South Carolina Department of Revenue 
Data to be Used for Creating Sample Forms for WH-1601 (2024) 
Revised 9/12/23 
 
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:                 01 
 Year:                    2024 
 Name and address:        Withholding Returns Inc. 
                          123 Time to File 
                          Barnwell, SC 29999 
 Payment amount:          829.47 
 
 Return 2:                 
 Withholding File Number: 11241112-7 
 FEIN:                    57-0000042 
 Quarter:                 01 
 Year:                    2024 
 Name and address:        Bill It Now, Inc. 
                          John and Sally Withholds 
                          1234 Time to Pay  
                          Pelzer, SC 29999 
 Payment amount:          25.11 
 
 Return 3:                 
 Withholding File Number: 11111113-6 
 FEIN:                    57-0000063 
 Quarter:                 03 
 Year:                    2024 
 Name and address:        Owes Inc. 
                          123 Bill Lane 
                          Ninety Six, SC 29999 
 Payment amount:          5,500.00 
 

South Carolina Department of Revenue 
Data to be Used for Creating Sample Forms for WH-1601 (2024) 
Revised 9/12/23 
 
 Return 4:                  
 Withholding File Number:  11111114-5 
 FEIN:                     57-0000064 
 Quarter:                  04 
 Year:                     2024 
 Name and address:         March Filers Inc.  
                           3 Bill St. 
                           Barnwell, SC 29999 
 Payment amount:           750.00 
 
 Return 5:                 
 Withholding File         11115415-4 
 Number: 
 FEIN:                    57-0000065 
 Quarter:                 01 
 Year:                    2024 
 Name and address:        Gotta Withhold 123 
                          Withhold Lane  
                          Branchville, SC 29999-
                          9999 
 Payment amount:          234,789.78