Form Wv-It-103 - West Virginia Income Tax Reported As Withheld During The Year - Wv State Tax Department

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ANNUAL RECONCILIATION
WV/IT-103
CALENDAR YEAR
WV STATE TAX DEPARTMENT
REV 01/08
INTERNAL AUDITING DIVISION PO BOX 3943
TO BE FILED ON OR
CHARLESTON WV 25339-3943
BEFORE FEBRUARY 28
WEST VIRGINIA INCOME TAX REPORTED AS WITHHELD DURING THE YEAR
FIRST
THIRD
TOTAL FOR THE YEAR
QUARTER
.00 QUARTER
.00
SECOND
FOURTH
(A)
.00
QUARTER
.00 QUARTER
.00
NUMBER OF
EMPLOYER’S IDENTIFICATION NUMBER, NAME AND ADDRESS
WITHHOLDING
TAX STATEMENTS
(W-2S)
TRANSMITTED
TOTAL WV TAX SHOWN
AS WITHHELD BY ALL
STATEMENTS
TRANSMITTED
.00
(B)
DO NOT SEND PAYMENT WITH THIS FORM
BLOCK (A) AND (B) DIFFERENCE: ATTACH EXPLANATION.
IF UNDERPAYMENT, REMIT SEPARATELY. IF OVERPAYMENT,
SIGNATURE _______________________________DATE_________
SUBMIT A REFUND REQUEST IN WRITING

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