Pennsylvania Society of Tax and Accounting Professionals ...
PAYROLL TAX CHECKLIST
FOR:_________________________________________________________________
_____ Your (941 Tax Deposit / Form 941) for FICA/MED/FWT is enclosed. There is a balance due of $_______________.
_____ Your account will be debited on _______________ for the amount listed above. Please record this transaction.
_____ Please sign, date, and mail by _______________. If there is an amount due, make your check payable to “United States Treasury”
_____ Comments:
_____ Your (940 Tax Deposit / Form 940) for FUTA is enclosed. There is a balance due of $_______________. Please do the following:
_____ Your account will be debited on _______________ for the amount listed above. Please record this transaction.
_____ Please sign, date, and mail by _______________. If there is an amount due, make your check payable to “United States Treasury”
_____ Comments:
_____ Your (PA Form 501 / Form PA-W3 / _______________) for State Income Tax Withholding is enclosed. There is a balance due of $_______________. Please do the following:
_____ Your account will be debited on _______________ for the amount listed above. Please record this transaction.
_____ Please mail by _______________. If there is an amount due, make your check payable to “PA Department of Revenue” or ______________________________.
_____ Comments:
_____ Your Form UC-2 / Form UC-2A for Pennsylvania Unemployment Compensation is enclosed. There is an amount due of $_________.
_____ Your account will be debited on _______________ for the amount listed above. Please record this transaction.
_____ Please mail by _______________. Please make your check payable to “PA UC FUND”
_____ Comments:
_____ Your (Form 319 / Form 322 / _______________) is enclosed for Local Wage Withholding. There is an amount due of $_________.
_____ Your account will be debited on _______________ for the amount listed above. Please record this transaction.
_____ Please make your check payable to “Y.A.T.B.” or ______________________________ and sign, date, and mail by _______________.
_____ Comments:
_____ Your (Form LST 1 / Form LST 2 / _______________) for the Local Services Tax is enclosed. There is an amount due of $________.
_____ Your account will be debited on _______________ for the amount listed above. Please record this transaction.
_____ Please make your check payable to “Y.A.T.B.” or ______________________________ and sign, date, and mail by _______________.
_____ Comments:
We appreciate this opportunity to serve you. If you have any questions, please contact us immediately.
Please be aware that you are responsible for the timely filing of employment tax returns and the timely payment of employment taxes for your employees, even if you have authorized a third party to file the returns and make the payments. Therefore, the Internal Revenue Service recommends that you enroll in the U.S. Treasury Department’s Electronic Federal Tax Payment System (EFTPS) to monitor your account and ensure that timely tax payments are being made for you. You may enroll in the EFTPS online at , or call (800) 555-4477 for an enrollment form.
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