Al Form 2015

A-3 received without W-2 s WILL BE RETURNED. TOTALAL TAX ON WAGE STATEMENTS AND/OR INFORMATION RETURNS. IF AL TAX HAS BEEN REPORTED ON 1099 S OR OTHER INFORMATION RETURNS SUCH RETURNS MUST BE SUBMITTED WITH FORM A-3 AND AMOUNT OF AL TAX INCLUDED IN THE AMOUNT SHOWN IN BLOCK 2. O. Box 327480 Montgomery AL 36132-7480 telephone 334-242-1300. Revised 10/15 PLEASE CUT HERE Reset Form FORM A-3 STATE OF ALABAMA ANNUAL RECONCILIATION OF ALABAMA INCOME TAX WITHHELD YEAR MARCH 1st QTR FEBRUARY APRIL NUMBER OF EMPLOYEE WAGE STATEMENTS AND/OR INFORMATION RETURNS TRANSMITTED WITH THIS FORM ALABAMA WITHHOLDING TAX ACCOUNT NUMBER JANUARY MAY DATE DUE NAME AND ADDRESS JUNE 2nd QTR JULY AUGUST SEPTEMBER 3rd QTR OCTOBER NOVEMBER DECEMBER 4th QTR COL 1 TAX WITHHELD 1 TOTAL TAX REMITTED COL 2 SIGNATURE DATE NOTE DO NOT send without W-2 s. PLEASE NOTE The Alabama Department of Revenue requires employers submitting 25 or more W-2 s or who have filed and paid electronically during the year to electronically submit both the Form A-3 and W-2 s on-line. Please click here to electronically file your Form A-3 and W-2 s on-line. INSTRUCTIONS FOR PREPARING FORM A-3 DUE DATE Form A-3 Annual Reconciliation of Income Tax Withheld is due on or before the last day of January following the end of the year being filed* Forms W-2 and 1099 with Alabama income tax withheld must be submitted with Form A-3. Employers submitting 25 or more W-2 s or who have filed and paid electronically during the year are required to file these electronically. STEP 1 Enter the amounts of Alabama income tax withheld in the appropriate spaces in Column 1 on the right side of Form A-3. You must list monthly amounts if a you withheld 1000 or more during any single month of the year or b you filed on a monthly basis during the year. Otherwise you may list only quarterly amounts. STEP 2 Enter in the appropriate spaces in Column 2 the amounts of Alabama withholding tax actually remitted* Include in these amounts credits claimed on Line 5 of Form A-1 or Form A-6 for overpayment of withholding tax for any prior year. Caution Amounts listed in Columns 1 and 2 should include only Alabama withholding tax. Do not include delinquent penalty and/or interest charges. STEP 3 Add amounts listed in Step 2 Column 2. Show total in Block 1. STEP 4 Enter in Block 2 the total Alabama income tax withheld on employee W-2 s or 1099 s if applicable to be transmitted with Form A-3. This total must be supported by an adding machine tape. Note Employers submitting 25 or more statements or who have filed and paid electronically during the year are required to file electronically. Please visit our website at www. revenue. alabama*gov for more information* STEP 5 Compare the amounts in Blocks 1 and 2. If the amount in Block 1 is larger your account is overpaid* Show amount of overpayment in Block 4 and indicate whether you want a refund or will claim credit on a future return* Overpayments of less than 100.