ARW-3
STATE OF ARKANSAS
Transmittal of Wage and Tax Statements
TAX YEAR
Total number of Forms W-2
Federal Employer Identification Number (FEIN)
Employer’s name, address, and zip code
Other FEIN used this year
Total state income tax withheld
State ID number
Total state wages, tips, other compensation
Telephone number
FOR OFFICE USE ONLY
Contact person
Email address
Fax number
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct and complete.
Signature
Title
Date
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Purpose of Form
Where To File Paper Forms
A Form ARW-3 Transmittal is completed when state copies
Send this entire page with the state copies of Forms W-2 to:
of Forms W-2, Wage and Tax Statement, are being filed. Do
not file Form ARW-3 alone. Use a Form ARW-3 even if only
one Form W-2 is being filed. Make sure both the Form ARW-3
Withholding Branch
and Forms W-2 show the correct tax year and Federal
P.O. Box 8055
Employer IdentificationNumber (FEIN). Make a copy of
Little Rock, AR 72203-8055
this form and keep it for your records.
Do Not
Send any payment (cash, checks, money
orders, etc.) with Forms W-2 and ARW-3.
When To File
The ARW-3 does not replace the AR3MAR or the
AR941A.
Send Forms W-2 under cover of this Form ARW-3 Transmittal
by February 28,
.
ARW-3 (R 12/06/12)