— PLEASE TRIM ON THE DOTTED LINE PRIOR TO FILING —
COMPENSATION DEDUCTION: For every remittance you make on or before the due date, you
2034, Application for Withholding Tax Refund/Credit. These forms are available upon request by
may deduct and retain the following percentages of the total amount of tax withheld and paid annu-
calling (800) 877-6881 or by writing the Office of Divisional Support Services, P.O. Box 3022,
Jefferson City, MO 65105-3022, or by contacting the Forms by Fax system at (573) 751-4800, the
Missouri Department of Revenue’s Bulletin Board system at (573) 751-4876 or via the Internet at
NOTE: If you are a Complex Employer with more than one payroll unit, please refer to the Missouri
Employer’s Withholding Tax Guide for claiming compensation.
INSTRUCTIONS FOR COMPLETING FORM MO-941P (“EMPLOYERS QUARTER-MONTHLY
PAYMENT OF INCOME TAXES WITHHELD”):
AMOUNT OF COMPENSATION
JANUARY - DECEMBER
1. Complete Identification and addressing block. NOTE: Enter the “Tax Period” information in
0 to $5,000
month/year (MM, YY) format.
$5,001 – 10,000
2. Enter tax withheld, allowable compensation deduction, approved credit (if any) and amount of
In Excess of $10,000
GOVERNMENT AGENCIES: United States government agencies, the State of Missouri, its agencies
3. Sign and date the voucher.
and political subdivisions can not take a compensation deduction.
Mail remittance and voucher to: Missouri Department of Revenue, P.O. Box 3333, Jefferson
AMENDED MISSOURI WITHHOLDING REPORT: If an incorrect amount of withholding tax has
City, Missouri 65105-3333.
been reported, employers must file Form MO-941XX, Employer’s Quarter/Monthly Amended With-
holding Tax Return. If the amended amount will result in an overpayment, you must complete Form
ROUND ALL CENTS TO THE NEAREST WHOLE DOLLAR
MO 860-1288 (10-96) (1891)