Form Tc-941r - Utah Annual Withholding Reconciliation
Download a blank fillable Form Tc-941r - Utah Annual Withholding Reconciliation in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Tc-941r - Utah Annual Withholding Reconciliation with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Clear form
941 2
8
Utah State Tax Commission
TC-941R
Utah Annual
Rev. 12/09
Withholding Reconciliation
9998
Check here to close
Utah Account ID
your account
Federal EIN
Name and address
Tax Period (yyyy)
Due Date (mmddyyyy)
Check if AMENDED
(replacement, not net difference)
1. Total number of Utah W-2s and 1099s, or TC-675Rs issued
1
Total Utah wages, compensation, and distributions
2.
2
.
reported on W-2s and 1099s, or TC-675Rs
3. Total federal income tax withheld on Utah W-2s and 1099s
3
.
4
4. Total Utah income tax withheld on W-2s and 1099s, or TC-675Rs
.
5. Utah tax withheld as reported on TC-941 return(s)
Jan - Mar
Jul - Sep
5a
5c
.
.
annual filers use 5d only
Apr - Jun
5b
.
Oct - Dec
.
5d
.
6
6. Add lines 5a through 5d and enter the total here
7. Subtract line 6 from line 4 and enter amount here (see instructions)
.
7
File online at
taxexpress.utah.gov
.
Under penalties provided by law, I declare, to the best of my knowledge, this return is true and correct.
Date
Phone
Signature
X
USTC use only (box no.)
_________________
USTC use only
Return ENTIRE form, coupon and payment to the Utah State Tax Commission
Payment Coupon for Utah Withholding Reconciliation, TC-941RPC
TC-941RPC Rev. 12/09
W
Payment Due Date (mmddyyyy)
Payment Period Ending (mmddyyyy)
Tax Type
Utah Account ID
Withholding
T
R
Account name: _______________________________________________
Amount Paid
Do not send cash. Do not staple check
to this coupon. Detach any check stub.
UTAH STATE TAX COMMISSION
210 N 1950 W
SLC
UT
84134-0600
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Tc-941 Draft - Utah Withholding Return, Form Tc-941r - Utah Annual Withholding Reconciliation, Form Tc-941pc - Payment Coupon For Utah Withholding Tax
Financial
Form Tc-941r - Utah Annual Mineral Production Withholding Reconciliation - Utah State Tax Commission
Financial
Related Categories
Parent category: Financial