Wv form 103 is an informational form that is used to provide notice to the West Virginia State Tax Department of a name change. The form must be completed and submitted within thirty days of the name change. Failure to do so may result in fines and penalties. The Wv form 103 can be downloaded from the department's website, or it can be filled out online. Instructions for completing the form are also available on the website.
Question | Answer |
---|---|
Form Name | Wv Form 103 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | wv form it 103, wv 103, west virginia withholding reconciliation, wv it 103 year end |
STATE OF WEST VIRGINIA
State Tax Department, Tax Account Administration Div
P.O. Box 3943
Charleston, WV
Name |
|
Address |
|
City |
State |
WEST VIRGINIA WITHHOLDING YEAR END RECONCILIATION |
|
||||
IT103 v.5 |
To be filed on or before January 31. |
|
|
|
|
|
|
|
|
|
|
|
Account #: ______________ |
Calendar Year: ___________________ |
|||
|
|
|
|
|
|
|
First Quarter |
|
|
|
.00 |
|
Second Quarter |
|
|
|
.00 |
|
Third Quarter |
|
|
|
.00 |
|
Fourth Quarter |
|
|
|
.00 |
|
TOTAL FOR THE YEAR |
(A) |
|
.00 |
|
|
Number of Withholding tax statements |
|
|
|
|
|
|
|
|
|
|
|
Total WV tax shown as withheld by all statements transmitted |
(B) |
|
.00 |
DO NOT SEND PAYMENT WITH THIS FORM
Attach an explanation if Block (A) is different from Block (B). If there is an underpayment, visit https://mytaxes.wvtax.gov to remit payment separately using MyTaxes or visit our website to download an
Sign Your Return
Under penalty of perjury, I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true and complete.
(Signature of taxpayer) |
(Name of taxpayer - type or print) |
(Title) |
(Date) |
(Person to contact concerning this return) |
(Telephone number) |
|
|
(Signature of preparer other than taxpayer) |
(Address) |
|
(Date) |
MAIL TO: WEST VIRGINIA STATE TAX DEPARTMENT
Tax Account Administration Div
P.O. Box 3943 , Charleston, WV
FOR ASSISTANCE CALL (304)
For more information visit our web site at: www.tax.wv.gov
File online at https://mytaxes.wvtax.gov
End of Year Reconciliation and Withholding Tax Statements
Employers are required to furnish each employee a Withholding Tax Statement (Form
Employees who are filing for
For additional information, please visit our website www.tax.wv.gov or contact:
Taxpayer Services Division
(304)
(800)
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 3943, Charleston WV
Page 2 of 2