Form WTH-REC — Annual Reconciliation of Withholding

# DELAWARE DIVISION OF REVENUE FORM ANNUAL RECONCILIATION OF DELAWARE

# INCOME TAX WITHHELD

DFWTHREC2025019999V1
Revision 20250811

# DUE ON OR BEFORETAX PERIOD ENDINGTAX PERIOD STARTINGTAXPAYER ID NAME ADDRESS

Check the box if W-2(s) and/or 1099s are being submitted electronically.
Changes must be made on the request for change form. Check the box if you are filing a change form.
(Please remit Balance Due. Do not apply Refund Due to future payments. Refund will be issued from this document.) 1.

# JANUARY JULY TAX PAID TAX PAIDTAX WITHHELD WITHHOLDING WORKSHEET TAX WITHHELD

# FEBRUARY AUGUST MARCH SEPTEMBER APRIL OCTOBER MAY NOVEMBER JUNE

# TOTAL TAX PAID FOR THIS YEAR

Enter amount on Line 4

# TOTAL TAX WITHHELD

Should agree with Line 3

# DECEMBER

3.
5a.
2.
4.
5b.
6.

# AMOUNT OF DELAWARE WAGES NUMBER OF WITHHOLDING STATEMENTS

(Form W-2 and/or 1099 attached.)

# TOTAL DELAWARE INCOME TAX WITHHELD FROM WAGES

(as shown on attached forms.)

# TOTAL DELAWARE INCOME TAX PAID DURING THE YEAR OVERPAYMENT

Difference between Line 3 and Line 4

# BALANCE DUE

Difference between Line 3 and Line 4

# TOTAL REMITTANCE

Delaware Division of Revenue
PO Box 8750
Wilmington, DE 19899-8750

# MAIL COMPLETED FORM WITH

REMITTANCE PAYABLE TO:

# AUTHORIZED SIGNATURE DATE EMAIL PHONE NUMBER

I declare under penalties of perjury that this is a true, correct, and complete return.