Form Ar-3q-Tex - Annual Reconciliation Of Texarkana Employee'S Exempt Wages printable pdf download

Form Ar-3q-Tex - Annual Reconciliation Of Texarkana Employee'S Exempt Wages

AR-3Q-TEX

State of Arkansas

Annual Reconciliation of Texarkana Employee’s Exempt Wages

Tax Year _______

Name of Business _______________________________________________________________________________

Address _______________________________________________________________________________________

City __________________________________________________________ State __________ Zip _____________

Employer Identification Number _____________________________________

Total Number AR-TX Forms Issued _________________ Total Exempt Wages $ ___________________________

I declare under penalties of perjury that this return has been examined by me and to the best of my knowledge and belief is a

true, correct, and complete return.

Date ____________ Signature ______________________________________________ Title ___________________

Mail to:

Individual Income Tax - Withholding Branch

P. O. Box 9941

Little Rock, AR 72203

(Fold this form in half and place on top of the state copies of the Form AR-TX.)

(Rev 05/00)

INSTRUCTIONS FOR EMPLOYER FOR FORMS AR-TX AND AR-3Q-TEX

FORM AR-TX

Prepare four (4) copies of form AR-TX for each employee covered by Arkansas Acts 48 and 177 of 1977.

Fill in the upper left portion with the employer’s identification number, name, address, and zip code.

The employee’s portion should show name, physical address (do not use P.O. Box or Route Number), and the

social security number of the employee.

Lines one (1) and two (2) should be completed with applicable information.

Line three (3) should show the amount of wages exempt from Arkansas income tax.

Give the employee two copies. Submit one copy of each with AR-3Q-TEX and retain one for employer’s file.

FORM AR-3Q-TEX

Prepare Form AR-3Q-TEX in duplicate.

The wages exempt from Arkansas income tax will be the total of the amounts shown as exempt on Form

AR-TX.

Send the original copy of this form with one copy of each AR-TX issued to:

Individual Income Tax - Withholding Branch

P. O. Box 9941

Little Rock, Arkansas 72203

Form Ar-3q-Tex - Annual Reconciliation Of Texarkana Employee'S Exempt Wages