PA DoR PA-W3R 2001-2025 free printable template

INSTRUCTIONS FOR THE COMPLETION OF FORM PA-W3R EMPLOYER QUARTERLY RECONCILIATION RETURN OF INCOME TAX WITHHELD Enter the following required fields Employer Account ID if none assigned leave blank Entity ID Federal EIN if none assigned leave blank and period ending date 1st quarter 0331YYYY 2nd quarter 0630YYYY 3rd quarter 0930YYYY and 4th quarter 1231YYYY. 280903 Harrisburg PA 17128-0903 Questions regarding the completion of this form can be directed to the Employer Tax Division at 717...783-1488. EMPLOYER ACCOUNT ID ENTITY ID EIN PERIOD ENDING DATE PA-W3R 01-01 PA DEPARTMENT OF REVENUE SEMI MONTHLY AMOUNTS WITHHELD PERIOD 1ST HALF 1ST MONTH 1ST MONTH 2ND 3RD TOTAL Enter on Line 2 2ND HALF 2ND MONTH 3RD MONTH MAIL COMPLETED PA-W3R AND PAYMENTS TO DEPT. Enter the legal name trade name and business mailing address as it should appear on future correspondence. Enter the amount withheld for each period in the appropriate payment frequency column* THE REPORTED WITHHOLDING MUST BE...THE ACTUAL TAX WITHHELD NOT THE DEPOSITS REMITTED. Enter type of return original or amended. COMPLETE LINES 1 THROUGH 5 Line 1. Enter the total amount of compensation subject to PA withholding tax for the reporting quarter. actually withheld if higher for the reporting quarter. Enter tax withheld not deposits. reporting quarter. Line 4. If line 3 is greater than line 2 enter overpayment amount. Make the check or money order payable to PA Department of Revenue. Do not send cash. Sign and date the...return include a daytime telephone number and title. Mail this return and payment to PA Department of Revenue Dept. 280903 Harrisburg PA 17128-0903 Questions regarding the completion of this form can be directed to the Employer Tax Division at 717 783-1488. EMPLOYER ACCOUNT ID ENTITY ID EIN PERIOD ENDING DATE PA-W3R 01-01 PA DEPARTMENT OF REVENUE SEMI MONTHLY AMOUNTS WITHHELD PERIOD 1ST HALF 1ST MONTH 1ST MONTH 2ND 3RD TOTAL Enter on Line 2 2ND HALF 2ND MONTH 3RD MONTH MAIL COMPLETED PA-W3R AND...PAYMENTS TO DEPT. 280903 HARRISBURG PA 17128-0903 Y BUSINESS MAILING ADDRESS Original or amended* Check block. TRADE NAME CITY STATE ZIP ORIGINAL BUSINESS NAME AND ADDRESS LEGAL NAME QUARTERLY AMOUNT WITHHELD. ENTER ON LINE 2 ONLY TYPE OF RETURN M M D D Y AMENDED DEPARTMENT USE ONLY LINES 1 5 MUST BE COMPLETED. 1. TOTAL COMPENSATION SUBJECT TO PA TAX 2. TOTAL PA WITHHOLDING TAX 3. TOTAL DEPOSITS FOR QUARTER Including verified overpayments 4. OVERPAYMENT If Line 3 is greater than Line 2 5. TAX...DUE/PAYMENT If Line 3 is less than Line 2 I certify that this return is to the best of my knowledge information and belief a full true and correct disclosure of all tax collected or incurred during the period indicated on this return* 00019 DATE DAYTIME TELEPHONE EXT. Enter the legal name trade name and business mailing address as it should appear on future correspondence. Enter the amount withheld for each period in the appropriate payment frequency column* THE REPORTED WITHHOLDING MUST BE THE...ACTUAL TAX WITHHELD NOT THE DEPOSITS REMITTED.