Pa W3R PDF Details

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You will see details about the type of form you wish to submit in the table. It can show you just how long it will take to finish pa w3r, exactly what parts you will need to fill in and some further specific details.

QuestionAnswer
Form NamePa W3R
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namespa w3, pa w3r, pa return withheld, pa w3 quarterly form pdf

Form Preview Example

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).

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 frequen- cy 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.

Line 2. Enter the total amount of PA withholding tax required to be withheld (or actually withheld, if higher) for the reporting quarter. (Enter tax withheld, not deposits).

Line 3. Enter the amount of PA withholding tax paid to the Commonwealth for the reporting quarter.

Line 4. If line 3 is greater than line 2, enter overpayment amount. Line 5. If Line 3 is less than line 2, enter amount due.

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

PERIOD

 

 

 

 

SEMI MONTHLY

 

 

 

 

 

 

 

 

AMOUNTS WITHHELD

 

 

 

 

1ST HALF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1ST MONTH

 

 

 

 

▲

 

 

 

●

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2ND HALF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1ST MONTH

 

 

 

 

▲

 

 

 

●

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1ST HALF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2ND MONTH

 

 

 

 

▲

 

 

 

●

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2ND HALF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2ND MONTH

 

 

 

 

▲

 

 

 

●

 

 

 

 

PERIOD

 

 

 

 

 

MONTHLY

 

 

 

 

 

 

 

 

AMOUNTS WITHHELD

 

 

 

 

1ST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTH

 

 

 

 

 

▲

 

 

 

 

●

 

 

 

 

2ND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTH

 

 

 

 

 

▲

 

 

 

 

●

 

 

 

 

3RD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTH

 

 

 

 

 

▲

 

 

 

 

●

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

 

▲

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Enter on Line 2)

 

 

 

 

 

 

 

 

 

●

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M M D D Y Y Y Y

BUSINESS NAME AND ADDRESS

LEGAL NAME

TRADE NAME

BUSINESS MAILING ADDRESS

CITY, STATE, ZIP

▼ LINES 1 – 5 MUST BE COMPLETED. ▼

1ST HALF

 

 

 

 

 

 

 

 

 

 

3RD MONTH

 

 

 

 

▲

 

 

 

 

●

 

 

 

 

 

 

 

 

 

 

 

 

2ND HALF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3RD MONTH

 

 

 

 

▲

 

 

 

 

●

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

 

 

 

▲

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Enter on Line 2)

 

 

 

 

 

 

 

 

●

QUARTERLY AMOUNT WITHHELD.

ENTER ON LINE 2 ONLY ➡

 

 

 

 

 

 

 

 

TYPE OF RETURN

ORIGINAL

AMENDED

Original or amended. Check block. ➡

 

 

 

1. TOTAL COMPEN-

 

SATION SUBJECT

▲

TO PA TAX

2. TOTAL PA WITHHOLDING TAX

3. TOTAL DEPOSITS FOR QUARTER

(Including verified overpayments)

▲ ▲

▲ ▲

▲ ▲

●

●

●

MAILCOMPLETED PA-W3RAND PAYMENTS TO: PADEPARTMENT REVENUE

DEPT. 280903 HARRISBURG, PA17128-0903

DEPARTMENT USE ONLY

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. TITLE

()

SIGNATURE

PA DEPARTMENT OF REVENUE DEPT 280903

HARRISBURG PA 17128-0903

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