South Carolina Department of Revenue 
 Data for Creating Sample Forms for  
 WH-1606  (2023) 
 Revised 11/14/22 
 
 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     11111111-8 
FEIN:                       57-0000001 
Quarter:                    Oct, Nov, Dec 
Year:                       2023 
Name & Address:             Withholding Returns Inc. 
                            123 Time to File 
                            Anywhere, SC 29999 
Amended:                    No 
Change of Address:          No 
Close Withholding Account:  No 
SC Tax Withheld amount      $328.72 
Payment/Deposit amount:     $300.00 
Refund amount               $ 
SC Tax due amount:          $28.72 
Penalty/Interest            $ 
Total tax due:              $28.72 
 st
1  Qtr recap:               $0.00 
 nd
2  Qtr recap:               $0.00 
 rd
3  Qtr recap:               $302.17 
 th
4  Qtr recap:               $328.72 
SC Tax Withheld             $630.89 
Total SC Wages from W2’s 
W2G’s and 1099’s:           $22,490.68 
Numbers of W2’s, W2G’s 
and 1099’s submitted:       1       
 
Return 2: 
Withholding File Number     11111112-7 
FEIN:                       57-0000002 
Quarter:                    Oct, Nov, Dec 
Year:                       2023 
Name & Address:             Bill It Now, Inc. 
                            John and Sally Withholds 
                            1234 Time to Pay 
                            Anywhere, SC 29999 
Amended:                    No 
Change of Address:          No 
 

 South Carolina Department of Revenue 
 Data for Creating Sample Forms for  
 WH-1606  (2023) 
 Revised 11/14/22 
 
Return 2 (continued) 
 
Close Withholding Account:  Yes 
SC Tax Withheld amount      $5,893.62 
Payment/Deposit amount:     $5,893.00 
Refund amount               $ 
SC Tax due amount:          $0.62 
Penalty/Interest:           $0.00 
Total tax due:              $0.62 
 st
1  Qtr recap:               $0.00 
 nd
2  Qtr recap:               $4,967.13 
 rd
3  Qtr recap:               $5,380.65 
 th
4  Qtr recap:               $5,893.62 
SC Tax Withheld:            $16,241.40 
Total SC Wages from W2’s, 
W2G’s, and 1099’s:          $112,904.10 
Numbers of W2’s, W2G’s,      
and 1099’s submitted:       4 
 
Return 3: 
Withholding File Number:    11111113-6 
FEIN:                       57-0000003 
Quarter:                    Oct, Nov, Dec 
Year:                       2023 
Name & Address:             Owes Inc.  
                            123 Bill Lane 
                            Anywhere, SC 29999 
Amended:                    No 
Change of Address:          No 
Close Withholding Account:  No 
SC Tax Withheld amount:     $125,328.74 
Payment/Deposit amount:     $120,977.36 
Refund amount:              $ 
SC Tax due amount:          $4,351.38 
Penalty/Interest:           $ 
Total tax due:              $4,351.38 
 st
1  Qtr recap:               $0.00 
 nd
2  Qtr recap:               $0.00 
 rd
3  Qtr recap:               $0.00 
 th
4  Qtr recap:               $125,328.74 
SC Tax Withheld:            $125,328.74 
Total SC Wages from W2’s, 
W2G’s, and 1099’s:          $896,532.82 
 

 South Carolina Department of Revenue 
 Data for Creating Sample Forms for  
 WH-1606  (2023) 
 Revised 11/14/22 
 
Return 3 (continued) 
 
Numbers of W2’s, W2G’s, 
and 1099’s submitted:       3      
 
Return 4: 
Withholding File Number:    11111114-5 
FEIN:                       57-0000004 
Quarter:                    Oct, Nov, Dec 
Year:                       2023 
Name & Address:             March Filers Inc.  
                            3 Bill St. 
                            Anywhere, SC 29999 
Amended:                    Yes 
Change of Address:          No 
Close Withholding Account:  No 
SC Tax Withheld amount:     $2,873.26 
Payment/Deposit amount:     $3,000.00 
Refund amount:              $126.74 
SC Tax due amount:          $ 
Penalty/Interest:           $ 
Total tax due:              $0.00 
 st
1  Qtr recap:               $0.00 
 nd
2  Qtr recap:               $0.00 
 rd
3  Qtr recap:               $2,293.75 
 th
4  Qtr recap:               $2,873.26 
SC Tax Withheld:            $5,167.01 
Total SC Wages from W2’s, 
W2G’s, and 1099’s:          $42,976.25 
Numbers of W2’s, W2G’s, 
and 1099’s submitted:       3      
 
Return 5: 
Withholding File Number:    11111115-4 
FEIN:                       57-0000005 
Quarter:                    Oct, Nov, Dec 
Year:                       2023 
Name & Address:             Gotta Withhold  
                            123 Withhold Lane 
                            Anywhere, SC 29999-9999 
Amended:                    No 
Change of Address:          Yes 
Close Withholding Account:  No 

 South Carolina Department of Revenue 
 Data for Creating Sample Forms for  
 WH-1606  (2023) 
 Revised 11/14/22 
 
Return 5 (continued) 
 
SC Tax Withheld amount:   $28.76 
Payment/Deposit amount:   $30.00 
Refund amount:            $1.24 
SC Tax due amount:        $ 
Penalty/Interest:         $ 
Total tax due:            $0.00 
 st
1  Qtr recap:             $29.70 
 nd
2  Qtr recap:             $31.26 
 rd
3  Qtr recap:             $32.45 
 th
4  Qtr recap:             $28.76 
SC Tax Withheld:          $122.17 
Total SC Wages from W2’s, 
W2G’s, and 1099’s:        $15,987.11 
Numbers of W2’s, W2G’s, 
and 1099’s submitted:     1