Form 941-V - Payment Voucher - 2014
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1Form 941-V,
Payment Voucher
Purpose of Form
Specific Instructions
Box 1—Employer identification number (EIN). If you do
Complete Form 941-V, Payment Voucher, if you are
not have an EIN, you may apply for one online. Go to
making a payment with Form 941, Employer’s
IRS.gov and click on the Apply for an EIN Online link
QUARTERLY Federal Tax Return. We will use the
under Tools. You may also apply for an EIN by faxing or
completed voucher to credit your payment more promptly
mailing Form SS-4, Application for Employer Identification
and accurately, and to improve our service to you.
Number, to the IRS. If you have not received your EIN by
Making Payments With Form 941
the due date of Form 941, write “Applied For” and the
date you applied in this entry space.
To avoid a penalty, make your payment with Form 941
only if:
Box 2—Amount paid. Enter the amount paid with
Form 941.
• Your total taxes after adjustments for either the current
quarter or the preceding quarter (Form 941, line 10) are
Box 3—Tax period. Darken the circle identifying the
less than $2,500, you did not incur a $100,000 next-day
quarter for which the payment is made. Darken only
deposit obligation during the current quarter, and you are
one circle.
paying in full with a timely filed return, or
Box 4—Name and address. Enter your name and
address as shown on Form 941.
• You are a monthly schedule depositor making a
payment in accordance with the Accuracy of Deposits
• Enclose your check or money order made payable to
Rule. See section 11 of Pub. 15 (Circular E), Employer's
the "United States Treasury." Be sure to enter your
Tax Guide, for details. In this case, the amount of your
EIN, "Form 941," and the tax period on your check or
payment may be $2,500 or more.
money order. Do not send cash. Do not staple Form
941-V or your payment to Form 941 (or to each other).
Otherwise, you must make deposits by electronic funds
transfer. See section 11 of Pub. 15 (Circular E) for deposit
• Detach Form 941-V and send it with your payment
instructions. Do not use Form 941-V to make federal tax
and Form 941 to the address in the Instructions for
deposits.
Form 941.
Caution. Use Form 941-V when making any payment with
Note. You must also complete the entity information
Form 941. However, if you pay an amount with Form 941
above Part 1 on Form 941.
that should have been deposited, you may be subject to a
penalty. See Deposit Penalties in section 11 of Pub. 15
(Circular E).
Detach Here and Mail With Your Payment and Form 941.
941-V
Payment Voucher
OMB No. 1545-0029
2014
Department of the Treasury
Do not staple this voucher or your payment to Form 941.
Internal Revenue Service
1 Enter your employer identification
2
Dollars
Cents
number (EIN).
Enter the amount of your payment.
Make your check or money order payable to “United States Treasury”
4 Enter your business name (individual name if sole proprietor).
3 Tax Period
1st
3rd
Enter your address.
Quarter
Quarter
2nd
4th
Enter your city, state, and ZIP code or your city, foreign country name, foreign province/county, and foreign postal code.
Quarter
Quarter
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Parent category: Financial