VIRTUAL ENTERPRISE TAX ACCOUNT
At
122 Amsterdam Avenue
New York, N.Y. 10023
WITHHOLDING TAX FORM 941
READ ALL INSTRUCTIONS BEFORE COMPLETING THIS FORM
Company Name :		Beginning Date of Payroll :
Address              :		Ending Date of Payroll      :
City                      :		Employer Identification #
State and ZIP code :
FEDERAL WITHHOLDING REMITTANCE FORM
1	NUMBER OF EMPLOYEES IN THE PAY PERIOD THAT INCLUDES THE 12th DAY OF THE MONTH
		A	B	C
2	TOTAL WAGES PLUS OTHER COMPENSATION
3	CONTRIBUTIONS TO QUALIFIED PENSION PLANS
4	WAGES SUBJECT TO FED. INCOME TAX (2C - 3C)
5	TOTAL FEDERAL INCOME TAX WITHHELD
6	TAXABLE SOCIAL SECURITY WAGES		x .124
7	TAXABLE MEDICARE WAGES		x .029
8	TOTAL OF LINES 5C, 6C AND 7C
STATE AND LOCAL TAX REMITTANCE
9	TAXABLE WAGES
10	AMOUNT OF STATE TAX WITHHELD
11	AMOUNT OF LOCAL TAX WITHHELD
12	TOTAL OF LINES 10 AND 11
REMITTANCE AMOUNT
Pay to the VE Tax Account, VEC-Bank # 100026702
13	LINE 8 FROM ABOVE
14	LINE 12 FROM ABOVE
15	TOTAL OF LINES 13 AND 14
NAME OF PERSON RESPONSIBLE FOR THE PAYROLL RECORDS
Date:

Last Updated on 10/1/06