South Carolina Department of Revenue 
Data to be Used for Creating Sample Forms for Withholding 
(WH1606) (2024) 
Revised 9/21/2023 
 
You must submit 1 form for each example, for a total of five test cases. Submissions will not be approved if the 
correct number of test cases is not provided and/or if South Carolina test cases are not used. 
 
 Return 1:                                               
 Withholding File Number:     11531111-8 
 FEIN:                        57-0000057 
 Quarter:                     04 
 Year:                        2024 
 Name and Address:            Withholding Returns Inc.  
                              123 Time to File  
                              Barnwell, SC 29999 
 Amended Check box:           N 
 Change of Address Check box: N 
 Business Closed Check box:   N 
 SC Tax Withheld amount:      328.72 
 Payment/Deposit amount:      300.00 
 Refund amount:                
 SC Tax Due amount:           28.72 
 Penalty/Interest:             
 SC Tax, Penalty, Int. Due:   28.72 
 1 stQtr recap:               0 
 2 ndQtr recap:               0 
 3 rdQtr recap:               302.17 
 4 thQtr recap:               328.72 
 SC Tax Withheld:             630.89 
 Total SC Wages from W2’s     22,490.68 
 W2G’s and 1099’s: 
 Numbers of W2’s, W2G’s       1 
 and 1099’s submitted: 
 
 Return 2:                     
 Withholding File Number:     11241112-7 
 FEIN:                        57-0000042 
 Quarter:                     04 
 Year:                        2024        
 Name and Address:            Bill It Now, Inc 
                              John and Sally Withholds 
                              1234 Time to Pay  
                              Pelzer, SC 29999 
 Amended Check box:           N 
 Change of Address Check box: N 
 Business Closed Check box:   Y 
 SC Tax Withheld amount:      5893.00 
 Payment/Deposit amount:      5893.00 
 Refund amount:                
 SC Tax Due amount:           .62 
 Penalty/Interest:             

South Carolina Department of Revenue 
Data to be Used for Creating Sample Forms for Withholding 
(WH1606) (2024) 
Revised 9/21/2023 
 
 SC Tax, Penalty, Int. Due:   .62 
 1 stQtr recap:               0 
 2 ndQtr recap:               4,967.13 
 3 rdQtr recap:               5,380.65 
 4 thQtr recap:               5,893.62 
 SC Tax Withheld:             16,241.40 
 Total SC Wages from W2’s     112,904.10 
 W2G’s and 1099’s: 
 Numbers of W2’s, W2G’s       4 
 and 1099’s submitted: 
 
 Return 3:                     
 Withholding File Number:     11111113-6 
 FEIN:                        57-0000063 
 Quarter:                     04   
 Year:                        2023  
 Name and Addressed           Owes Inc.  
                              123 Bill Lane 
                              Ninety Six, SC 29999 
 Amended Check box:           N 
 Change of Address Check box: Y 
 Business Closed Check box:   N 
 SC Tax Withheld amount:      125,328.74 
 Payment/Deposit amount:      120,977.36 
 Refund amount:                
 SC Tax Due amount:           4,351.38 
 Penalty/Interest:             
 SC Tax, Penalty, Int. Due:   4,351.38 
 1 stQtr recap:               0 
 2 ndQtr recap:               0 
 3 rdQtr recap:               0 
 4 thQtr recap:               125,328.74 
 SC Tax Withheld:             125,328.74 
 Total SC Wages from W2’s     896,532.82 
 W2G’s and 1099’s: 
 Numbers of W2’s, W2G’s       3 
 and 1099’s submitted: 
 
 Return 4:                     
 Withholding File Number:     11111114-5 
 FEIN:                        57-0000064 
 Quarter:                     04 
 Year:                        2023 
 Name and Address:            March Fliers, Inc 
                              3 Bill St.  
                              Denmark, SC 29999 
 Amended Check box:           Y 

South Carolina Department of Revenue 
Data to be Used for Creating Sample Forms for Withholding 
(WH1606) (2024) 
Revised 9/21/2023 
 
 Change of Address Check box: N 
 Business Closed Check box:   N 
 SC Tax Withheld amount:      2,873.26 
 Payment/Deposit amount:      3,000.00 
 Refund amount:               126.74 
 SC Tax Due amount:            
 Penalty/Interest:             
 SC Tax, Penalty, Int. Due:    
 1 stQtr recap:               0 
 2 ndQtr recap:               0 
 3 rdQtr recap:               2,293.75 
 4 thQtr recap:               2,873.26 
 SC Tax Withheld:             5,167.01 
 Total SC Wages from W2’s     42,976.25 
 W2G’s and 1099’s: 
 Numbers of W2’s, W2G’s       3 
 and 1099’s submitted: 
 
 Return 5:                     
 Withholding File Number:     11115415-4 
 FEIN:                        57-0000065 
 Quarter:                     04 
 Year:                        2023 
 Name and Address:            Gotta Withhold 123 
                              Withhold Lane 
                              Branchville, SC 29999-9999 
 Amended Check box:           N 
 Change of Address Check box: Y 
 Business Closed Check box:   Y 
 SC Tax Withheld amount:      28.76 
 Payment/Deposit amount:      30.00 
 Refund amount:               1.24 
 SC Tax Due amount:            
 Penalty/Interest:             
 SC Tax, Penalty, Int. Due:    
 1 stQtr recap:               29.70 
 2 ndQtr recap:               31.26 
 3 rdQtr recap:               32.45 
 4 thQtr recap:               28.76 
 SC Tax Withheld:             122.17 
 Total SC Wages from W2’s     15,987.11 
 W2G’s and 1099’s: 
 Numbers of W2’s, W2G’s       1 
 and 1099’s submitted: