Form Wh-405 - Batch Filing Program For Withholding Quarterly Tax Returns Page 27
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29STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
WH-1614
APPLICATION FOR BATCH FILING OF
(Rev. 4/16/10)
3371
WITHHOLDING QUARTERLY TAX RETURNS
Reporting Agent:
Federal Employer ID#:
Name:
Address:
City, State, ZIP:
Contact Information:
Contact Person and Title:
Phone Number:
E-mail Address:
Report (Filing) Information:
Approximately how many quarterly withholding returns will be filed using this method?
Enter Tax Year and Select Quarter for Reporting (Filing) to Begin:
Tax Year
1st Quarter
(January-March
- Due April 30)
2nd Quarter
(April-June
- Due July 31 )
3rd Quarter
(July-September
- Due October 31)
4th Quarter/Annual
(October-December - Due February 28/29)
Signature of Reporting Agent
Name:
Title:
Date:
Signature:
FOR OFFICE USE ONLY
Approval by SC Department of Revenue
Name:
Title:
Date:
Signature:
Filing is authorized to begin:
Quarter
Year
33711022
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