Form Mw508a - Annual Employer Withholding Reconciliation Report

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COMPTROLLER OF MARYLAND
MW508A
AMENDED
ANNUAL EMPLOYER WITHHOLDING RECONCILIATION REPORT
TAX YEAR
NAME: ____________________________________________________
:
FEIN
CR#
PREVIOUSLY REPORTED
CORRECTED AMOUNTS
1.
ATTACH MAYLAND COPIES OF W-2/1099R FORMS.
ENTER NUMBER OF W-2/1099R FORMS
2.
TOTAL MARYLAND WITHHOLDING
TAX REPORTED ON MW506 THIS YEAR
3.
ENTER TOTAL STATE AND LOCAL TAX COMBINED
AS SHOWN ON W-2/1099R FORMS
3a.
ENTER TOTAL WITHHOLDING TAX PAID THIS YEAR
3b.
ENTER TOTAL TAX EMEMPT CREDIT
(500CR MUST BE ATTACHED TO ALLOW CREDIT)
4.
AMOUNT OF WITHHOLDING TAX DUE
(SUBTRACT LINES 3a FROM LINE 3)
5.
OVERPAYMENT (IF LINE 3 MIS LINES 3a & 3b IS LESS THAN
ZERO, ENTER THE DIFFERENCE HERE AS A POSITIVE NUMBER)
6.
AMOUNT OF OVERPAYMENT ON LINE 5
TO BE APPLIED AS A CREDIT
7.
AMOUNT OF OVERPAYMENT ON LINE 5
TO BE REFUNDED TO YOU
I declare under the penalties of perjury that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and
belief is a true, correct, and complete return.
PHONE NO. ( ___ ) ______________________ DATE: _________________________ SIGNED: ___________________________ TITLE: ___________________________
PS-3728
COM/RAD 043
12-49

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