Form 44-007 - Annual Verified Summary Of Payments Report (Vsp)

Iowa Department of Revenue

2009 Annual Verified Summary of Payments Report (VSP)

eFile & Pay

This report can be filed electronically —

online at / or by telephone at 1-800-514-8296

Questions about eFile & Pay?

idrefile@iowa.gov or 515-281-8453 or 1-866-503-3453

eFile & Pay electronically

Good for the environment

Questions about completing this report?

Good for you

idr@iowa.gov or 515-281-3114 or 1-800-367-3388

2009 Instructions

Employer Identification Number: Enter the correct

Line 4. Total Amount Withheld: Add the amounts on

number. If a Temporary State Identification Number was

lines 2 and 3. If lines 1 and 4 are not equal,

assigned to you and since then you received a Federal

attach an explanation of the difference. To

Employer Identification Number (FEIN) from the

adjust for an underpayment or overpayment,

Internal Revenue Service, enter your FEIN.

you must file an Amended Withholding

Quarterly Return, which may be done through

Name and Address: Enter your name and complete

eFile & Pay.

address.

Do not mail any payment with the VSP.

Original or Amended VSP: Check if you are

submitting an original or amended report. If amending,

Signature. The withholding agent who performs,

please attach an explanation of changes.

delegates, or controls the payment of wages must sign

and date the form.

Line 1. Enter the combined total of Iowa withholding on

W-2s and 1099s.

Mailing Address: Iowa Department of Revenue, P.O.

Box 10470, Des Moines IA 50306-0470

Line 2. Enter the total amount of payments made for

New Jobs Credit, Supplemental Jobs Credit,

DO NOT SEND W-2s AND 1099s TO IOWA

Accelerated Career Education Credit, and

Employers should not send copies of W-2s or 1099s

Targeted Jobs Tax Credit.

with the VSP. Iowa receives this information from the

Line 3. Enter the amount of tax withheld and remitted

Internal Revenue Service.

for calendar year 2009. Enter tax only; do not

Employers are still required to keep copies of the W-2s

include any penalty or interest.

and 1099s for four years from the end of the year for

which the forms apply.

Annual Withholding Agent VSP Report 2009

Original VSP

Amended VSP

1. Total Iowa Withholding

on W-2s/1099s

Employer ID No.

Calendar Year

Due Date

2. Credits

2009

03-01-2010

Name and Address:

3. Withholding Payments

Made

for filing year above

4. Total of lines 2 and 3

(Should equal line 1)

Do not send a payment with this form.

I declare that this report is correct and complete.

Signature of Withholding Agent: __________________________________________________ Date: ______________________

44-007 (08/04/09)

Daytime Phone No.: _______________________________

Form 44-007 - Annual Verified Summary Of Payments Report (Vsp) - 2009

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