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Get Ar Dfa Ar3mar 2006

O. Box 8055 Little Rock AR 72203-8055 Reason Closed See back for Instructions Does this Annual Reconciliation report AR3MAR cover more than one FEIN If so please indicate FEIN s covered by this report AR3MAR R 08/06 CLICK HERE TO CLEAR FORM INSTRUCTIONS FOR COMPLETING FORM AR3MAR THIS PAGE IS YOUR ANNUAL RECONCILIATION OF MONTHLY WITHHOLDING. PLEASE READ THE FOLLOWING INSTRUCTIONS AND COMPLETE THE FORM ON THE REVERSE SIDE. A An Annual Reconciliation form must be completed and returned to our of ce by February 28 of the year immediately following the tax year you are ling. AR3MAR 20 STATE OF ARKANSAS Employer s Annual Reconciliation of Income Tax Withheld FEIN For Department Use Only Name Address City State Zip TAX PAID B TAX WITHHELD A MONTH JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL REFUND DUE TAX DUE TOTAL WAGES PAID TOTAL EMPLOYEES I declare under penalties of perjury that I have examined this return and to the best of my knowledge and belief it is a true correct and complete return* Signature If you are no longer withholding Arkansas tax indicate the date you stopped* Date Telephone Number Make check or money order payable to Department of Finance and Administration and Mail to Individual Income Tax Section Withholding Branch P. B For each month listed ll in the actual amount of Arkansas tax withheld in Column A and the net amount of withholding tax actually paid in Column B. The net amount paid is the total amount paid minus refunds you may have received for certain periods. C Total the amounts in Column A for the whole year and write the total in the appropriated box. This amount should equal the total amount of Arkansas Tax withheld on the W-2 s. D List total amount of wages paid and the total number of employees in the appropriate boxes. E If the total amount of tax paid in Column B is greater than the total amount withheld in Column A you will receive a refund. List this amount in the Refund box. If the total amount withheld in Column A is greater than the total amount paid in Column B then you owe an additional amount of tax. List this amount in the Tax Due box and attach a check for that amount. F DATE CLOSED Enter the date the business closed or stopped withholding Arkansas Taxes. This will close your withholding account with the State of Arkansas until you re-register your business for withholding purposes. G REASON CLOSED Enter the number of the appropriate reason* Business discontinued Business transferred to successor Change in organization Discharged all employees but continuing business Other. B For each month listed ll in the actual amount of Arkansas tax withheld in Column A and the net amount of withholding tax actually paid in Column B. The net amount paid is the total amount paid minus refunds you may have received for certain periods. The net amount paid is the total amount paid minus refunds you may have received for certain periods. C Total the amounts in Column A for the whole year and write the total in the appropriated box. This amount should equal the total amount of Arkansas Tax withheld on the W-2 s.

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