LEGAL NAME DBA______________________

YEAR______________

UITR ACCOUNT #_______________________

FEDERAL EIN #__________________ STATE ACCOUNT #________________

W - 3 RECONCILIATION
QB MEMORIZED PAYROLL TAX REPORT

CODE

1/1-12/31

TOTAL QUICKBOOKS GROSS WAGES

INSTRUCTIONS

TOTAL 941
941 BOX 2

TOTAL 940
BOX 3

TOTAL UITR
PG 1 LINE 9

TOTAL DR 1094

SS WAGES
INSTRUCTIONS Restaurant ONLY 941 BOX 5A

SS TIPS
INSTRUCTIONS 941 BOX 5B

SS WAGES + SS TIPS MEDICARE WAGES

INSTRUCTIONS 941 BOX 5C

STATE WAGES
2200

TOTAL FED WITHELD

INSTRUCTIONS 941 BOX 3 TOTAL SS LIABILITY SS LIABILITY W/H 4.2% x gross wage SS LIABILITY CO Match 6.2% x gross wages 941 5A COLUMN 2

2210

TOTAL SS WITHELD

2215

TOTAL MED WITHELD

TOTAL MED LIABILITY MED LIABILITY DIVIDE BY 2

941 5C COLUMN 2

2220

TOTAL STATE WITHELD

INSTRUCTIONS DR 1094 LINE 9

STATE PAYMENTS
INSTRUCTIONS QB PAYROLLTAX REPORT 1/1-12/31

STATE BALANCE
INSTRUCTIONS DR 1093

FORM 941 WAGES SS WAGES SS TIPS MED WAGES & TIPS FED WITHHELD SS LIABILITY SS TIPS LIABILITY MED LIABILITY

Q1

Q2

Q3

Q4

TOTAL

UITR WAGES

Q1

Q2

Q3

Q4

TOTAL

DR 1094 STATE WITHHELD STATE PAYMENTS

Q1

Q2

Q3

Q4

TOTAL