Fillable Form W1 9301 - Delaware Monthly Withholding Form

*DF60013019991*

DELAWARE DIVISION OF REVENUE

WITHHOLDING TAX RETURN - FORM W1 9301

ACCOUNT NUMBER

TAX PERIOD ENDING

DUE ON OR BE FORE

01-31-13

02-15-13

0-000000000-000

Reset

008901060000000000000

01311302151300000000000000000000

Print Form

IMPORTANT: MONTHLY AND QUARTERLY FILERS MUST FILE EACH RETURN REGARDLESS

OF THE AMOUNT OF DELAWARE TAXES WITHHELD DURING THE PERIOD INDICATED.

CHANGES MUST BE MADE ON THE REQUEST FOR CHANGE FORM.

If you have questions,

CHECK THE BOX IF YOU ARE FILING A CHANGE FORM.

call (302) 577-8779.

STATE OF DELAWARE

1. DELAWARE INCOME TAX WITHHELD

Mail This Form With

DIVISION OF REVENUE

Remittance Payable To:

P.O. BOX 8754

2. AMOUNT REMITTED

WILMINGTON, DE 19899-8754

Business Name and Mailing Address

If Line 2 does not equal Line 1, indicate the Tax Period End

for which an adjustment is being made and write an explanantion on the back.

AUTHORIZED SIGNATURE

I declare under penalties of perjury that this is a true, correct and complete return.

TELEPHONE NUMBER

DATE

E-mail address where we may contact you regarding this return.

2013 Delaware Monthly Withholding Form

FILE MONTHLY RETURNS FOR THE YEAR 2013 - Use the form above if you are required to file and pay your Delaware Withholding

Tax for 2013 on a MONTHLY basis. Monthly returns are due on the 15th day of the month following the close of the month. If the due

date falls on a weekend or holiday, it is due the next business day.

ELECTRONIC FUNDS TRANSFER PROGRAM (EFT) - If you were required by the Internal Revenue Code to deposit Federal

Employment taxes by Electronic Funds Transfer for tax year 2012, then you are required to file electronically for Delaware in 2013. The

EFT Program allows you to file your returns electronically by the use of an ACH Credit or ACH Debit. Contact our EFT Department at

(302) 577-8231 for information and an authorization agreement or download the form from the Business Taxpayer section of our website:

You must file this form with us even if you are using a payroll service to file your taxes.

Withholding, Corporate tentative and Sub "S" Corporation estimated taxpayers may file EFT on a voluntary basis.

Specific Filing Instructions for Monthly Filers - Form W1

Enter your current Delaware Division of Revenue Account Number.

From the list provided, choose the date that corresponds with the last day of the tax period for which you are remitting this

withholding statement. Your Due Date will automatically appear in the Due On or Before box.

Enter your current business name and mailing address in the space marked Business Name and Mailing Address.

Check the Request for Change Box if you have changes to your Delaware Division of Revenue account information and are

remitting a Request for Change form with this return.

Enter on Line 1 the total amount of Delaware income taxes withheld from wages and other remuneration during the month.

Enter the amount of tax you are remitting with this return on Line 2. If this amount is different from Line 1, indicate the tax

period that you are adjusting in the space provided below Line 2 and write an explanation on the back of the return. If you

underpaid tax on a previous return, add that amount to Line 1 and remit the entire amount with this return. If you overpaid

on a previous return, deduct that amount from Line 1 and remit the net amount with this return.

PLEASE NOTE: No credit or refund will be made to any employer if the employer was required and deducted Delaware withholding taxes from

its employees. In such case, the employee must file a Delaware personal income tax return to claim the over-withheld income taxes. If the

amount of the overpayment is more than can be reasonably expected to be used during the rest of the calendar year, you may request a refund

by filing a Claim For Revision form (Form 1049W99701). Contact our office at (302) 577-8779 for a Claim For Revision form.

Enter your e-mail address, telephone number and today’s date. Sign the return and send with payment in full (if applicable) to:

State of Delaware, Division of Revenue, PO Box 8754, Wilmington, DE 19899-8754

Form W1 9301 - Delaware Monthly Withholding Form - 2013

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