Form Wv/it-103 - Withholding Annual Reconciliation Page 2

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End of Year Reconciliation and Withholding Tax Statements (W-2's)
Employers are required to furnish each employee a Withholding Tax Statement (Form W-2 or an approved substitute)
on or before February 15th of the following year. A copy of each employee’s Withholding Tax Statement (W-2) is to
be submitted to the State Tax Department accompanied with form WV/IT-103 no later than February 28th of the
succeeding year. We encourage you to file the WV/IT-103 and upload W-2’s online using https://mytaxes.wvtax.gov.
Employees who are filing for fifty or more employees are required to file all data by electronic media. Visit
for guidelines and view the IT-105 Specifications for information on filing W-2’s and 1099 forms
electronically. Failure to do so can result in an assessment of penalty in the amount of $250.00 per information return
for whom the return was not filed electronically. Lack of forms is not a valid excuse for failure to file a return.
For additional information, please visit our website or contact:
Taxpayer Services Division (304) 558-3333
1-800-WVA-TAXS
(800) 982-8297
DO NOT ALTER YOUR TAX RETURNS INDICATING CHANGES
If there has been a change in your business please fill out this form by checking the appropriate box(es) and ensure
your account number or EIN is indicated at the top of the form. Any change indicated on this form will be adjusted
accordingly.
EMPLOYER'S WITHHOLDING CHANGE ORDER
Employer's Identification Number
listed with West Virginia
**INDICATE CHANGES
ONLY**
FEIN (WV State ID# if different)
Filing Status
Annual to Quarterly
attach explanation
Business Name
Employer's Name (if different)
Address
City
State
Zip Code
If you are no longer liable for West Virginia withholding tax, check explanation below;
Business Sold Date Effective:
___________________________________
Business permanently discontinued Date Effective:
____________________
Ceased paying wages Date Effective:
_____________________________
Other - Specify:
________________________________________________
Date
Signature
Mail to: WV State Tax Department PO Box 1667, Charleston WV 25326-1667
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