 through 4 do not apply to this form.
Enter total withholding wages above
5.
Total tax withheld …………………………………………………
5b
6.
Credits (minus overpayment from prior quarters) …………….
6b
7.
WH taxes paid this quarter (monthly or accelerated payer) …
7b
8.
Adjustments to prior quarters (attach explanation) …………...
8b
9.
Balance due (see instructions) …………………………………
9b
10.
Penalty and interest, if you file late …………………………….
10b
11.
Subtotal (boxes 9b + 10b) ………………………………………
11b
12.
Total payment enclosed. Payment should equal
the amount from box 11b. ………………………………………
12
Step 4. Summary of WH Tax Liability for Monthly Payers Only
st
nd
rd
1
Month
2
Month
3
Month
Total Liability
+
+
=
Step 5. Payment Coupon. Complete the coupon by entering the amounts from 11b and 12 from Step 3 above onto the coupon
below. Return payment and coupon with form MTQ and Schedule B if applicable. Do not fold or staple the coupon. Mail your
MTQ and payment to the Department of Revenue by the due date above, even if no tax is due. Question? Call (406) 444-6900
Step 6. Sign and make a
I certify the information on this report and
copy of this form for your
Date:
attachments are true and correct.
records. Mail to:
Department of Revenue
Authorized Signature/Title
Telephone No.
Name/Title of Contact Person
Telephone No.
PO Box 6339
Helena, MT 59604-6339
Mail this entire form with your check to the Montana Department of Revenue
Quarter Ending Date:
Make checks payable to the Department of Revenue
MTQ Quarterly Coupon
Customer ID
FEIN
Date
,
,
.
11a UI
,
,
.
Department of Revenue
11b WH
Do not staple your
check or
PO Box 6339
correspondence to
this coupon.
Helena MT 59604-6339
,
,
.
12 Total
22101010000000001505893033120007585113510101000000400000000000

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