Download Payroll Tax Checklist

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: