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Download Payroll Tax Checklist
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PAYROLL TAX CHECKLIST FOR:_________________________________________________________________ _____ Your (941 Tax Deposit / Form 941) for FICA/MED/FWT 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 (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:
