Massachusetts Reconciliation of Massachusetts Income Taxes Withheld for Employers

Reconciliation of Massachusetts Income Taxes Withheld for Employers
M-3
Massachusetts Department of Revenue

Form M-3
Reconciliation of Massachusetts Income Taxes Withheld for Employers
This form, with Forms W-2, Copy 1, must be filed on or before January 31.
Name of business

Account ID number

Tax filing period (month, year)

State

Phone number

Street address

City/Town

Zip

11 Total number employed during year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
12 Total number of Forms W-2 enclosed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
13 Total Massachusetts tax withheld (as shown in Forms W-2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
14 Total amount withheld per line 1 of quarterly or monthly returns (from below). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
15 Total amount remitted (from below) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Quarterly.
Frequency

Completed by quarterly filers.
Amount withheld
from line 1 of return

Amount remitted

Reason for difference
(you must file an amended M-941 to report any differences)

Amount remitted

Reason for difference
(you must file an amended M-941 to report any differences)

Quarter 1 . . . . . . . . .
Quarter 2 . . . . . . . . .
Quarter 3 . . . . . . . . .
Quarter 4 . . . . . . . . .

Monthly.
Frequency

Completed by monthly filers.
Amount withheld
from line 1 of return

January . . . . . . . . . .
February . . . . . . . . .
March. . . . . . . . . . . .
April . . . . . . . . . . . . .
May . . . . . . . . . . . . .
June . . . . . . . . . . . . .
July. . . . . . . . . . . . . .
August . . . . . . . . . . .
September . . . . . . . .
October . . . . . . . . . .
November . . . . . . . .
December . . . . . . . .

Declaration
The undersigned certifies under the penalties of perjury that all items and statements herein contained are true and accurate in every particular.
Signature

Title

Date

File this return: Massachusetts Department of Revenue, PO Box 7015, Boston, MA 02204.

Rev. 11/16