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Government of the District of Columbia Office of the Chief Financial Officer Office of Tax and Revenue DCE001A 2004 FR 900A 2004 FR 900A Employer s Withholding Tax Booklet Annual Return Secure Accurate
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A copy of your Form W-2 form from the Internal Revenue Service showing the proper amount of Social Security and Medicare taxes withheld. A separate sheet from the Federal Tax Form 940 showing the amount of your taxes withheld and the amount of your federal unemployment tax or state unemployment tax. Your name and address on all tax returns and information on any prior tax liens or criminal convictions. (See the General Information for the Taxpayer.) In addition, you must also show the following information on a separate sheet: The amount of taxes withheld from your employees. Your name and address on Form 1099-MISC. Federal income tax return or form (Form 1041, 1040A, 1040EZ, 3404, 1045 or 3405). If the Form W-2 shows Social Security or Medicare taxes withheld you must include the amount of taxes withheld including: Federal withholding tax, Federal unemployment tax or employment tax. The amount of taxes you withheld including: Federal income tax return or form (Form 1041, 1040A, 1040EZ, 3404, 1045 or 3405). If the Form W-2 shows Federal tax withholding tax, it must be indicated on a separate sheet, showing the following information: The amount your employee, or any person filing a joint return, owed you. The amount by which the employee or any person filing a joint return owes you (in the case of a married individual filing jointly, the amount deducted before tax was withheld as “adjusted gross income”). The type of tax you withheld and the amount of taxes withheld. State tax return or form (Form 1041). If the Form W-2 shows State tax withheld tax, it must be indicated on a separate sheet, showing the following information: The amount your employee, or any person filing a joint return, owes you. The amount by which the employee or any person filing a joint return owes you (in the case of a married individual filing jointly, the amount deducted before tax was withheld as “adjusted gross income”). (If there are no withholding tax deductions, the amount deducted after tax was withheld should be shown on the Form W-2 or Form 943 for the employee, regardless of his or her filing status.) Any amount of additional tax due on an itemized deduction on the Form 943. Information on any prior tax lien or criminal conviction. Any additional withholding penalties imposed under the Internal Revenue Code.

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