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MARYLAND
ANNUAL EMPLOYER WITHHOLDING
AMENDED
FORM
RECONCILIATION REPORT
TAX YEAR
MW508A
CR#
FEIN
:
Reported NAICS Code:
NAME:
Corrected NAICS Code:
1. Attach Maryland copies of W-2/1099R forms. Enter number
PREVIOUSLY REPORTED CORRECTED AMOUNTS
of W-2/1099R forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Total Maryland withholding tax reported on MW506
this year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
.
3. Enter total State and local tax combined as shown
on W-2/1099R forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .
3a. Enter total withholding tax paid this year. . . . . . . . . . . . . . . . . . . . .
.
3b. Enter total tax exempt credit (MW508CR must be attached
to allow credit.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
. .
4. Amount of withholding tax due (Subtract lines 3a and 3b from line 3.)
. .
5. Overpayment (If line 3 minus lines 3a & 3b is less than
zero, enter the dierence here as a positive number.) . . . . . . . . . . .
. .
6. Amount of overpayment on line 5 to be applied as a credit. . . . . . . .
.
.
7. Amount of overpayment on line 5 to be refunded to you. . . . . . . . . .
.
.
I declare under the penalties of perjury that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and
belief is a true, correct, and complete return.
COM/RAD 043
PHONE NO. DATE: SIGNED: TITLE: