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Filing Frequency
1. Withholding
0 0
$
Missouri Dept. Of Revenue
Form
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This Period ....................
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Employer’s Return Of
MO-941
Due On or Before (MM/DD/YYYY)
2. Compensation
0 0
$
Income Taxes Withheld
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__ __ /__ __ /__ __ __ __
Deduction ......................
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Mo Tax I.D.
For Tax
3. Previous Overpay or
0 0
$
Number
Period
Payments ......................
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•
( YYYY,MM)
Federal Employer
$
0 0
I.D. Number
Balance Due
4.
...................
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Business Name
5. Additions to Tax
0 0
$
(see Instructions) ...........
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Owner’s Name
6. Interest
0 0
$
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(see Instructions) ...........
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Mailing Address (Street, City, State, Zip Code)
7. Total Amount Due
0 0
$
(U.S. funds only) ............
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I have direct control, supervision, or responsibility for filing this return and payment of the
tax due. Under penalties of perjury, I declare it is a true, accurate, and complete return.
*
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Department
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Authorized Signature
Date (MM/DD/YYYY)
Use Only
__ __ /__ __ /__ __ __ __
*
Mail Remittance And Return To: Missouri Department of Revenue, P.O. Box 999,
If you pay by check, you authorize the Department of Revenue to process the check
Jefferson City, Missouri 65108‑0999.
electronically. Any check returned unpaid may be presented again electronically.
Form MO‑941 (Revised 12‑2013)
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Instructions for completing Form MO‑941,
Employer’s Return Of Income Taxes Withheld
Use the correct return.
6.
Compute interest, if applicable, and enter on Line 6. Divide
1. Enter the amount of employer withholding tax for the period on
the annual interest rate by 365 (366 for leap years) to obtain
Line 1.
the daily interest rate. Then subtract Line 3 from Line 1 and
2. Enter the compensation deduction for timely payment made on
multiply the result by the daily interest rate for each day late.
Line 2. (Compensation should be taken on the amount entered
* The annual interest rate is subject to change each year.
on Line 1.)
You can access the annual interest rate on our website
3. Enter previous overpayments or credits on Line 3.
at:
4. Compute balance due. Subtract Lines 2 and 3 from Line 1 and
7. Compute total amount due. Add Lines 4, 5, and 6 and enter
enter the difference on Line 4.
on Line 7.
5. Compute additions to tax, if applicable, and enter on Line 5.
Mail your remittance and return to the address below. Make
A. For failure to pay withholding tax by the due date —
your check payable to Missouri Director of Revenue and
subtract Line 3 from Line 1 and multiply the result by 5
include your Missouri Tax I.D. Number in the lower left area of
percent; or
your check (U.S. funds only).
B. For failure to file your return by the due date — subtract
Line 3 from Line 1 and multiply the result by 5 percent for
each month late, not to exceed 25 percent.
For more information, visit
Mail to:
Phone: (573) 751‑8750
Taxation Division
Fax: (573) 522‑6816
P.O. Box 999
E-mail:
withholding@dor.mo.gov
Jefferson City, MO 65108‑0999