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Click ‘Get Form’ to open the de 3bhw in the editor.
In Item A, enter the number of full-time and part-time employees who worked during the payroll period that includes the 12th of the month. Provide counts for each of the three months.
If there was no payroll this quarter, check Item B and enter '0' in each box in Item A, as well as in Items H, I, and J.
For Item C, input each employee's Social Security Number (SSN). If an employee lacks an SSN, report their name and wages without it but take steps to secure one immediately.
In Item D, list each employee's full name (first, middle initial if applicable, last). Ensure correct formatting for clarity.
Enter total subject wages for each employee in Item E. This should include all cash and non-cash payments made during the quarter.
For Item F, record PIT wages paid to each employee during the quarter. Even if you did not withhold PIT, include these figures.
In Item G, indicate the amount of PIT withheld from each employee’s wages during the quarter.
Complete Items H through J by entering grand totals for subject wages, PIT wages, and PIT withheld respectively.
Finally, sign in Item K, provide your title and phone number, and date the form before submission.
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