Form Wb-101 - Mtq - Montana Employer'S Quarterly Tax Report - Unemployment Insurance/withholding

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Quarter End
Due Date
MTQ – Montana Employer’s Quarterly
Tax Report – Unemployment Insurance/Withholding (WB-101)
Customer Id
Federal Id (FEIN)
UI Contribution Rate
%
UI Administrative Fund Tax Rate
%
UI Total Tax Rate
%
UI Annual Taxable Wage Base
$
(Each Employee)
A report must be filed to avoid penalties. Please refer to MTQ instructions for information on completing this form.
Step 1. Check box(es), if applicable, and provide information requested.
No wages paid for the quarter covering this report
Sold business - name and address of new owner:
Ceased employing - last payroll date ____/_____/____
Change in name, address, telephone number and/or identification number (list corrections here):
Amended report
Step 2. Unemployment Insurance Employee Wage Listing
You are required to fill in all Employees Names, Social Security
Numbers and Wages on the enclosed UI-5A.
Step 3. Calculate Tax
State Income Tax
State Unemployment
Withholding (WH)
Insurance (UI)
1.
1a
Total wages paid this quarter ………………………………………
1b
2.
2a
UI excess wages (see instructions) ………………………….……
Enter total
3.
3a
UI taxable wages (box 1a minus box 2a) …………………………
withholding wages
4.
4a
above
UI total tax rate …………………………..…………………….…….
5.
5a
Total tax (Box 3a times Box 4a)(Box 5b is WH liability)
5b
6.
6a
Credits (minus overpayment from prior quarters) …………….…
6b
7.
WH taxes paid this quarter (monthly or accelerated payer) ……
7b
8.
8a
Adjustments to prior quarters (attach explanation) …………...…
8b
9.
Balance due (see instructions) ……………………………….……
9a
9b
10.
Penalty and interest, if you file late ……………………..…………
10a
10b
11.
Subtotal (boxes 9a + 10a and 9b + 10b)…………………….……
11a
11b
12.
Total payment enclosed. Payment should equal
the amounts from boxes 11a and 11b. ……………………………
12
Step 4. Number of UI Employees
Number of workers for State UI who
Summary of WH Tax Liability for Monthly Payers Only
th
received pay on the 12
day of the month
st
nd
rd
st
1
Month
2
Month
3
Month
Total Liability
1
Month______________
nd
2
Month______________
+
+
=
rd
3
Month______________
Step 5. Payment Coupon.
Complete the coupon by entering the amounts from 11a, 11b and 12 from Step 3 above onto
the coupon below. Return payment and coupon with form MTQ and UI-5A, and schedule B if applicable. Do not fold or staple
the coupon. Mail your MTQ and payment to the Department of Revenue by the due date above, even if no tax is due.
Question? Call (406) 444-6900
Step 6. Sign and make a
I certify the information on this report and
copy of this form for your
Date:
attachments are true and correct.
records. Mail to:
Department of Revenue
Authorized Signature/Title
Telephone No.
Name/Title of Contact Person
Telephone No.
PO Box 6339
Helena, MT 59604-6339
Mail this entire form with your check to the Montana Department of Revenue
Quarter Ending Date:
Make checks payable to the Department of Revenue
MTQ Quarterly Coupon
Customer ID
FEIN
Date
,
,
.
11a UI
,
,
.
Department of Revenue
11b WH
Do not staple your
check or
PO Box 6339
correspondence to
this coupon.
Helena MT 59604-6339
,
,
.
12 Total
22101010000000001505893033120007585113510101000000400000000000

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